March 23rd 2017 Presented By: Shanelle Van Dyke Patient Safety Culture (PSC) Survey Quality Improvement Series: Handoffs & Transitions March 23rd 2017 Presented By: Shanelle Van Dyke

SBAR – Improving Communication

VIDEO Improving Patient Handoffs https://www.youtube.com/watch?v=8TQtv5AflQ8 -----5 min. 22 seconds

S B A R Situation Background Assessment Recommendation Background The safety attitudes questionnaire administered at Kaiser Permanente identified that physician and nurse perceptions of teamwork were significantly different. Physicians tended to view the care environment as fairly collaborative, whereas nurses saw it as much less so. To address the issue, Kaiser Permanente developed a communication tool that was adapted from the US Navy, called SBAR.

What is SBAR? SBAR is a communication tool that provides a method of clearly communication the pertinent information from a clinical encounter Empowers all members of the healthcare team to provide their input into the patient situation including recommendations Assessment and recommendation phases provide an opportunity for discussion among the members of the health care team May not be comfortable at first for either sender or receivers of information SBAR is an acronym for Situation, Background, Assessment, Recommendation; a technique that can be used to facilitate prompt and appropriate communication. This communication model has gained popularity in healthcare settings, especially amongst professions such as physicians and nursing. The SBAR is a powerful tool that is used to improve the effectiveness of communication between individuals. It is easy to use and can help your staff learn the key components needed to send a complete message! Here are the key components of the SBAR:

Why do we Need SBAR? S=Situation (a concise statement of the problem) Poor communication = errors/call backs from clinical and clerical staff to get more information B=Background (pertinent and brief information related to the situation) Training on communication styles vary Hierarchy – lack of assertiveness Distractions – missing information A=Assessment (analysis and considerations of options — what you found/think) We need a new communication style that all healthcare professionals can use R=Recommendation (action requested/recommended — what you want) SBAR is a simple tool that is shown to effectively improve communication that will decrease error and has been effectively applied to healthcare

How will it help? Easy to remember. Standardize approach that promotes efficient transfer of key information. Helps create an environment that allows clerical and clinical staff to express their concerns. Clarifies what information needs communicated quickly and points to action. S=Situation : Clearly and briefly define the situation. For example, ‘Mr. Jones has multiple prescriptions of Coumadin in his home and he is unclear as to which ones he is supposed to take.’ B=Background : Provide clear, relevant background information that relates to the situation. (you should consider including the patient’s diagnosis, the prescribing physicians, and the dates and dosages of the medications). A=Assessment : A statement of your professional conclusion.  R=Recommendation : What do you need from this individual? For example, ‘Please clarify which is the correct dose of Coumadin for Mr. Jones to take and which physician will be responsible for managing his anticoagulant therapy?’ Similar to the SOAP model

VIDEOS SBAR Effective Communication --- https://www.youtube.com/watch?v=fsazEArBy2g ----- 1 min. 5 seconds NO SBAR Ineffective Communication ---https://www.youtube.com/watch?v=CtdNQ-sfKg8 ----- 1 min. 4 seconds

Helpful Resources Institute for Healthcare Improvement (IHI) SBAR http://www.ihi.org/resources/Pages/Tools/sbartoolkit.aspx DOCUMENTS      SBAR Communication Tool      SBAR Form: Generic Report to Physician      SBAR Scenarios      SBAR Lesson Plans      SBAR Report Competency Check Off      SBAR Poster Example      SBAR Phone Stickers Template      Tips for Using SBAR

THANK YOU! Questions ? ? ? Kyle Cameron—Wyoming Flex Shanelle Van Dyke 1.406.459.8420 Shanelle.VanDyke@QualityReportingServices.com Kyle Cameron—Wyoming Flex Wyoming Office of Rural Health 1.307.777.8902 Kyle.Cameron@wyo.gov Rochelle Spinarski—Rural Health Solutions 1.651.731.5211 Rspinarski@rhsnow.com