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  1. Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
    July 20, 2011 - 3, 2017 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  2. Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/implementation-josie-king-care-journal-pediatric-intensive-care-unit-quality-improvement
    November 21, 2016 - November 23, 2016 The effect of an electronic SBAR communication tool on documentation

  3. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. | PSNet

    psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication
    May 21, 2009 - January 31, 2018 The effect of an electronic SBAR communication tool on documentation

  4. Medication errors in the homes of children with chronic conditions. | PSNet

    psnet.ahrq.gov/issue/medication-errors-homes-children-chronic-conditions
    April 27, 2010 - 22, 2018 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  5. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. | PSNet

    psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
    June 21, 2016 - 9, 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  6. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet

    psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
    May 02, 2012 - October 12, 2022 The effect of an electronic SBAR communication tool on documentation

  7. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-qualitative-study
    October 09, 2013 - December 18, 2017 SBAR improves communication and safety climate and decreases incident

  8. Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
    February 22, 2011 - June 22, 2022 Can SBAR be implemented with high fidelity and does it improve communication

  9. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
    May 01, 2017 - Use SBAR (Situation, Background, Assessment, and Recommendation), callouts, huddles, and closed-loop … · Use SBAR, callouts, huddles, and closed-loop communication among team members. … delivery, Teamwork Training (TeamSTEPPS®) (continued) Key Perinatal Safety Elements Examples Use SBAR

  10. AHRQ Tools Help Wisconsin Hospitals Post Big Quality, Safety Gains | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201527.html
    September 01, 2015 - WHA has long used "SBAR" (Situation-Background-Assessment-Recommendation), a component of the TeamSTEPPS

  11. 145-Cusp-Tip-Sheet-Celebrating-Success (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/145-cusp-tip-sheet-celebrating-success.docx
    April 01, 2025 - Conversation Starters To assist in promoting the innovation to other areas of the hospital, consider using the SBAR

  12. 144-Cusp-Tip-Sheet-Engaging-Surgeons (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/144-cusp-tip-sheet-engaging-surgeons.docx
    April 01, 2025 - who, what, when, where, why, and how), identify an appropriate time to approach the surgeon, and use SBAR

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33810/psn-pdf
    June 01, 2016 - We use SBAR (situation, background, assessment, recommendation) as our methodology for nurse-to-physician

  14. Safe Medication Administration: Magnesium Sulfate | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
    July 01, 2023 - Use SBAR ( S ituation, B ackground, A ssessment, and R ecommendation), callouts, huddles, and closed-loop … Use SBAR, callouts, huddles, and closed-loop communication among team members. … Brief new team members, such as during a rapid response (SBAR).

  15. Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. | PSNet

    psnet.ahrq.gov/issue/reduction-hospital-mortality-over-time-hospital-without-pediatric-medical-emergency-team
    August 20, 2018 - March 28, 2018 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

  16. An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. | PSNet

    psnet.ahrq.gov/issue/ethical-framework-allocating-scarce-life-saving-chemotherapy-and-supportive-care-drugs
    September 07, 2016 - August 20, 2018 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

  17. Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. | PSNet

    psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
    May 25, 2013 - February 1, 2011 Implementing SBAR across a large multihospital health system.

  18. Incidence and preventability of adverse drug events among older persons in the ambulatory setting. | PSNet

    psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting
    March 11, 2011 - 6, 2013 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  19. A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. | PSNet

    psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus
    October 19, 2012 - July 10, 2019 Can SBAR be implemented with high fidelity and does it improve communication

  20. Using incident reports to assess communication failures and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
    February 06, 2019 - February 6, 2019 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician
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