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  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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.

  10. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? | PSNet

    psnet.ahrq.gov/issue/safety-telephone-triage-general-practitioner-cooperatives-do-triage-nurses-correctly-estimate
    June 16, 2011 - View More Related Resources Evaluation of a problem-specific SBAR

  11. 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

  12. Disclosure of medical errors: what factors influence how patients respond? | PSNet

    psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influence-how-patients-respond
    December 23, 2008 - 24, 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  13. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. | PSNet

    psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
    September 19, 2016 - June 9, 2021 Impact of the communication and patient hand-off tool SBAR on patient safety

  14. 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

  15. The frequency of missed test results and associated treatment delays in a highly computerized health system. | PSNet

    psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
    July 22, 2009 - 4, 2021 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  16. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. | PSNet

    psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
    December 15, 2011 - 9, 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  17. The incidence of adverse drug events in two large academic long-term care facilities. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
    February 11, 2009 - 22, 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  18. Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet

    psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
    November 23, 2014 - February 1, 2011 Implementing SBAR across a large multihospital health system.

  19. 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).

  20. Chest Pain in a Rural Hospital | PSNet

    psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
    June 02, 2021 - formal communication techniques should be used, such as Situation-Background-Assessment-Recommendation (SBAR … Providers should include warm handoffs (when possible) and standardized communication (including SBAR … SBAR Tool: Situation-Background-Assessment-Recommendation.
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