-
psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - those utilized to convey clinical
information—the Situation, Background, Assessment, Recommendation (SBAR … Implementing SBAR across a large multihospital health
system.
-
psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - information transfer, communication strategies such as closed-loop communication and frameworks such as SBAR … SBAR Tool: Situation-Background-Assessment-Recommendation.
-
pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - each
provider to submit and receive PSWP, confidentiality and privilege, and ‘How to
report to PSO (SBAR … SBAR Safety Alerts
b. Patient Safety Communication (designated to/from)
c.
-
www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - 632
---- Read Back Protocols
3
633
---- Structured Hand-offs
10
680
---- SBAR
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - process and remove unnecessary steps
Training and/or education Enhance communication (e.g., read-back, SBAR
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.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).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - Training (TeamSTEPPS®) (continued)
Key Perinatal Safety Elements
Examples/customizable components
Use SBAR … Use of SBAR, callouts, and closed-loop communication among team members. … assert and advocate for safe practices (CUS)
· brief new team members, such as during a rapid response (SBAR
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Teamwork Training (TeamSTEPPS®) (continued)
Key Perinatal Safety Elements
Examples
Use SBAR (Situation … Use SBAR, callouts, huddles, and closed-loop communication among team members.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.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.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
March 01, 2009 - Another Professional Tool
Observing Patient Care Rounds
Team Check-Up Tool
25
Brief
Huddle
Debrief
SBAR
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - fetal or maternal status
Knowing the plan for a timely response to prevent further deterioration
Use SBAR … Use SBAR and closed-loop communication techniques.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.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.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-champions.pdf
April 01, 2022 - unit’s physician champion, gather all the facts, identify a time to
approach the physician, and use SBAR
-
www.ahrq.gov/teamstepps-program/curriculum/intro/teach/half-day.html
August 01, 2023 - strategies for communicating effectively through standardized information exchange strategies such as SBAR
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - What tools do you have to help you organize your thoughts/findings (e.g., SBAR)?
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
July 01, 2023 - strategy
o Develop tools that facilitate use of tool or strategy, such as notepads that
outline the SBAR … • Develop tools that facilitate use of tool or strategy, such as notepads that
outline the SBAR components … Note: See Module 3 for information on SBAR.
17
Hospital AIM
Team
Leads
SPPC‐II
Exercise:
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
July 01, 2023 - strategy
o Develop tools that facilitate use of tool or strategy, such as notepads that
outline the SBAR … • Develop tools that facilitate use of tool or strategy, such as notepads that
outline the SBAR components … Note: See Module 3 for information on SBAR.
17
Hospital AIM
Team
Leads
SPPC‐II
Exercise:
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-protocol.pdf
December 31, 2024 - SBAR (Situation, Background, Assessment, Recommendation) – note there are
several variants of this, … One of these tools, SBAR, has an existing systematic review published in 2018.19 No
systematic reviews … Impact of the communication and patient hand-off
tool SBAR on patient safety: a systematic review.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
April 01, 2022 - the facts (who, what, when, where, why, and how), identify a time to approach
the physician, and use SBAR