Application effect of elaborative SBAR communication mode in hospital surgical teams

Abstract

Objective To investigate the implementation effect of the situation-background-assessment-recommendation (SBAR) communication mode in hospital surgical teams from the elaborate perspective. Methods Since 2015, the surgical teams of Wuxi No.2 People's Hospital, Affiliated to Nanjing Medical University combined the elaborate management with the SBAR communication mode. The elaborate SBAR report mode was established in the surgeries. Security check reports were carried out in the surgeries. The quality of the nurses' shifting of duty, the incidence of adverse events and the satisfaction of patients after the implementation of the mode were compared to before the implementation. Results The time of the nurses' shifting of duty was shortened from (13.1±4.5) min to (7.4±2.1) min significantly (t=10.737, P<0.01) . The incidence of adverse events due to poor communication decreased from 50% to 13.33% significantly (χ2=4.950, P<0.05) . The patients' satisfaction on the work of operating rooms increased from 84.44% to 95.74% significantly (χ2=6.652, P<0.05) . Conclusions The implementation of the hospital surgical team SBAR communication mode in operating rooms from the elaborate perspective effectively upgrades the meaning of specialist care, optimizes the service procedure and reduces the incidence of adverse events due to poor communication, which guarantees the safety of surgical patients. Key words: Elaborate management; Situation-background-assessment-recommendation communication mode; Surgical team; Satisfaction