Design and application of surgical care delivery sheet under situation background assessment recommendation in oral and maxillofacial surgery

Abstract

Objective To explore the application of surgical care delivery sheet under situation background assessment recommendation (SBAR) in patients undergoing oral and maxillofacial surgery. Methods The problems in the old version of surgical care delivery sheet used in Peking University Hospital of Stomatology from October to December were retrospectively analyzed. The new version of surgical care delivery sheet was designed according to SBAR from January to June 2017. A pilot run was tried for 3 months from June to September 2017 before it was revised in October 2017 and used in the whole Department of Oral and Maxillofacial Surgery. Totally 118 surgical patients who were treated with the old version of surgical care delivery sheet from January to June 2017 were selected as a control group, while 118 surgical patients who were treated with the new version of surgical care delivery sheet from January to June 2018 were selected as an observation group. The time consumed for transfer and delivery, safety of use as well as nurses' total satisfaction score and satisfaction rate in terms of the two version of surgical care delivery sheet were compared between the two groups before and after the SBAR-based surgical care delivery sheet was applied. Results After the SBAR-based surgical care delivery sheet was applied, the time consumed for transfer and delivery was reduced from (10.20±3.01) min to (9.06±3.08) min, and there was statistically significant difference (P<0.05) . No delivery safety problems occurred since the SBAR-based surgical care delivery sheet was applied. Nurses' total satisfaction score for surgical care delivery sheet was increased from (17.67±3.27) to (22.34±2.61) , and there was statistically significant difference (P<0.05) . Nurses' satisfaction rates were increased from 52.45% to 94.29% in terms of the format, from 56.30% to 96.82% in terms of content integrity, from 51.15% to 96.77% in terms of delivery content order, from 47.31% to 92.89% in terms of content and from 49.92% to 96.67% in terms of convenience, and there was statistically significant difference (χ2=34.795, 3.298, 39.727, 36.657, 41.409; P<0.05) . Conclusions The use of SBAR-based surgical care delivery sheet, which is clear and practical, can embody the continuity and integrity of delivery, effectively reduce the time consumed for transfer and delivery, improve delivery efficiency and safety, and enhance nurses' satisfaction, which is worthy promoting in clinical practice. Key words: Perioperative care; Surgical delivery; Situation background assessment recommendation; Care delivery sheet; Patient safety; Satisfaction