SBAR DSA Flashcards
What is the importance of handoffs in malpractice?
communication failures were responsible, at least in part, for 30% of all malpractice claims in US hospitals
(resulted in 1744 deaths and 1.7 billion in malpractice over 5 yrs)
What was the Robust Process Improvement?
project that found that receivers thought that 37% of handoffs were bad
senders only thought 21% of handoffs were bad
What did the Bartlett Regional Hospital in Juneau, Alaska do?
reduced its ineffective hand-offs by 58% by using the Center for Transforming Healthcare’s Targeted Solutions Tool (TST)
What does I-PASS stand for?
Illness severity
Pt summary
Action list
Situation awareness and contigency plans
Synthesis by receiver
In what form did the Joint Comission suggest handoffs to be?
both verbally and in written form
not just in EMR - talk to receiver in either face-to-face, phone, or video chat
How should vital signs and lab tests be presented during a hand-off?
they must be dated
Where should hand-offs occur?
between senders and receivers in locations free from interruptions
include multidisciplinary team members and family as appropriate
How should hospitals encourage transitioning to better hand-off practices?
standardize training
use acronyms, do pt simulations, etc
How should EHR be used in the handoff process?
EHR should be used to enhance hand-offs and allow for ongoing communication feedback loops
online pt portals should be encouraged
What does ISBAR stand for?
Identification
Situation
Background
Assessment
Recommendation
What does PSYCH stand for and when is it used?
Pt information/background
Situation leading to hospital visit
Your assessment
Clinical info
Hindrance to discharge
What is the last pneumonic used in emergency situations that I will not go through bc it is long af?
I PUT PATIENTS FIRST
(if you want a definition go to the SBAR DSA)
What was the leading root cause of sentinel events reported to the Joint Commission in the USA btw 1995 and 2006?
breakdown in communication
What, in general, does hand-over communication entail?
passing pt-specific info from one caregiver to another or one team to another
also transfer of info from one type of health-care org to another or from health-care org to pt’s home
What is the best way to improve hand-overs?
redesign the system of care delivery so there is less room for human error
educate physicians
What are 2 other techniques besides SBAR that are helping to improve sendoff communication?
read-back techniques (receiver reads back info to sender)
collaborative (multidisciplinary) rounds
How is health literacy been defined?
the capacity of individuals to obtain, process and undertand the basic health info and services needed to make appropriate health decisions
What is teach-back?
a technique used by caregivers to ensure pts understand info
pt describes what he or she has just heard to assess their comprehension
What percentage of serious medical error is estimated to be due to miscommunication during handoff?
80%
What should be included in the background portion of SBAR?
pertinent positives and negatives only
What is one suggested way to reduce interruptions during handoffs?
hold an object when you are speaking and then you’re the only one allowed to speak
