SBAR DSAs

Question 1

LO #1: Outline the role that medical errors due to miscommunication have with respect to morbidity and mortality rates in the United States.

Answer 1

80% of serious medical errors involve miscommunication during hand-off bw medical providers

50,000-120000 deaths per yr in US

readmission rates in CMS - $17 billion annually

Question 2

Mnemonic: IPASS

Answer 2

illness severity
patient summary
action list
situation awareness and contingency plans
synthesis by receiver

Question 3

LO5: Mnemonic: ISBAR

Answer 3

Identification
Situtation 
Background
Assessment
Recommendation

Question 4

LO2: difference bw a documentation format and reporting format

Answer 4

SOAP note= documentation format

SBAR= reporting format

Question 5

LO3: Detail process of effective communication during transitions in pt care

Answer 5

• Team based care would contribute

- strategy employment (IPASS, SBAR, others)

Question 6

LO4: describe barriers to effective communication and strategies to overcome them.

Answer 6

1. can be challenge for shy students
2. students dont wanna look dumb in front of peers/faculty (may have apprehension)–> work through it together to develop this and get confidence up
3. power struggle in perceived “Pecking order”–> most of time ppl up the ladder will be understanding that you will try to grow and remember time when they were where you are lol
4. interruptive group members–> “who’s got the ball?”=maybe use a notebook or object to show who will talk at the time, ask permission to pass it to them

Question 7

What is SBAR? (part of LO5 kind of)

Answer 7

reporting format for documentation, originally developed for military and now utilized by many health care organizations to reduce medical errors in transition

-utilized by many organizations (JHACO, institute for healthcare improvement)

Question 8

What is transitions of care refer to?

Answer 8

movement of pts bw health care practitioners, settings, and home as conditions and care needs change.

Question 9

LO5: utilize the SBAR format in simulated pt transition of care - what does S stand for?

Answer 9

briefly describe situation w/clear, succinct overview of pertinent problems

Question 10

LO5: utilize the SBAR format in simulated pt transition of care- what does B stand for?

Answer 10

Background: history ; what got the pt to our attention; pertinent positive and negatives ONLY

Question 11

LO5: utilize the SBAR format in simulated pt transition of care- what does A stand for?

Answer 11

Assessment: summarize facts and give impression of what going on with pt

Question 12

LO5: utilize the SBAR format in simulated pt transition of care- what does R stand for?

Answer 12

Recommendations: plan or outcome- what needs to be done? where do we go from here?

Question 13

Reporting format benefits (kind of LO2)

Answer 13

teaches succinct reporting, encourages students to focus on pertinent parts of case, gives students experience in developing essential skills for clinical clerkships and residency; minimizes distractions to group focus