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SBAR II: Application of SBAR

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...

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Pediatric Trauma System Evaluation before and after Level II Verification.

Michael D Dixon, Scott Engum

The American Surgeon

|November 29, 2019

Summary

ACS Level II pediatric trauma center verification increased patient numbers and altered injury mechanisms. Findings align with Level I data, suggesting future benefits for rural and Native American communities as the center matures.

Area of Science:

Pediatric Trauma Care
Healthcare System Verification
Public Health Outcomes

Background:

American College of Surgeons (ACS)-verified trauma centers, particularly Level I pediatric centers, demonstrate improved survival and mortality rates.
Limited research exists on the impact of ACS Level II pediatric trauma center verification.
Understanding the effects of Level II verification is crucial for optimizing pediatric trauma care, especially in underserved regions.

Purpose of the Study:

To analyze the impact of ACS Level II pediatric trauma center verification at Sanford Medical Center Fargo.
To evaluate changes in patient demographics, mechanisms of injury, and transportation modes post-verification.
To compare findings with existing data on ACS Level I pediatric trauma centers.

Main Methods:

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Retrospective review of a trauma database one year pre- and post-ACS Level II verification.
Inclusion of patients under 18 years old.
Statistical analysis of patient numbers, age groups, injury mechanisms, and transportation methods.

Main Results:

A 23% increase in patient volume (167 to 205) was observed post-verification.
Statistically significant increases in specific age groups (3-6 years), injury mechanisms (motorized recreational vehicle, violent), and transportation modes (ambulance, fixed-wing, personal vehicle) were noted.
Decreases in public injuries and advanced life support ambulance transportation were also significant.

Conclusions:

ACS Level II pediatric trauma center verification is associated with increased patient volume and shifts in injury patterns.
Findings are consistent with data from ACS Level I centers, indicating potential for similar positive impacts.
Continued analysis is necessary to fully understand the long-term benefits for the rural and Native American communities served by this Level II center.