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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Types of Reports I: Hands-off Report01:25

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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SBAR II: Application of SBAR01:14

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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
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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
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Interdisciplinary Care: The Health Care Team-I01:21

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
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Developing an Interfacility Transfer Handoff Intervention: Applying the Person-Based Approach Method.

Jennifer L Rosenthal1, Hadley S Sauers-Ford2, Michelle Y Hamline2

  • 1Department of Pediatrics, University of California, Davis, Sacramento, California rosenthal@ucdavis.edu.

Hospital Pediatrics
|June 10, 2020
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Summary
This summary is machine-generated.

A new "SHARING" handoff tool was developed using a person-based approach to improve interfacility patient transfers. This intervention clarifies expectations and reduces communication deficits for clinical providers.

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Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety
  • Medical Education

Background:

  • Interfacility patient transfers are complex and prone to communication errors.
  • Standardized handoff tools can improve the quality and safety of patient care during transfers.

Purpose of the Study:

  • To develop an evidence-based interfacility transfer handoff intervention using a person-based approach.
  • To create a practical tool to enhance communication and reduce errors during patient transfers.

Main Methods:

  • Qualitative study employing nominal group technique (NGT) and focus groups.
  • Person-based approach used for iterative intervention development and refinement.
  • Content analysis of provider feedback to inform the final intervention.

Main Results:

  • Developed the "SHARING" (short introduction, how the patient appeared, action taken, responses and results, interpretation, next steps, gather documents) mnemonic tool.
  • Perceived benefits include clarified expectations, reduced deficits, support for less experienced providers, and improved communication.
  • Final intervention includes a SHARING reference card and electronic medical record note template.

Conclusions:

  • A person-based approach successfully yielded a transfer handoff intervention.
  • The SHARING tool has the potential to improve interfacility communication and patient safety.
  • Further research is needed to evaluate the impact of the SHARING intervention on clinical outcomes.