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[Structured patient handover in high-risk areas : Evidence and recommendations for the practical implementation]
J Fliegenschmidt1, M J Merkel2, V von Dossow3
1Institut für Anästhesiologie und Schmerztherapie, HDZ NRW, Ruhr-Universität Bochum, Georgstr. 11, 32545, Bad Oeynhausen, Deutschland.
Structured communication tools like Situation, Background, Assessment, Recommendation (SBAR) improve patient handovers in high-risk perioperative settings. Consistent implementation and interprofessional teamwork are key to enhancing patient safety.
Area of Science:
- Anesthesiology and Intensive Care Medicine
- Patient Safety
Context:
- Perioperative environments are high-risk for communication errors.
- The German Society for Anaesthesiology and Intensive Care Medicine (DGAI) updated recommendations in March 2022.
- Structured communication tools are often studied within broader patient safety initiatives.
Purpose:
- To highlight the importance of structured communication in the perioperative setting.
- To endorse the Situation, Background, Assessment, Recommendation (SBAR) template for improved handovers.
- To emphasize the need for standardization in implementing communication tools.
Summary:
- The Situation, Background, Assessment, Recommendation (SBAR) approach offers a guideline for team communication, enhancing handover quality.
- Standardized workflows are crucial for consistent SBAR template use, identifying and resolving communication barriers.
- A shared understanding and training in SBAR techniques foster a culture of patient safety.
Impact:
- Improved quality of patient handovers in high-risk perioperative settings.
- Identification and mitigation of common communication barriers.
- Establishment of a patient safety culture through interprofessional teamwork and leadership support.
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