Related Experiment Video
Updated: Jan 9, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Investigating the impact of implementing structured patient handover through the SBAR model on clinical errors of
Narges Toghian Chaharsoughi1, Mohammad Nasr-Esfahani2, Shahnaz Alikhah3
1Department of Nursing, Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
Background:
Correct patient handover by nurses is important. Failure to follow a standard procedure results clinical errors. This study aimed to determine the effect of structured patient handover based on the SBAR (Situation, Background, Assessment, and Recommendation) model on the incidence of clinical errors by nurses in the emergency department (ED).
Materials And Methods:
A quasiexperimental, single-group, before-after study was conducted in an ED in Ayatollah Kashni hospital (Isfahan, Iran). For 3 months, errors were collected by checklist. Then the SBAR model was taught to nurses to use it during handover. Postintervention errors were collected using the checklist and subsequently analyzed.
Results:
The total number of errors decreased from 102 to 25 after the intervention (P < 0.0001; 95% CI). The intervention significantly reduced laboratory, care, and handover errors (P < 0.0001; 95% CI). The frequency of clinical errors was statistically associated with shift and error severity (P < 0.05).
Conclusion:
Using the SBAR handover model significantly reduced clinical errors in the ED. Then, it is recommended that this standard method be used during patient handover to improve safety in EDs.
Related Concept Videos
SBAR I: Understanding the Concept
Standardized methods of communication have been developed to ensure that information is...
Types of Reports I: Hands-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
SBAR II: Application of SBAR
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...
Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
Methods of Documentation VII: EMR
Methods of Documentation III: PIE

