Proposed introduction of the SBAR method in rehabilitation
Keywords:
SBAR, communication, fetal distress, obstetrics, safety attitudes.Abstract
This project aims to implement within the Rehabilitation Operative Unit of the Ausl of Bologna the standardised SBAR (Situation-Background-Assessment-Recommendation) method for the transfer of information between physiotherapists, in order to improve the safety of the care pathway. This project, promoted by the DATeR Direction of the Ausl of Bologna (Technical and Rehabilitation Assistance Direction), is characterised by the insertion of the SBAR form within some of the company's care units.
Professional physiotherapists from some of the Care Units under the Rehabilitation Operational Unit were involved. The rehabilitation SBAR card was introduced in the Care Units involved in the following 6 months. The implementation phase was characterised both by the use of the tool and by periodic peer-to-peer meetings which animated discussions and comparisons on the specific contents concerning the card. Monthly sample checks were carried out on some completed SBAR forms to monitor their correct filling in.
Finally, the opinion of all the physiotherapists of the 4 Care Units was surveyed through the administration of a semi-structured questionnaire.
The SBAR rehabilitation form was therefore officially implemented from January 2020 in the 4 Care Units involved in the project. A further improvement project is planned to implement the use of the rehabilitation SBAR card in the entire Rehabilitation Unit.
Downloads
References
Siefferman J, Lin E, Fine J. Patient safety at handoff in rehabilitation medicine. Phys Med Rehabil Clin N Am. 2012;23(2):241-57. DOI: https://doi.org/10.1016/j.pmr.2012.02.003/
Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61. DOI: https://doi.org/10.1016/s1553-7250(10)36011-9
Stevens DP. Handovers and Debussy. BMJ Qual Saf. 2008;17(1):2-3. DOI: http://dx.doi.org/10.1136/qshc.2007.025916
Taylor C, White S. Ragionare i casi : la pratica della riflessivit? nei servizi sociali e sanitari. Trento: Erickson; 2005 [access 22/05/2022]. Available from: https://publicatt.unicatt.it/handle/10807/37077
IHI - Institute for Healthcare Improvement. SBAR Tool: Situation-Background-Assessment-Recommendatio. IHI; 2014 [access 22/05/2022]. Available from: http://www.ihi.org:80/resources/Pages/Tools/SBARToolkit.aspx
Andreoli A, Fancott C, Velji K, Baker GR, Solway S, Aimone E, et al. Using SBAR to communicate falls risk and management in inter-professional rehabilitation teams. Healthc Q. 2010 [access 22/05/2022];13:94-101. Available from: https://pubmed.ncbi.nlm.nih.gov/20959737/
Boaro N, Fancott C, Baker R, Velji K, Andreoli A. Using SBAR to improve communication in interprofessional rehabilitation teams. J Interprof Care. 2010;24(1):111-4. DOI: https://doi.org/10.3109/13561820902881601
Müller M, Jürgens J, Redaèlli M, Klingberg K, Hautz WE, Stock S. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. DOI: https://doi.org/10.1136/bmjopen-2018-022202
Lo L, Rotteau L, Shojania K. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. BMJ open. 2021;11(12):e055247. DOI: https://doi.org/10.1136/bmjopen-2021-055247
Ong MS, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-84. DOI: https://doi.org/10.1016/s1553-7250(11)37035-3
Velji K, Baker GR, Fancott C, Andreoli A, Boaro N, Tardif G, et al. Effectiveness of an adapted SBAR Communication Tool for a Rehabilitation Setting. Healthc Q. 2008;11(3):72-9. DOI: https://doi.org/10.12927/hcq.2008.19653