SBAR (Situation, Background, Assessment, Recommendation) Kaiser Permanente Tool, 2002

Feb 22, 2020 admin KỸ NĂNG LÂM SÀNG 0

Kaiser Permanente, SBAR (Situation, Background, Assessment, Recommendation) Tool, 2002

  • ➢ SBAR – a technique for communicating critical information that requires immediate attention and action concerning a patient’s condition
  • ➢ Situation – What is going on with the patient? “I am calling about Mrs. Joseph in room 251. Chief complaint is shortness of breath of new onset.”
  • ➢ Background – What is the clinical background or context? “Patient is a 62-year-old female post-op day one from abdominal surgery. No prior history of cardiac or lung disease.”
  • ➢ Assessment – What do I think the problem is? “Breath sounds are decreased on the right side with acknowledgment of pain. Would like to rule out pneumothorax.”
  • ➢ Recommendation – What would I do to correct it? “I feel strongly the patient should be assessed now. Are you available to come in?”

[Source: Institute for Healthcare Improvement. Guidelines for communicating with physicians using the SBAR process. http://www​.ihi.org/IHI​/Topics/PatientSafety​/SafetyGeneral/Tools​/SBARTechniqueforCommunicationASituationalBriefingModel​.htm. Accessed Nov. 18, 2004.]

STICC (Situation Task Intent Concern Calibrate) is another type of structured briefing protocol used by the U.S. Forest Service to give direction to firefighters. The following five steps are involved:

  • Situation: Here’s what I think we face.
  • Task: Here’s what I think we should do.
  • Intent: Here’s why.
  • Concern: Here’s what we should keep our eye on.
  • Calibrate: Talk to me. Tell me if you don’t understand, can’t do it, or see something I do not.

 

 

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