The new paradigm of crew resource management: Just what is needed to re-engage the stalled collaborative movement? Joint Commission Journal on Quality Improvement. On error management: Lessons from aviation. 2003 27(8):972-978.Ĭulture at Work in Aviation and Medicine: National, Organizational and Professional Influences. ![]() 2000 119(4 Pt 1):661-672.Ĭollaboration, communication, management, and advocacy: Teaching surgeons new skills through the CanMEDS Project. Journal of Thoracic and Cardiovascular Surgery. ![]() Human factors and cardiac surgery: A multicenter study. de Leval MR, Carthey J, Wright DJ, Farewell VT, Reason JT.Human factors and surgical outcomes: A Cartesian dream. San Diego, California, USA: Harcourt Brace 1993.Īdapting to new technology in the operating room. San Francisco, California, USA: Jossey-Bass 2000.Ĭockpit Resource Management. SBAR Worksheet (“SBAR report to physician about a critical situation”): A worksheet/script that a provider can use to organize information in preparation for communicating with a physician about a critically ill patientĮrror Reduction in Health Care: A Systems Approach to Improving Patient Safety.SBAR Guidelines (“Guidelines for Communicating with Physicians Using the SBAR Process”): Explains in detail how to implement the SBAR technique.The SBAR technique has been implemented widely at health systems such as Kaiser Permanente. Michael Leonard, MD, Physician Leader for Patient Safety, along with colleagues Doug Bonacum and Suzanne Graham at Kaiser Permanente of Colorado (Evergreen, Colorado, USA) developed this technique. It allows for an easy and focused way to set expectations for what will be communicated and how between members of the team, which is essential for developing teamwork and fostering a SBAR is an easy-to-remember, concrete mechanism useful for framing any conversation, especially critical ones, requiring a clinician’s immediate attention and action. R = Recommendation (action requested/recommended - what you want).A = Assessment (analysis and considerations of options - what you found/think). ![]() B = Background (pertinent and brief information related to the situation).S = Situation (a concise statement of the problem).The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team about a patient's condition. Institute for Healthcare Improvement
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