1698 lines
71 KiB
HTML
1698 lines
71 KiB
HTML
<!DOCTYPE html>
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<html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# ">
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<meta name="language" content="en-us" />
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<meta name="description" content="SBAR, which stands for Situation, Background, Assessment, and Recommendation (or Request), is a structured communication framework that can help teams share information about the condition of a patient or team member or about another issue your team needs to address. In phrasing a conversation with another team member, consider the following:" />
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<script>window.a2a_config=window.a2a_config||{};a2a_config.callbacks=[];a2a_config.overlays=[];a2a_config.templates={};a2a_config.templates.email = {
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a2a_config.templates.twitter = {
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text: "Reading: ${title} ${link}",
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related: "AHRQ"
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};</script>
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<title>Tool: SBAR | Agency for Healthcare Research and Quality</title>
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<p>Searchable database of AHRQ Grants</p></div>
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<div class="mm-feature-block hide-on-mobile block block-block-content block-block-contentc6610af5-d53e-4c4c-8541-cbf02cc0fa2a" id="block-block-content-c6610af5-d53e-4c4c-8541-cbf02cc0fa2a">
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<ul>
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</ul>
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<p>AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund.</p></div>
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/blog/index.html">Blog</a></h2>
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<li><a href="/news/events/ahrq-research-summit-diagnostic-safety.html">AHRQ Research Summit on Diagnostic Safety</a></li>
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/index.html">About</a></h2></div>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/about/index.html">About AHRQ</a></h2><ul><li><a href="/cpi/about/do-you-know-ahrq-quiz.html">How Well Do You Know AHRQ? Quizzes</a></li><li><a href="/cpi/about/profile/index.html">Profile</a></li><li><a href="/cpi/about/mission/index.html">Mission and Budget</a></li><li><a href="/cpi/corecompetencies/index.html">AHRQ's Core Competencies</a></li><li><a href="/cpi/about/nac.html">National Advisory Council</a></li><li><a href="/cpi/about/careers/index.html">Careers at AHRQ</a></li><li><a href="/cpi/about/directions/index.html">Maps and Directions</a></li><li><a href="/cpi/about/otherwebsites/Index.html">Other AHRQ Web Sites</a></li><li><a href="/cpi/about/hhs-agencies/index.html">Other HHS Agencies</a></li><li><a href="/cpi/about/20timeline/testimonials.html">Testimonials</a></li></ul></div>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/about/organization/index.html">Organization & Contacts</a></h2>
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<ul>
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<li><a href="/cpi/centers/index.html">Centers and Offices</a></li>
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<div class="subnav-2-cols">
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<a href="/cpi/about/careers/index.html">Careers</a>
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<a href="/contact/index.html">Contact Us</a>
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<a href="/informacion-en-espanol/index.html">Español</a>
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<a href="https://info.ahrq.gov/">FAQs</a>
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<div id="breadcrumbs">
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<div class="row row-side-margins">
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<div class="col-12 .chrome">
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<div id="block-system-breadcrumb-block" class="block block-system block-system-breadcrumb-block">
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<a href="/teamstepps-program/index.html">TeamSTEPPS Program</a>
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<a href="/teamstepps-program/curriculum/index.html">Curriculum Materials</a>
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<a href="/teamstepps-program/curriculum/communication/index.html">Module 1: Communication</a>
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</li>
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<li class="breadcrumb-item">
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<a href="/teamstepps-program/curriculum/communication/tools/index.html">Section 2: Explanation of Key Concepts and Tools</a>
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<li class="breadcrumb-item active">
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Tool: SBAR
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<h2 class="addtoany-header">SHARE:</h2>
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<div class="block block-addtoany block-addtoany-block">
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<div class="content">
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<span class="a2a_kit a2a_kit_size_16 addtoany_list" data-a2a-url="https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html" data-a2a-title="Tool: SBAR"><a class="a2a_button_facebook"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/facebook-tiny.png" border="0" alt="Facebook"></a><a class="a2a_button_twitter"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/x-tiny.png" border="0" alt="X"></a><a class="a2a_button_email"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/envelope-tiny.png" border="0" alt="Email AHRQ"></a><a class="a2a_button_print"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/print-tiny.png" border="0" alt="Print"></a><a class="a2a_dd addtoany_share" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ahrq.gov%2Fteamstepps-program%2Fcurriculum%2Fcommunication%2Ftools%2Fsbar.html&title=Tool%3A%20SBAR"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/plus-tiny.png" alt="Share"></a></span>
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</div>
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</div>
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<section class="row region region-page-top">
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<div data-drupal-messages-fallback class="hidden"></div>
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<div class="row side">
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<button class="btn sbf-btn hidden visible-xs" type="button" data-toggle="collapse"
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data-target=".navbar-collapse" aria-expanded="false" aria-controls="collapseExample">
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More topics in this section
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<div class="block-sidebar-first block block-menu-block-forked block-menu-block-forkedteamstepps-program" id="block-menu-block-forked-teamstepps-program">
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<span class="sbf-main"><a href="/teamstepps-program/index.html">TeamSTEPPS Program</a></span>
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<ul class="clearfix nav navbar-nav collapse dont-collapse-sm navbar-collapse">
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<li class="nav-item menu-item--collapsed sbf-level-one">
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<a href="/teamstepps-program/updated/index.html" class="nav-link" data-drupal-link-system-path="node/240128">TeamSTEPPS Updates</a>
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</li>
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<li class="nav-item menu-item--collapsed sbf-level-one">
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<a href="/teamstepps-program/welcome-guides/index.html" class="nav-link" data-drupal-link-system-path="node/240129">Welcome Guides</a>
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</li>
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<li class="nav-item menu-item--expanded active dropdown sbf-level-one">
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<a href="/teamstepps-program/curriculum/index.html" class="nav-link active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240152">Curriculum Materials</a>
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<ul class="dropdown-menu menu-level-two">
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<li class="dropdown-item menu-item--collapsed sbf-level-two">
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<a href="/teamstepps-program/curriculum/intro/index.html" data-drupal-link-system-path="node/240123">Introduction to Curriculum</a>
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</li>
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<li class="dropdown-item menu-item--expanded active dropdown sbf-level-two">
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<a href="/teamstepps-program/curriculum/communication/index.html" class="active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240147">Module 1: Communication</a>
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<ul class="dropdown-menu menu-level-three">
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<li class="dropdown-item sbf-level-three">
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<a href="/teamstepps-program/curriculum/communication/overview/index.html" data-drupal-link-system-path="node/240308">Section 1: Overview of Key Concepts and Tools</a>
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</li>
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<li class="dropdown-item menu-item--expanded active dropdown sbf-level-three">
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<a href="/teamstepps-program/curriculum/communication/tools/index.html" class="active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240309">Section 2: Explanation of Key Concepts and Tools</a>
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<ul class="dropdown-menu menu-level-four">
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<li class="dropdown-item active sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/sbar.html" class="active is-active" data-drupal-link-system-path="node/240311" aria-current="page">Tool: SBAR</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/loop.html" data-drupal-link-system-path="node/240312">Tool: Closed-Loop Communication</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/callout.html" data-drupal-link-system-path="node/240313">Tool: Call-Out</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/checkback.html" data-drupal-link-system-path="node/240314">Tool: Check-Back (or Repeat-Back)</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/teachback.html" data-drupal-link-system-path="node/240315">Tool: Teach-Back</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/handoff.html" data-drupal-link-system-path="node/240316">Tool: Handoff</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/ipass.html" data-drupal-link-system-path="node/240307">Tool: I-PASS</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/anticipate.html" data-drupal-link-system-path="node/240317">Tool: ANTICipate</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/sharq.html" data-drupal-link-system-path="node/240318">Tool: SHARQ</a>
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</li>
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</ul>
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</li>
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<li class="dropdown-item menu-item--collapsed sbf-level-three">
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<a href="/teamstepps-program/curriculum/communication/teach/index.html" data-drupal-link-system-path="node/240310">Section 3: Teaching the Key Concepts and Tools</a>
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</li>
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</ul>
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</li>
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<li class="dropdown-item menu-item--collapsed sbf-level-two">
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<a href="/teamstepps-program/curriculum/team/index.html" data-drupal-link-system-path="node/240148">Module 2: Team Leadership</a>
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</li>
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<li class="dropdown-item menu-item--collapsed sbf-level-two">
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<a href="/teamstepps-program/curriculum/situation/index.html" data-drupal-link-system-path="node/240149">Module 3: Situation Monitoring</a>
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</li>
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<li class="dropdown-item menu-item--collapsed sbf-level-two">
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<h1 class="node__title">
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<span property="schema:name" class="field field--name-title field--type-string field--label-hidden">Tool: SBAR</span>
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</h1>
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<div property="schema:text" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>SBAR, which stands for Situation, Background, Assessment, and Recommendation (or Request), is a structured communication framework that can help teams share information about the condition of a patient or team member or about another issue your team needs to address.</p>
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<p>In phrasing a conversation with another team member, consider the following:</p>
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<p><img alt=": SBAR is a communication framework for sharing information with teams and stands for Situation, Background, Assessment, and Recommendation or Requests." data-entity-type="file" data-entity-uuid="ada5494a-d9d2-42ab-b630-1d2e8f0fb71c" height="464" src="/sites/default/files/wysiwyg/teamstepps-program/curriculum/ts-sbar.png" width="389" loading="lazy"></p>
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<p>SBAR is one of the most widely used TeamSTEPPS tools for many reasons:</p>
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<ul>
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<li>Structured communication tools such as SBAR can enhance communication between members of the healthcare team.</li>
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<li>SBAR provides a vehicle for individuals to speak up and express concern in a concise manner.</li>
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<li>SBAR is useful for framing any conversation, especially critical ones requiring a team's immediate attention and action, such as when a patient's condition is rapidly deteriorating. It may also be useful with providers who are not part of the core team, such as remote consultants or mental health providers.</li>
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</ul>
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<p>Using SBAR effectively requires careful attention to each step:</p>
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<ul>
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<li><strong>Situation</strong> states what is currently happening with the patient. It usually begins with the identity of the person communicating the SBAR, patient identifiers such as age and gender, and a brief statement of the current problem or situation.</li>
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<li><strong>Background</strong> covers clinical background such as patient history related to the current situation, signs and symptoms of the presenting complaint, and any test results, such as lab or imaging reports.</li>
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<li><strong>Assessment </strong>reports what the person communicating the SBAR thinks the problem is. It states what the nurse or other provider has assessed based on the background information, patient history, and observations. Assessment asks what else it can be, provides sense making, considers sources of other information to provide clarity, and relates actions to consequences. Assessment can also include objective data such as vital signs.</li>
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<li><strong>Repeat-Back Recommendations and Requests</strong> states an initial recommendation, what is needed and when, and repeats back the stated response from the other provider or patient to ensure accuracy.</li>
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</ul>
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<p>Additional notes on using SBAR include:</p>
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<ul>
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<li>Do not forget to introduce yourself—you should not assume that everyone knows who you are.</li>
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<li>SBAR is adaptable. Think of it as a menu: the parts you choose to use and the order in which they are used depend on your team's unique needs. Determine which parts of SBAR are relevant to your team's needs and use those when communicating critical information among your team members.</li>
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<li><a href="https://psnet.ahrq.gov/issue/sbar-patients">SBAR can be modified for use by the patient or family caregivers to communicate with the care team.</a> For example, your facility could provide patients with a summary of SBAR to enable them to share information about their own situation, background, assessment, and recommendations or to ask the care team about their care.</li>
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<li>Consider saying the actual words to keep yourself on track: "The situation is..., The background is..., My assessment is…, I recommend..."</li>
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</ul>
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<p>The table shows other practical examples of SBAR.</p>
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<table border="1" cellpadding="2" cellspacing="1">
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<thead>
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<tr>
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<th scope="col">Step</th>
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<th scope="col">Desired Message</th>
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<th scope="col">Starter Phrases</th>
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</tr>
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</thead>
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<tbody>
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<tr>
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<td style="text-align: left; vertical-align: top;">Situation</td>
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<td style="text-align: left; vertical-align: top;">Confirming understanding of the symptoms.</td>
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<td style="text-align: left; vertical-align: top;">"I am glad you came to the clinic. I want to confirm my understanding of your symptoms…[list symptoms]. Is there something I missed?"</td>
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</tr>
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<tr>
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<td style="text-align: left; vertical-align: top;">Background</td>
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<td style="text-align: left; vertical-align: top;">Acknowledge the impact of the symptoms.</td>
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<td style="text-align: left; vertical-align: top;">"From what you have explained, your symptoms are impacting you…[describe how symptoms are impacting the patient]. Is there anything else I should know?"</td>
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</tr>
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<tr>
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<td colspan="1" rowspan="3" style="text-align: left; vertical-align: top;">Assessment</td>
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<td style="text-align: left; vertical-align: top;">State your initial thinking about the working diagnosis.</td>
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<td style="text-align: left; vertical-align: top;">"My initial thinking is that your symptoms are consistent with XXX [name the diagnosis]."</td>
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</tr>
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<tr>
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<td style="text-align: left; vertical-align: top;">Share any uncertainty about the diagnosis.</td>
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<td style="text-align: left; vertical-align: top;">"I believe that something is going on, but I do not yet know what it is."<br>
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"You have some symptoms that are not typical of this diagnosis, and we need to follow them up."</td>
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</tr>
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<tr>
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<td style="text-align: left; vertical-align: top;">Invite patient's concerns.</td>
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<td style="text-align: left; vertical-align: top;">"What is most concerning for you about the initial diagnosis?"</td>
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</tr>
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<tr>
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<td colspan="1" rowspan="4" style="text-align: left; vertical-align: top;">Recommendations and Request</td>
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<td style="text-align: left; vertical-align: top;">What should the patient do next?</td>
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<td style="text-align: left; vertical-align: top;">"I would like you to have some additional tests."<br>
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"I would like to have you seen by [consulting clinician] to help us get to the bottom of this."</td>
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</tr>
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<tr>
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<td style="text-align: left; vertical-align: top;">How will doing this next step impact the diagnosis?</td>
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<td style="text-align: left; vertical-align: top;">"This test/consult will allow us to start to pinpoint the cause of your symptoms and help us achieve the diagnosis."</td>
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</tr>
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<tr>
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<td style="text-align: left; vertical-align: top;">What should the patient expect from any treatment or test?</td>
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<td style="text-align: left; vertical-align: top;">"I would like you to have the test/start this treatment."<br>
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"You should complete the test within 2 weeks and come back to see me so we can talk about the results and any next steps."</td>
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</tr>
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<tr>
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<td style="text-align: left; vertical-align: top;">When should the patient follow up?</td>
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<td style="text-align: left; vertical-align: top;">"If you experience X or Y new symptoms, please come back in or call the office."</td>
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</tr>
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</tbody>
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</table>
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<p><strong>To expand your understanding of and ability to use SBAR, choose from the options below:</strong></p>
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<ul>
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<li><strong>Reflect on a patient story</strong> involving the use of SBAR:<br>
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After watching the video, consider:
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<ul>
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<li>Why is SBAR particularly helpful in situations where rapid and accurate decisions are essential?</li>
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<li>How do trust and positive working relationships between team members affect the use of SBAR?</li>
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</ul>
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</li>
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<li><strong>Reflect on a video scenario </strong>involving the transfer of information using SBAR.<br>
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After watching the video, consider:
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<ul>
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<li>How did the SBAR technique improve communication between the nurse and physician?
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<ul>
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<li>The nurse identified herself and the reason she was calling.</li>
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<li>The physician was quickly made aware of Mrs. Everett's deteriorating <strong>situation</strong>.</li>
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<li>The nurse provided the <strong>background</strong> of the deep vein thrombosis (DVT) diagnosis and all current labs.</li>
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<li>The recent <strong>assessment</strong> of the patient has led the nurse to call the physician with her concerns.</li>
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<li>The <strong>recommendation</strong> was initiated by the nurse for additional labs, and a plan was discussed for future care.</li>
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</ul>
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</li>
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<li>How would SBAR help you in similar encounters within your healthcare context?</li>
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</ul>
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</li>
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<li><strong>Reflect on your own experience with SBAR.</strong>
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<ul>
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<li>Have you used SBAR in your institution? If so, how was it used? What was the result of its use?</li>
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<li>What were the challenges to implementing SBAR and how were these challenges overcome?</li>
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</ul>
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</li>
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</ul>
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<p> </p>
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<div class="content">
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<div id="created-reviewed-citation" class="pad-bottom-sections">
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<div id="page-reviewed" class="body-copy-italic">Page last reviewed November 2019 </div>
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<div id="page-created" class="body-copy-italic">Page originally created November 2019</div>
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<div class="twocolordiv">
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<div class="twocolordiv-content">
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<p>
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<span class="citation-hdr">Internet Citation:</span> Tool: SBAR. Content last reviewed November 2019. Agency for Healthcare Research and Quality, Rockville, MD.<br>
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<span class="citation-url">https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html</span>
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