Identify)-SBAR improves both accuracy and content of telephone communication.
MacDonald et al. (2008) noted a knowledge gap between pre-hospital (including AE)
handoffs due to a lack of communication. The authors recommended creating an
industry-specific taxonomy to identify modifiable factors, propose solutions to cut
adverse event rates, and improve patient safety outcomes.
A “golden-nugget” meta-analysis or systematic review that substantiated the
advantages of a standardized handoff tool to increase patient safety was not found.
However, the strength of evidence in the Level II through VI articles overwhelmingly
demonstrated the benefits of using a standardized format for communication. Such a
format instills a mindset in which communication is a priority; thus, patient preparation is
improved, patient reports are more succinct, medication errors are reduced, and the
overall safety of patient handoffs is increased. The summary table can be found in Table
10. Based on the evidence, the recommendation is to use a standardized written SBAR
checklist that meets the AE requirements for adequate patient handoff.