PMID- 24531289
OWN - NLM
STAT- MEDLINE
DCOM- 20140421
LR  - 20191210
IS  - 1539-0721 (Electronic)
IS  - 0002-0443 (Linking)
VI  - 44
IP  - 3
DP  - 2014 Mar
TI  - Improving situation awareness and patient outcomes through interdisciplinary 
      rounding and structured communication.
PG  - 164-9
LID - 10.1097/NNA.0000000000000045 [doi]
AB  - OBJECTIVE: To measure the impact of interdisciplinary rounds (IDRs) and the 
      situation-background-assessment-recommendation (SBAR) communication protocol on 
      staff situation awareness and patient outcomes. BACKGROUND: Communication 
      frequency and consistency improve speed and clarity, especially between 
      disciplines. Daily IDR using SBAR potentially facilitates the process. METHODS: 
      Four patient review conditions were observed across 3 medical-surgical units of 
      an acute care hospital: baseline, mobile (IDR only), paper-SBAR, and 
      electronic-SBAR (IDR and SBAR). Observations occurred over a 9-month span. Review 
      time (seconds), tools used, location, and field notes were recorded for 960 
      patient reviews. RESULTS: Patient review times were significantly shorter with 
      IDR, decreasing from 102 to 69 seconds, but SBAR did not reduce times further. 
      One patient satisfaction index did not change, whereas the other improved 
      slightly. Length of stay did not change. CONCLUSION: The structure, consistency, 
      and familiarity afforded by SBAR and IDR resulted in improved situation awareness 
      and provided process, staff, and patient benefits.
FAU - Cornell, Paul
AU  - Cornell P
AD  - Author Affiliations: President (Dr Cornell), Healthcare Practice Transformation, 
      Dallas, Texas; Chief Nursing Officer (Ms Townsend-Gervis) and Advanced Nurse 
      Clinician (Ms Yates), Baptist Memorial Healthcare, DeSoto, Mississippi; Assistant 
      Professor (Dr Vardaman), Mississippi State University.
FAU - Townsend-Gervis, Mary
AU  - Townsend-Gervis M
FAU - Vardaman, James M
AU  - Vardaman JM
FAU - Yates, Lauren
AU  - Yates L
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Nurs Adm
JT  - The Journal of nursing administration
JID - 1263116
SB  - IM
MH  - Adult
MH  - *Communication
MH  - Continuity of Patient Care/organization & administration
MH  - Female
MH  - Humans
MH  - Interdisciplinary Communication
MH  - Male
MH  - Middle Aged
MH  - Nursing Staff, Hospital/organization & administration
MH  - *Outcome Assessment, Health Care
MH  - Patient Care Team/*organization & administration
MH  - Patient Handoff/organization & administration
MH  - Patient Satisfaction
MH  - Young Adult
EDAT- 2014/02/18 06:00
MHDA- 2014/04/22 06:00
CRDT- 2014/02/18 06:00
PHST- 2014/02/18 06:00 [entrez]
PHST- 2014/02/18 06:00 [pubmed]
PHST- 2014/04/22 06:00 [medline]
AID - 00005110-201403000-00010 [pii]
AID - 10.1097/NNA.0000000000000045 [doi]
PST - ppublish
SO  - J Nurs Adm. 2014 Mar;44(3):164-9. doi: 10.1097/NNA.0000000000000045.