Communication

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Communication

• Linda Ferris
• Hilton Hotel
• 15th November 2007

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• Communication breakdowns between health care
  providers are a central feature in episodes of
  avoidable patient harm

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Inter-Professional Communication
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Scenario 1
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Mortality Diagnostic Casenote Review

• Failure to Plan (Diagnosis / Treatment)
• Failure to Identify changes in the patients
  clinical indicators. (Heart Rate, Respirations,
  B/P, SPO2)

• Failure to Communicate (between doctors and
  nurses, team, no clear lead physician)
• Failure to Rescue or Respond to changes in the
  patients clinical indicators.

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ALERT

• Acute
• Life threatening
• Events
• Recognition and
• Treatment

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Scenario 2
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SBAR
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The SBAR (Situation-Background-Assessment-Recommen
dation) technique provides a framework for
communication between members of the health care
team about a patient's condition. SBAR is an
easy-to-remember, concrete mechanism useful for
framing any conversation, especially critical
ones, requiring a clinicians immediate attention
and action. 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
culture of patient safety.
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SBAR
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SBAR,

• is based on techniques developed in commercial
  aviation. Co-pilots were having a difficult time
  communicating clearly to pilots, in situations
  where there was potential danger, in part because
  the power gradient between them was so high.
  There are many examples of black box recordings
  found after airplane accidents, where the
  co-pilots were using the hint and hope
  approach, even as the plane was about to crash.

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SBAR

• Situation
• Background

• Assessment
• Recommendation

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Scenario 3
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Safety Briefing

• Safety briefings are an integral part of
  developing a culture of safety. They are used to
  increase staff awareness of safety issues,
  creating an environment in which staff share
  information without fear of reprisal and
  integrate the reporting of safety issues into
  their daily work.
• Convene at least one safety briefing each day.

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Safety Briefing

• One of the keys to success is to make sure that
  information generated at the briefing session is
  passed on to the next shift.
• Briefing should last 5-10 minutes
• Topics should include, patients, equipment,
  staffing, infection control.

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Nursing Handover

• Because clinical teamwork often involves hurried
  interactions between human beings with varying
  styles of communication, a standardized approach
  to information sharing is needed to ensure that
  patient information is consistently and
  accurately imparted. This is especially true
  during critical events, shift handovers, or
  patient transfers.

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NURSING HANDOVER
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Thank You

• Linda Ferris