• J Nurs Adm · Mar 2014

    Improving situation awareness and patient outcomes through interdisciplinary rounding and structured communication.

    • Paul Cornell, Mary Townsend-Gervis, James M Vardaman, and Lauren Yates.
    • 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.
    • J Nurs Adm. 2014 Mar 1;44(3):164-9.

    ObjectiveTo measure the impact of interdisciplinary rounds (IDRs) and the situation-background-assessment-recommendation (SBAR) communication protocol on staff situation awareness and patient outcomes.BackgroundCommunication frequency and consistency improve speed and clarity, especially between disciplines. Daily IDR using SBAR potentially facilitates the process.MethodsFour 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.ResultsPatient 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.ConclusionThe structure, consistency, and familiarity afforded by SBAR and IDR resulted in improved situation awareness and provided process, staff, and patient benefits.

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