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德国麻醉学与重症医学协会(DGAI)关于围手术期结构化患者交接的建议:SBAR概念

Recommendations of the German Association of Anesthesiology and Intensive Care Medicine (DGAI) on structured patient handover in the perioperative setting : The SBAR concept.

作者信息

von Dossow V, Zwissler B

机构信息

Department of Anesthesiology, University of Munich (LMU), Marchioninistraße 15, 81377, Munich, Germany.

出版信息

Anaesthesist. 2016 Dec;65(Suppl 1):1-4. doi: 10.1007/s00101-016-0237-5.

DOI:10.1007/s00101-016-0237-5
PMID:27900413
Abstract

Teamwork in the operating room and in the intensive care unit necessitates clear and precise communication; however, interruptions in communication frequently occur, especially in the perioperative phase. Patients are particularly susceptible to deficits in communication, e.g. due to higher stress peaks, simultaneous admission of several patients and concomitant treatment of emergency cases. The German Society of Anesthesiology and Intensive Care Medicine (DGAI) therefore recommends the implementation of the so-called SBAR concept (S situation, B background, A assessment, R recommendation) for standardization of patient handover. This concept was originally developed for high-risk areas and organizations with the aim of guaranteeing a rapid, effective and consistent transfer of information.

摘要

手术室和重症监护病房的团队协作需要清晰准确的沟通;然而,沟通中断却频繁发生,尤其是在围手术期。患者特别容易受到沟通不足的影响,例如由于更高的压力峰值、多名患者同时入院以及急诊病例的同时治疗。因此,德国麻醉与重症医学学会(DGAI)建议实施所谓的SBAR概念(S 情况、B 背景、A 评估、R 建议),以规范患者交接。这一概念最初是为高风险领域和组织开发的,目的是确保信息的快速、有效和一致传递。

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本文引用的文献

1
Postanesthesia Care Handovers: Context and Controversy Around Communication and Consistency.麻醉后护理交接:围绕沟通与一致性的背景及争议
Anesth Analg. 2015 Oct;121(4):854-856. doi: 10.1213/ANE.0000000000000791.
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A Multimodal Intervention Improves Postanesthesia Care Unit Handovers.多模式干预可改善麻醉后护理单元的交接。
Anesth Analg. 2015 Oct;121(4):957-971. doi: 10.1213/ANE.0000000000000670.
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Changes in medical errors after implementation of a handoff program.交接方案实施后医疗差错的变化。
基于情况、背景、评估和推荐技术的重症监护病房床边护理交接班检查表的设计与应用。
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Evidence-Based Guideline on Critical Patient Transport and Handover to ICU.危重症患者转运及交接至重症监护病房的循证指南
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5
Do Digital Handover Checklists Influence the Clinical Outcome Parameters of Intensive Care Unit Patients? A Randomized Controlled Pilot Study.数字交接班检查表是否会影响重症监护病房患者的临床结局参数?一项随机对照试验研究。
Front Med (Lausanne). 2021 Apr 20;8:661343. doi: 10.3389/fmed.2021.661343. eCollection 2021.
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Interprofessional learning during SARS-CoV-2 (COVID-19) pandemic conditions: the learning project I-reCovEr as a substitute for a rotation on an interprofessional training ward.严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即新型冠状病毒肺炎)疫情期间的跨专业学习:“我恢复”学习项目作为跨专业培训病房轮转的替代方案
GMS J Med Educ. 2021 Jan 28;38(1):Doc13. doi: 10.3205/zma001409. eCollection 2021.
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Patient handover between ambulance crew and healthcare professionals in Icelandic emergency departments: a qualitative study.冰岛急诊部救护车工作人员与医护人员之间的患者交接:一项定性研究。
Scand J Trauma Resusc Emerg Med. 2021 Jan 28;29(1):21. doi: 10.1186/s13049-021-00829-x.
8
Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.沟通与患者交接工具SBAR对患者安全的影响:一项系统综述
BMJ Open. 2018 Aug 23;8(8):e022202. doi: 10.1136/bmjopen-2018-022202.
9
Standardized Reporting System Use During Handoffs Reduces Patient Length of Stay in the Emergency Department.交接班期间使用标准化报告系统可缩短患者在急诊科的住院时间。
J Clin Med Res. 2018 May;10(5):445-451. doi: 10.14740/jocmr3375w. Epub 2018 Mar 16.
10
[Caring for patients-but carefully of course : Structured Handover].[关爱患者——但当然要谨慎:结构化交接班]
Anaesthesist. 2017 Jun;66(6):393-395. doi: 10.1007/s00101-017-0324-2.
N Engl J Med. 2014 Nov 6;371(19):1803-12. doi: 10.1056/NEJMsa1405556.
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SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.SBAR改善了麻醉诊所的沟通与安全氛围,并减少了因沟通错误导致的不良事件报告:一项前瞻性干预研究。
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SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study.SBAR 可改善护士与医师间的沟通并降低意外死亡率:一项干预前后研究。
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Effectiveness of an Adapted SBAR Communication Tool for a Rehabilitation Setting.一种适用于康复环境的SBAR沟通工具的有效性。
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Risk factors for retained instruments and sponges after surgery.术后器械和纱布遗留的危险因素。
N Engl J Med. 2003 Jan 16;348(3):229-35. doi: 10.1056/NEJMsa021721.