Fliegenschmidt J, Merkel M J, von Dossow V, Zwißler B
Institut für Anästhesiologie und Schmerztherapie, HDZ NRW, Ruhr-Universität Bochum, Georgstr. 11, 32545, Bad Oeynhausen, Deutschland.
Oregon Health & Science University, Mail Code: Mission Control UHS 9C40F, 3181 SW Sam Jackson Park Road, 97239, Portland, OR, USA.
Anaesthesiologie. 2023 Mar;72(3):183-188. doi: 10.1007/s00101-022-01249-x. Epub 2023 Feb 7.
The perioperative setting is a high-risk environment which is particularly susceptible to communication deficits and errors. The situation, background, assessment, recommendation (SBAR) approach provides an intuitive guideline for team communication, which is associated with an improved quality of the handover. The German Society for Anaesthesiology and Intensive Care Medicine (DGAI) has updated its recommendations in March 2022 and continues to endorse the use of the SBAR template. The impact of tools used for structured communication during patient handover are often studied in the context of a larger bundle of measures. The SBAR template is one option for establishing structured communication in clinical practice. Successful implementation is supported by clearly defined standard workflows to promote consistent use. This standardization identifies common communication barriers and assists in resolving them in a high-risk environment. A common understanding of the inherent values, and a shared interest in learning, applying, and training these techniques are paramount in establishing a culture of patient safety. This can only be reached through excellent interprofessional teamwork and supportive leadership.
围手术期环境是一个高风险环境，特别容易出现沟通不足和失误。情况、背景、评估、建议（SBAR）方法为团队沟通提供了直观的指导方针，这与改善交接质量相关。德国麻醉与重症医学学会（DGAI）于2022年3月更新了其建议，并继续支持使用SBAR模板。在患者交接期间用于结构化沟通的工具的影响通常在更大的一系列措施的背景下进行研究。SBAR模板是在临床实践中建立结构化沟通的一种选择。明确界定的标准工作流程支持成功实施，以促进一致使用。这种标准化识别常见的沟通障碍，并有助于在高风险环境中解决这些障碍。对内在价值观的共同理解，以及对学习、应用和培训这些技术的共同兴趣，对于建立患者安全文化至关重要。这只能通过出色的跨专业团队合作和支持性领导来实现。
