ArticleBMJ open2014
SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04582513 (Impact of an Anesthesia Care Handover-Checklist on Adverse Perioperative Outcome), which is not on this map. Cited by 52 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Impact of an Anesthesia Care Handover-Checklist on Adverse Perioperative Outcome (AnCHor - Checklist) Pilot Trial
Who cites it
52 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Examining the impact of validated handover protocols on treatment outcomes in polytrauma patients: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review.BMJ open · 2021Pooled it
- Interventions to improve team effectiveness within health care: a systematic review of the past decade.Human resources for health · 2020Pooled it
- Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.BMJ open · 2018Pooled it
- Recommendations of the German Association of Anesthesiology and Intensive Care Medicine (DGAI) on structured patient handover in the perioperative setting : The SBAR concept.Der Anaesthesist · 2016Guideline
- [Recommendations of the German Society of Anaesthesiology and Intensive Care Medicine on structured patient handover in the perioperative phase : SBAR concept].Der Anaesthesist · 2016Guideline
- Research on doctor-patient communication teaching for oncology residents: a new teaching model.Journal of evaluation in clinical practice · 2025Trial
- Better teaching in the intensive care unit: navigating a complex, multi-disciplinary learning environment.Critical care (London, England) · 2026Review
- The evolving landscape of airway education in anesthesia for head and neck surgery.Current opinion in anaesthesiology · 2025Review
- Shift-to-Shift Information Transfer: Phenomenological Study of Nurses' Experiences.JMIR nursing · 2025Article
- Review
- Effectiveness of ISBAR Protocol Implementation by Emergency Medicine Residents in Pediatric Handovers; A Pre-post Intervention Study.Archives of academic emergency medicine · 2025Article
- Intrahospital Handovers before and after the Implementation of ISBAR Communication: A Quality Improvement Study on ICU Nurses' Handovers to General Medical Ward Nurses.Nursing reports (Pavia, Italy) · 2024Article
- Article
- Improved recall of handover information in a simulated emergency - A randomised controlled trial.Resuscitation plus · 2024Article
- [Handoffs in the intensive care unit].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Review
- Implementation of large, multi-site hospital interventions: a realist evaluation of strategies for developing capability.BMC health services research · 2024Article
- Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital.Health SA = SA Gesondheid · 2024Article
- The Effects of an Order-Assist Mobile Application on Pediatric Anesthesia Safety: An Observational Study.Children (Basel, Switzerland) · 2023Article
- Electronic health record based population health management to optimize care in CKD: Design of the Kidney Coordinated HeAlth Management Partnership (K-CHAMP) trial.Contemporary clinical trials · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to examine staff members' perceptions of communication within and between different professions, safety attitudes and psychological empowerment, prior to and after implementation of the communication tool Situation-Background-Assessment-Recommendation (SBAR) at an anaesthetic clinic. The aim was also to study whether there was any change in the proportion of incident reports caused by communication errors.
designA prospective intervention study with comparison group using preassessments and postassessments. Questionnaire data were collected from staff in an intervention (n=100) and a comparison group (n=69) at the anaesthetic clinic in two hospitals prior to (2011) and after (2012) implementation of SBAR. The proportion of incident reports due to communication errors was calculated during a 1-year period prior to and after implementation.
settingAnaesthetic clinics at two hospitals in Sweden.
participantsAll licensed practical nurses, registered nurses and physicians working in the operating theatres, intensive care units and postanaesthesia care units at anaesthetic clinics in two hospitals were invited to participate.
interventionImplementation of SBAR in an anaesthetic clinic. PRIMARY AND SECONDARY OUTCOMES: The primary outcomes were staff members' perception of communication within and between different professions, as well as their perceptions of safety attitudes. Secondary outcomes were psychological empowerment and incident reports due to error of communication.
resultsIn the intervention group, there were statistically significant improvements in the factors 'Between-group communication accuracy' (p=0.039) and 'Safety climate' (p=0.011). The proportion of incident reports due to communication errors decreased significantly (p<0.0001) in the intervention group, from 31% to 11%.
conclusionsImplementing the communication tool SBAR in anaesthetic clinics was associated with improvement in staff members' perception of communication between professionals and their perception of the safety climate as well as with a decreased proportion of incident reports related to communication errors.
trial registrationISRCTN37251313.
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