SBAR Research

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Resuscitation 84 (2013) 1192–1196

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Clinical paper

SBAR improves nurse–physician communication and reduces unexpected death:
A pre and post intervention studyଝ
K. De Meester a,b,∗ , M. Verspuy b , K.G. Monsieurs a,c , P. Van Bogaert a,b a b c Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium
Faculty of Medicine and Health Sciences, Division of Nursing and Midwifery Sciences, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium
Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium

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Second, despite the recording of vital signs, clinical deterioration is not recognized and/or no action is taken. Finally, when deterioration is recognized and assistance sought, medical attention is delayed. This delay in receiving medical attention can originate from sub-optimal nurse–physician communication or collaboration.8 In answer to these three domains of failure, rapid response systems (RRSs) have been widely introduced although they are not supported by a high level of evidence.9
It remains uncertain which elements of RRSs contribute most to patient outcome but there is growing awareness that the effect depends on the different components such as the ability to detect and interpret deterioration, to communicate clearly and to start the correct response without delay.10 By implementing a standard observation protocol incorporating the modified early warning score (MEWS), better and accurate patient observation and

K. De Meester et al. / Resuscitation 84 (2013) 1192–1196

interpretation of abnormal vital signs was achieved in our hospital.11 The components “detection” and “interpretation” were improved. It remained unclear whether in cases of patient deterioration the nurse–physician communication was clear and provided the best information to optimize collaboration so
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