Table 2.
Study | Design | Setting | How SBAR was used | Patient outcome defined as | Effect |
Field et al
49
2011 |
RCT | Nursing home | Telephone communication from nurse to doctor—anticoagulation management | INR values within the target range | ▲ |
Randmaa et al
37
2014 |
CCT | Hospital | Patient hand-off—physician and nurses | CIRS events (communication errors) | ▲ |
De Meester et al
55* 2013 |
BAS | Hospital | Telephone communication from nurse to doctor—deteriorating/status change of a patient | (1) Unexpected death and (2) ICU admission | ▲ |
Pineda54
2015 |
BAS | Hospital | Patient hand-of f—nurses | Patient falls | ▲ |
Devereaux et al
57
2016 |
BAS | Nursing home | Telephone communication from nurse to doctor—deteriorating/status change of a patient | (1) 30-day readmissions, (2) transfers to hospital and (3) avoidable hospitalisations | ▲ |
Haig et al
51
2006 |
BAS | Hospital | Team communication in general | (1) Adverse patient and (2) drug events | △ |
Andreoli et al
52
2010 |
BAS | Rehabilitation clinic | Team communication in general | (1) Falls severity (four levels), (2) near-miss reporting | △ |
Freitag and Carroll53
2011 |
BAS | Hospital | Patient hand-off—nurses | (1) Inpatient fall rate, (2) restrained patients rate and (3) catheter-associated UTI | △ |
Christie and Robinson41
2009 |
BAS | Hospital | Patient hand-off— physician and nurses | (1) Hospital mortality, (2) adverse events, (3) cardiac arrests, (4) MRSA bacteraemias | △ |
Field et al
49
2011 |
RCT | Nursing home | Telephone communication from nurse to doctor—anticoagulation management | Preventable AE related to warfarin therapy | ○ |
Telem et al
50
2011 |
CCT | Hospital | Patient hand-off—physician | Sentinel events | ○ |
De Meester et al
55
2013 |
BAS | Hospital | Telephone communication from nurse to doctor—deteriorating/status change of a patient | Call of cardiac arrest team | ○ |
Jarboe56
2015 |
BAS | Nursing homes | Telephone communication from nurse to doctor—deteriorating/status change of a patient | (1) Overall number of transfers to acute care hospitals, (2) types of transfers by clinical condition criteria, (3) transfers resulting in hospitalisation | ○ |
Andreoli et al
52
2010 |
BAS | Rehabilitation clinic | Team communication in general | Falls incidence | ∇ |
If a study reported outcomes with different effects on patient safety, the study results are listed separately.
▲, statistically significant evidence for improvement; △, descriptive evidence for improvement (no statistical test reported); ○, no significant evidence of a change; ∇, descriptive reduction of patient safety.
*And nursing hand-off (between shifts).
AE, adverse event; BAS, before–after study; CCT, clinical controlled trial; CIRS, critical incident reporting system; ICU, intensive care unit; INR, international normalised ratio; MRSA, methicillin-resistant Staphylococcus aureus; RCT, randomised controlled trial; SBAR, situation, background, assessment and recommendation; UTI, urinary tract infection.