基于SBAR模式的ICU交接班实践专案  

ICU Transfer Practice Project Based on SBAR Mode

作　　者：高沙沙 Shasha Gao(Beijing Peking University Shougang Hospital,Beijing,100000,China)

机构地区：[1]北京市北京大学首钢医院,中国北京100000

出　　处：《亚洲临床医学杂志》2019年第5期10-13,共4页Asian Journal of Clinical Medicine

摘　　要：目的:针对我院传统的ICU交接班制度与流程进行原因分析,制定并实施相关改进措施。方法:对我院2019年急危重症医学科20名护士的床头交接班效果进行回顾性原因分析,得出护理交接班质量、对患者的照护质量、交接班时间、护士对患者病情掌握程度、漏交率、重复交接率以及护理隐患与不良事件发生率等为主要原因,进行基于SBAR沟通模式的ICU床头交接班的实践专案改善,通过成立专案改善小组,对全科护理人员进行SBAR模式培训。制定出SBAR沟通模式的ICU交接班表及使用流程,并使用质量控制方法保证措施的有效性。结果:经过专案改善后,提高了护理交接班质量、对患者的照护质量和护士对患者病情掌握程度、,缩短了交接班时间,降低了漏交率、重复交接率以及护理隐患与不良事件发生率。结论:采用SBAR沟通模式的ICU床头交接班,可有效减少护理差错与不良事件,提升护理人员临床思维能力,提高工作效率,丰富护理内涵。Objective:to analyze the causes of the traditional ICU transfer system and process in our hospital,and to formulate and implement the relevant improvement measures.Methods:the main reasons for the effect of bedside transfer of 20 nurses in emergency and critical illness department in 2019 were analyzed retrospectively.the main reasons were as follows:the quality of nursing transfer,the quality of nursing care,the time of transfer,the degree of nurses’mastery of patients’condition,the rate of missed communication,the rate of repeated handover and the incidence of nursing hidden dangers and adverse events,and the practical project of ICU bedside transfer based on SBAR communication mode was improved.Through the establishment of a project improvement team,the entry of general nursing staff Conduct SBAR mode training.The ICU transfer schedule and use flow of SBAR communication mode are worked out,and the quality control method is used to ensure the effectiveness of the measures.Results:after the improvement of the project,the quality of nursing transfer was improved,the nursing quality of patients and the degree of nurses’mastery of patients’condition were improved,the transfer time was shortened,the missed delivery rate,repeated handover rate,and the incidence of nursing hidden dangers and adverse events were reduced.Conclusion:the transfer of ICU bedside with SBAR communication mode can effectively reduce nursing errors and adverse events,improve the clinical thinking ability of nursing staff,improve work efficiency and enrich nursing connotation.

关 键 词：护理专案 SBAR标准化沟通方式 ICU 护理床旁交接班 护理差错事故 

分 类 号：R47[医药卫生—护理学]