标准化沟通模式在急诊科安全管理中的应用

Application of SBAR communication mode on safety management in emergency department

目的 探讨SBAR沟通文化在急诊科的运用,以促进医护间的有效沟通,确保患者安全.方法 2015年7月,成立急诊SBAR工作室,对医护人员进行SBAR沟通模式的培训、落实与监控.采用医护合作态度量表和医护沟通满意度量表比较干预效果,统计因沟通障碍导致的不良事件的发生率.结果 SBAR沟通模式开展后医护合作态度得分为（52.06±4.52）分,医护人员的满意度为（65.62±3.84）分,均较开展前提高,差异有统计学意义（t值分别为10.905、6.676;P〈0.05）;因沟通障碍导致的不良事件和隐患由开展前的50%下降到开展后的14.29%,差异有统计学意义（χ2=4.453,P〈0.05）.结论 SBAR沟通模式提高了急诊医护沟通时信息的规范性、准确性、有效性,在改进团队合作,促进患者安全等方面起到了显著效果.

Objective To explore the application of SBAR communication culture in emergency department,so as to promote the effective communication between doctors and nurses and ensure the safety of patients.Methods From July 2015 to June 2016,by setting up an emergency SBAR studio, training, implementation and monitoring of the SBAR communication model for medical staff were carried out, and compared the effect of SBAR communication mode before and after the implementation of the medical cooperative attitude scale,the safety attitude scale and the self-made communication satisfaction scale, and counted the incidence of adverse events caused by communication barriers.Results After the SBAR communication mode,the attitude of nursing cooperation （52.06±4.52） score, and the satisfaction of medical staff （65.62±3.84） were significantly improved compared with before （t=10.905, 6.676;P〈0.05）,due to communication barriers caused by adverse events and hidden trouble from the previous 50% to decline after the development of the 14.29% （χ2=4.453,P〈0.05）.Conclusions SBAR communication mode improves the standardization, accuracy and effectiveness of information in emergency medical communication, and has a significant effect on improving the team cooperation and promoting the safety of patients.