The Situation-Background-Assessment-Recommendation, or SBAR, communication framework was introduced in the GI Department through a comprehensive approach, which included daily huddles and individualized training. This ensured that every team member understood the structure and importance of SBAR in improving communication.

A key part of this process was the creation of a new, standardized handoff sheet to promote uniform communication across the team. Several template versions were tested, and feedback from staff was collected to make improvements. After incorporating this feedback, the final version of the handoff sheet was launched.

Throughout the implementation, daily audits were conducted to track how consistently SBAR was being used and by which staff members. This allowed for real-time monitoring of the framework’s adoption. Additionally, regular feedback was collected from staff and users to identify any challenges or barriers to using the tool effectively. Adjustments were made based on this input to improve the process, which helped ensure the intervention’s continued relevance and effectiveness.

The primary outcome measure was the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey scores, which showed a significant improvement in the patient response to the question, “Did staff work together to care for you?”

Nurses reported feeling more informed with less confusion and miscommunication, leading to better coordination and patient care. These scores provided valuable insights into the effectiveness of the intervention in improving patient care and communication. A sustainability plan was also developed to ensure the continued use of SBAR beyond the initial project timeline, allowing for its integration into standard practice.