Table 5

Kaiser Permanente, SBAR (Situation, Background, Assessment, Recommendation) Tool, 2002

  • ➢ SBAR – a technique for communicating critical information that requires immediate attention and action concerning a patient’s condition
  • ➢ Situation – What is going on with the patient? “I am calling about Mrs. Joseph in room 251. Chief complaint is shortness of breath of new onset.”
  • ➢ Background – What is the clinical background or context? “Patient is a 62-year-old female post-op day one from abdominal surgery. No prior history of cardiac or lung disease.”
  • ➢ Assessment – What do I think the problem is? “Breath sounds are decreased on the right side with acknowledgment of pain. Would like to rule out pneumothorax.”
  • ➢ Recommendation – What would I do to correct it? “I feel strongly the patient should be assessed now. Are you available to come in?”

[Source: Institute for Healthcare Improvement. Guidelines for communicating with physicians using the SBAR process. http://www​​/Topics/PatientSafety​/SafetyGeneral/Tools​/SBARTechniqueforCommunicationASituationalBriefingModel​.htm. Accessed Nov. 18, 2004.]

From: Chapter 33, Professional Communication and Team Collaboration

Cover of Patient Safety and Quality
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Hughes RG, editor.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.