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Dissertation
Implementing SBAR to Improve Communication to Reduce Incidence of Medication Errors
Doctor of Nursing Practice (DNP), Grand Canyon University
2020
Abstract
Medication errors are one of the leading forms of errors within hospitals and are most often caused by communication breakdown among hospital employees. The communication tool SBAR (Situation, Background, Assessment, and Recommendation) has been established to improve communication and decrease the incidence of medication errors within hospitals. The purpose of this quantitative quasi-experimental single-group pre-test post-test project was to examine the impact of using the SBAR during shift reports improve communication and decrease incidence of medication errors on a trauma medical surgical unit within a 465-bed hospital in Northwest Florida. The Lewin’s change theory model and the Iowa evidence-based practice model and grading criteria were used to guide the project. Data were collected before and after implementation by observing nurses with the Clinical Evaluation Exercise Tool (CEX) and counting medication errors recorded in the event reporting system (ERS). There was not a statistically significant difference in the CEX handoff data before compared to after the intervention (Chi square p > 0.05). Fisher’s exact test showed that the frequency of medication errors did not change significantly before vs. after SBAR use (p= .286). The Handoff CEX scores showed improved posttest (4 incidents of medication errors) compared to the pretest (1 incident of medication error). Though this DPI project did not yield statistically significant results, the use of the SBAR did result in clinically significant changes. The superior scores increased by more than half in all seven categories of the communication evaluation tool. In addition, the results of this project may lead to future investigators reevaluating the site and the project’s sustainability.
Details
- Title
- Implementing SBAR to Improve Communication to Reduce Incidence of Medication Errors
- Resource Type
- Dissertation
- Format
- pdf
- Number of pages
- 155
- Copyright
- © by Minh Thi Ho, 2019, All rights reserved.
- Identifiers
- 99381807200906600
- Language
- English
- Awarding Institution
- Nursing; Grand Canyon University; Doctor of Nursing Practice (DNP)
- Theses and Dissertations
- Doctor of Nursing Practice (DNP), Grand Canyon University
- Academic Unit
- Nursing