SBAR模式在护理优良事件分享学习管理中的应用

目的 探讨“现状-背景-评估-建议”（SBAR）模式在护理优良事件管理中应用的效果,提高护理安全质量管理水平。方法 选取2016年1—12月住院患者65 355例作为护理优良事件分享学习实施前临床资料,采用传统护理不良事件及优良事件管理,选取2017年1月—2018年12月住院患者145 747例作为护理优良事件分享学习实施后临床资料,其在护理不良事件管理基础上,建立标准化护理优良事件管理制度,并将SBAR模式用于优良案例的汇报和学习。比较实施前后不良事件发生率、优良事件上报率及患者对护理安全满意度等。结果 实施后护理不良事件发生率明显低于实施前（P<0.05）;实施后护理优良事件上报率和患者对护理安全满意度均明显高于实施前（P<0.05）。结论 采用基于SBAR模式在护理优良事件分享学习管理中的应用,降低护理不良事件发生率,提高护理优良事件上报率及患者对护理安全满意度,有效提升护士病情观察评判能力,进而提升了护理安全质量管理水平。

Effect of SBAR Communication Mode in Sharing and Learning Management of Nursing Excellent Events

Objective To explore the effect of communication mode of Situation- Background-Assessment-Recommendation (SBAR) in the management of nursing excellent events and to promote the quality of nursing safety management. Methods The 65,355 inpatients admitted from January to December 2016 were pre-implementation clinical data in sharing and learning management of nursing excellent events. While those of 145,747 inpatients from January 2017 to December 2018 were post-implementation clinical data in sharing and learning management of nursing excellent events. Meanwhile, SBAR communication mode was applied in the reporting and learning of nursing excellent events. The incidence of nursing adverse events, the reporting rate of nursing excellent events, and the patient satisfaction with nursing safety management before and after implementation of SBAR mode were compared. Results The incidence of nursing adverse events after the implementation was decreased significantly (P<0.05). The reporting rate of nursing excellent events was significantly higher and patients were more satisfied with nursing safety management (P<0.05). Conclusion The management of nursing excellent events based on SBAR communication mode is effective for decreasing the incidence of nursing adverse events, but increasing the reporting rate of nursing excellent events and patients' satisfaction with nursing safety management, and improving the ability of nurses to observe clinical conditions of patients, and further promoting the management of the nursing safety quality.