Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 186

Patient safety is a key priority in patient care, and communication errors are the most common cause of adverse events during episodes of patient care. Nursing associates and other healthcare providers endeavour to avoid communication errors during patient handover. SBAR and RSVP communication tools can reduce adverse events in a hospital setting.

Loss of information in verbal handover between different staff groups is known to be a contributing factor in clinical incidents (Rabøl et al. 2011; Müller et al. 2018), and consequently, the development and use of escalation tools allow us to reduce the chance of error by utilising a standardised approach across all professions.

Poor communication is identified as being a factor in 35% of hospital complaints; noted particularly is the quality and accuracy of the information (Ford 2015). The quality and accuracy of information is very much determined by the person escalating concerns; therefore, utilising the earlier suggestions to prepare the handover beforehand and utilising a ‘template form’ or SBAR stickers (often required by some National Health Service (NHS) Trusts) can help increase the likelihood of good communication.

Delayed communication of escalation concerns has previously been a concern and is regarded as being just as serious as other failures of communication (Taran 2011). The development of the NEWS system indicates where patient observations are abnormal and prompts the need to escalate concerns; however, the clinical judgement remains paramount in regards to timely escalation and prioritising it above other conflicting care activities.