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SBAR Handoff: [patient context]

SBAR handoff – situation to read-back confirmation

의료표준SBAR (AHRQ/IHI TeamSTEPPS)sbar

사용법: Clinical handoffs under time pressure. The read-back confirmation line is the safety mechanism – don't skip it.

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SBAR Handoff: [patient context]

Situation-Background-Assessment-Recommendation – the clinical handoff structure (IHI / TeamSTEPPS convention). De-identify before any export or share. Format only, not medical advice.

FieldValue
From@name, [role/unit]
To@name, [role/unit]
Date / timeYYYY-MM-DD HH:MM
Patient[identifier per facility policy]

S – Situation

What is happening right now:

  • Reason for communication: [the problem, one line]
  • Current vital signs: [T, HR, BP, RR, SpO2]
  • Severity / trajectory: stable / worsening / critical

B – Background

Context needed to interpret the situation:

  • Admitting diagnosis: [dx]
  • Relevant history: [pertinent PMH]
  • Recent results: [labs / imaging that matter]
  • Current treatment: [meds, infusions, O2]
  • Allergies: [list]
  • Code status: [full code / DNR / ...]

A – Assessment

What I think is going on:

  • Working assessment: [problem / severity]
  • What it could also be: [differential]
  • Response to interventions so far: [better / worse / unchanged]

R – Recommendation / Request

What I need and when:

  • Request: [review / order / transfer / escalate]
  • Timeframe: [within N minutes/hours]
  • Contingency: if [condition], then [action]
  • Repeat-back: receiver restates key info; confirm accuracy

Read-back confirmation

Received byRead back atConfirmed
@nameHH:MM[ ]

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