SBAR stands for Situation, Background, Assessment, Recommendation. It was created by Dr. Michael Leonard and his team at Kaiser Permanente Colorado. This tool breaks communication into four simple steps that health workers can remember easily, even when they are busy or stressed.
This approach helps healthcare workers give information clearly. It lowers the chances that important details are missed or misunderstood. SBAR is easy to recall and acts as a guide during emergencies, referrals, or shift changes.
Many healthcare groups like Kaiser Permanente use SBAR. It is also part of TeamSTEPPS, a program backed by the Agency for Healthcare Research and Quality (AHRQ) that aims to improve teamwork and communication.
In the U.S., healthcare teams often work fast and care for very sick patients who may change quickly. Problems with communication are a common cause of mistakes, harm, and bad outcomes.
Some common problems are:
In these situations, tools like SBAR give a clear structure. This helps lower these risks. The format calls for clear and full information so all team members understand patient needs and what should be done.
SBAR was created mainly to make patients safer by improving communication. Dr. Michael Leonard says it helps teams talk clearly and confidently about important facts.
By splitting talks into clear parts, SBAR lowers the chance that important information gets lost or misunderstood when care changes hands. It supports safe referrals and advice between different specialists.
AHRQ says this method helps avoid wrong diagnoses and speeds up decisions, which is very important in emergencies. It also encourages healthcare workers to introduce themselves and take responsibility for the information, building trust.
SBAR can also be used by nurses, therapists, and even patients or family members. Teaching patients or caregivers to use a simple SBAR helps them communicate better with care teams and avoid mistakes.
SBAR is helpful when doctors refer patients to specialists. Clear and complete referral letters or calls help solve patients’ problems faster and better.
SBAR gives a standard way to write referral notes that include:
With AI becoming common in healthcare, SBAR helps AI programs organize patient information well. AI systems can use SBAR to write referral letters or handle front-office tasks in a clear way.
These AI tools can gather data from health records, study clinical notes, and produce clear communications. This lowers human error and saves time.
For healthcare managers and IT leaders, using AI with SBAR can:
One company leading in this area is Simbo AI. They use AI to answer phones, sort appointments, and handle referrals by following SBAR. This makes sure important patient information is collected and shared in an organized way that helps care decisions.
SBAR is flexible and can be changed to fit different medical places, like big hospitals, clinics, and rural centers across the U.S.
Some tips for using SBAR include:
Administrators often find it hard to make communication the same for large teams, but SBAR’s simplicity helps to solve that problem. IT managers can support this by building SBAR into software so information moves smoothly and is less likely to be missed.
Today, technology is very important to support clear clinical communication. AI and automation systems are growing fast and are needed for workflows to be efficient and less prone to errors, especially in office and clinical talks.
Using AI with SBAR brings many benefits:
Because there are fewer staff and more patients than before, automating routine communication tasks with AI helps keep patients safe. It also helps healthcare workers follow rules about documentation and communication.
Hospital leaders and IT managers who work with AI companies can improve their operations by adding SBAR-based workflows. These fit well with current medical record systems and reduce disruptions while making communication better.
SBAR does more than help in single patient situations. It improves hospital teamwork and culture overall. By setting clear rules for sharing patient information, teams reduce conflicts and confusion. Roles and responsibilities become clearer.
Using SBAR encourages all staff—nurses, technicians, and others—to speak up clearly and be heard. This creates an environment where patient safety is a shared task, not just the job of doctors.
SBAR also helps when healthcare workers talk to specialists who are far away, which happens more in the U.S. Clear and short patient information passed across time zones and distances helps make the right diagnosis faster and starts treatment sooner.
In short, communication tools like SBAR play an important role in making patient care safer and lowering medical errors in healthcare in the United States. By giving a simple and reliable way to share key patient facts, SBAR helps teams work better, makes referrals clearer, and improves clinical decisions. New technology, especially AI tools that use SBAR like those from Simbo AI, make these benefits stronger by boosting efficiency while keeping accuracy. Healthcare managers and IT staff should support using structured communication and its connection with technology to help create safer and better healthcare.
SBAR stands for Situation-Background-Assessment-Recommendation. It is a communication framework designed to organize conversations, especially critical ones, requiring immediate clinician attention and action. It aids in focusing communication clearly and concisely among healthcare professionals.
The four components are: Situation (a concise statement of the problem), Background (relevant information related to the situation), Assessment (analysis and clinical considerations), and Recommendation (the action or decision requested).
Michael Leonard, MD, along with Doug Bonacum and Suzanne Graham at Kaiser Permanente of Colorado developed SBAR as a tool to improve patient safety communication.
SBAR fosters clear, focused communication which reduces misunderstandings and errors. It helps set expectations on what and how information is conveyed, promoting teamwork and a culture of safety among healthcare providers.
Yes. While the provided worksheets and guidelines are physician-centric, SBAR can be adapted for all healthcare professionals involved in patient care communication.
The SBAR Worksheet serves as a script or tool for healthcare providers to organize critical information when communicating about a patient, especially in urgent or critical situations.
SBAR uses a simple acronym that breaks down complex information into four clear sections, making it easy to recall during stressful situations and ensuring communication is structured and concrete.
SBAR has been widely adopted in health systems like Kaiser Permanente. Implementation involves training providers to structure communication following the SBAR format and using tools such as worksheets and guidelines to standardize practice.
SBAR’s structured format provides a standardized template for AI agents to draft referral letters, ensuring clarity, completeness, and focus on critical patient information when transferring care responsibility.
The Institute for Healthcare Improvement provides downloadable SBAR tools including detailed guidelines for communication and worksheets for organizing information effectively prior to speaking or writing about critical patient issues.