Once you have started using SBAR as a communication tool, you need to monitor the progress – how well it is being used and whether communication is improved. If it is proving successful, the next step is to embed the tool into people’s everyday habits, so that it becomes ‘the way things are done around here’. Ideas for helping the more widespread use of SBAR include:
• using prompts and visual cues – eg stickers on the telephone, letter templates and patient notes
• ensuring people feel it’s alright to prompt each other using your agreed framework. For example, ‘Can I make sure I understand you? What is your recommendation here?’
• make time for team discussion, reflection and refinement of the tool
• disseminate your good practice to other teams by modeling the communication behaviour you are aiming for.