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Standardized Healthcare Communication Framework

Free SBAR Templates & Clinical Examples

Download printable SBAR templates, fill one out online, or copy a ready-to-use format for healthcare communication. Built for nurses, physicians, and students.

The 4 Pillars of SBAR Communication

Originating from high-reliability military and aviation teams and adopted by the Institute for Healthcare Improvement (IHI) and AHRQ TeamSTEPPS.

S

Situation

Immediate Problem

Identify yourself, the patient, their location, and state concise reason for calling in the first sentence.

Key prompt: "I am calling about [Patient] in [Room] because..."
B

Background

Clinical Context

Provide admitting diagnosis, date of admission, relevant history, current medications, allergies, and baseline status.

Key prompt: "The patient was admitted on [Date] with [Diagnosis]..."
A

Assessment

Findings & Evaluation

Share objective vital signs, physical examination findings, lab/telemetry changes, and your clinical impression.

Key prompt: "Current vitals are... and I think the problem is..."
R

Recommendation

Action & Timeframe

State clearly what action or orders you are requesting, required timeframe, and verify orders with closed-loop read-back.

Key prompt: "I recommend you evaluate now / order STAT..."
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Clinical Demonstration

See how an inpatient nurse communicates an acute postoperative sepsis escalation to the on-call physician concisely under 60 seconds.

Clinical FrameworkSTAT / Emergent

Acute Post-Op Sepsis Escalation (Fictional Example)

Nurse-to-Physician Critical Notification Scenario

Patient: B.M. (68yo M)
Bed/Room: Room 412-B
Attending: Dr. Martinez
S

Situation

Immediate clinical concern & reason for calling right now

I am calling about Patient B.M. in Room 412-B who has become acutely hypotensive (BP 84/48) and tachycardic (HR 118) over the past 45 minutes.
B

Background

Relevant clinical history, admitting diagnosis, medications & baseline

68yo male admitted 2 days ago for lap cholecystectomy. PMH includes Type 2 Diabetes and HTN. Foley catheter removed this morning; urine output has been <20 mL/hr for the last 2 hours. NKDA.
A

Assessment

Current vital signs, objective physical findings & clinical interpretation

Vitals: BP 84/48, HR 118 sinus tach, RR 24, SpO2 93% RA, Temp 38.9°C (102.0°F). Patient is lethargic with warm extremities and 4-second cap refill. Suspected post-op sepsis.
R

Recommendation / Request

Specific clinical action needed, timeframe & read-back confirmation

I recommend an immediate bedside evaluation. I request orders for a 30 mL/kg IV fluid bolus, STAT blood cultures x2, repeat lactate, and empiric IV antibiotics.
Fictional patient data for educational simulation only.Explore 15+ Clinical Examples →
Why SBAR Matters

Standardizing Critical Patient Handoffs & Communications

Miscommunication is cited by The Joint Commission as a leading root cause of sentinel events in hospitals. Nurses and physicians are trained with different communication styles: nurses are often trained to provide narrative descriptions, while physicians are trained to seek concise bulleted summaries.

SBAR bridges this gap by creating a shared mental model. It ensures the most critical information—the acute situation, background context, clinical assessment, and specific requested action—is transferred accurately without ambiguity.

Evidence-Based Clinical Benefits

  • Reduces Adverse Events: Creates predictable structure during rapid clinical deterioration and escalation calls.
  • Empowers Clear Recommendations: Encourages bedside nurses to formulate explicit requests rather than leaving plans ambiguous.
  • Closes the Loop: Facilitates order read-back and mutual agreement on timeframes and critical next steps.

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