Implementation of SBAR and EMR-Based Bedside Handover to Improve Service Quality and Patient Safety

Abstract

ABSTRACT

Background: Patient safety and service quality are strongly influenced by effective nurse-to-nurse communication during handover. SBAR-based bedside handover integrated with Electronic Medical Records (EMR) is expected to enhance communication effectiveness and documentation. Objective: To evaluate the effectiveness of SBAR-EMR-based bedside handover on nurse compliance, perception of communication, and completeness of EMR documentation. Methods: A quasi-experimental two-group pretest-posttest design was applied. A total of 157 nurses were recruited using proportional stratified random sampling, divided into intervention (n=78) and control (n=79) groups. The intervention included SBAR training, EMR template implementation, and 8 weeks of supervision. Data were collected using observation checklists, perception questionnaires, and EMR audits. Analysis used the Wilcoxon Signed-Rank Test. Results: SBAR-EMR implementation significantly improved handover compliance (p<0.001), nurse perception (p<0.001), and EMR completeness (p<0.001). Real-time EMR input increased to 73.2%. Conclusion: SBAR-based bedside handover integrated with EMR effectively enhances communication quality, nurse perception, and clinical documentation, supporting patient safety culture.

Keywords: Bedside handover, SBAR, EMR, clinical communication, patient safety, quality of care