Other SectionsAbstractBodyMethodsResultsDiscussionConclusionConflicts of InterestEthics approvalTableReference

In 2006, JCAHO defined the second of its National Patient Safety goals as to “Improve the effectiveness of communication among caregivers”. The SBAR protocol gives practical guidelines for person-toperson communication but may not be appropriate in its current form for more complex contexts. This paper presents a case study showing communication processes in one ICU and illustrates important pr...