Table 3

Proportion of elements opening ("First") and closing ("Last") the handovers and succession of SBAR, SOAP and MAN elements*, @

SBAR


Followed by


First

Last

S

B

A

R

S

13.8

21.3

38.9

57.4

3.7

SBAR

B

77.5

26.3

36.3

59.6

4.1

A

8.8

38.8

39.9

54.7

5.3

R

0.0

13.8

28.6

25.0

46.4

SOAP


Followed by


First

Last

S

O

A

P

S

66.3

21.3

44.9

45.4

9.7

SOAP

O

20.0

11.3

43.0

45.9

11.1

A

10.0

41.3

45.0

33.2

21.8

P

3.8

26.3

26.2

23.4

50.4

MAN


Followed by


First

Last

ID

CC

HPI

PMH

MHA

Social

DOC

PE

Tests

A+P

ID

62.5

2.5

4.1

51.4

32.4

2.7

0.0

0.0

0.0

1.4

8.1

CC

0.0

0.0

0.0

45.5

0.0

9.1

0.0

0.0

0.0

45.5

0.0

HPI

7.5

2.5

2.5

2.2

3.7

2.5

2.2

1.9

8.0

23.5

53.6

MAN

PMH

7.5

0.0

3.2

0.0

58.1

9.7

3.2

0.0

3.2

9.7

12.9

MHA

0.0

0.0

0.0

0.0

20.9

9.3

7.0

0.0

4.7

11.6

46.5

Social

0.0

3.8

0.0

2.4

14.6

0.0

7.3

4.9

2.4

0.0

68.3

DOC

2.5

2.5

0.0

0.0

19.0

0.0

0.0

0.0

9.5

9.5

61.9

PE

0.0

5.0

0.0

0.0

30.3

2.0

1.0

1.0

0.0

16.2

49.5

Tests

0.0

3.8

0.0

0.0

25.1

1.9

4.2

0.9

0.0

11.6

56.3

A+P

20.0

80.0

4.3

0.0

37.0

2.7

3.5

7.8

3.5

12.2

28.9


* Averaged over the two coders; all numbers are in percentages. SBAR, Situation, Background, Assessment, Plan; SOAP, Subjective, Objective, Assessment, Plan; MAN, medical admission note; ID, identification; CC, chief complaint; HPI, history of present illness; PMH, past medical history; MHA, medications, habits and allergies; Social, social history; DOC, directives of care; PE, physical examination; A+P, assessment and plan.

@An example for data interpretation: For SBAR, Background elements opened 77.5% and closed 26.3% of the handovers. Whenever Background elements appeared and were not last, they were followed by Situation, Assessment, and Recommendation elements in 36.3%, 59.6%, and 4.1% of the opportunities, respectively.

Ilan et al. BMC Health Services Research 2012 12:11   doi:10.1186/1472-6963-12-11

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