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May 20, 2026CureusOpen Access

Improving the Quality and Completeness of Clinical Handover Using the Situation, Background, Assessment, Recommendation (SBAR) Framework: A Closed-Loop Quality Improvement Study at Almanagil Teaching Hospital, Sudan

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Why the study?

Effective communication during clinical handover is essential for patient safety, but deficiencies in structured communication remain common, especially in resource-limited settings.

Does a multifaceted SBAR-based intervention improve the quality and completeness of clinical handover documentation among doctors in a resource-limited setting?

Population

92 handover events (48 baseline, 44 post-intervention) among doctors at Almanagil Teaching Hospital, Sudan

Comparison

SBAR-based multifaceted intervention vs baseline handover practices

Design

Two-cycle closed-loop quality improvement audit structured around the PDSA framework

Authors

MYMohamed Mobark Obed YousifMAMayamen Mugahid Mohamed AbdelgalilSASaria Elsiddig Mohamed Ali

Discussion

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Member takes

Overview

Supports SBAR for handover documentation in teaching hospitals; leaves open need for larger RCTs on patient outcomes.

Structured PICO

Does a multifaceted SBAR-based intervention improve the quality and completeness of clinical handover documentation among doctors in a resource-limited setting?

P
Population
92 clinical handover events (48 in cycle 1, 44 in cycle 2) among doctors at Almanagil Teaching Hospital, Sudan
I
Intervention
Multifaceted intervention including structured education, standardized SBAR templates, visual reminders, and continuous feedback
C
Comparator
Baseline handover practices (cycle 1)
O
Outcome
Compliance with SBAR communication standards (completeness and quality of clinical handover documentation)

Implementation of a structured SBAR-based intervention significantly improved the completeness and quality of clinical handover documentation in a resource-constrained setting.

Cite This Study

Yousif et al. (2026) studied this question.

synapsesocial.com/papers/6a77f32bd2fa2470761f35e9https://doi.org/10.7759/cureus.109293
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Also Consider

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  3. 3Empowering Healthcare Leadership Through Facilitators of Evidence-Based Management: A Narrative Review and Proposed Conceptual Framework2025 · 14 citations
  4. 4Impact of Structured Clinical Handover Protocol on Communication and Patient Satisfaction2021 · 63 citations
  5. 5Enhancing Patient Safety Through Effective Communication: The Role of the SBAR Handover Tool2025 · 1 citations