S (Situation)

Brief Description: Describe the current patient safety concern or issue. Example: "Staff member [STAFF MEMBER NAME] observed that patient [PATIENT NAME] in room [ROOM NUMBER] is at increased risk for falls due to frequent unassisted attempts to get out of bed."

B (Background)

Patient Background: Provide relevant patient history related to the safety concern. Example: "Patient [PATIENT NAME], aged [AGE], is recovering from [SURGERY/CONDITION] and has been previously identified as a fall risk due to [REASON]."

A (Assessment)

Current Assessment: Outline observations, incidents, or data indicating the safety issue. Example: "In the past 24 hours, [PATIENT NAME] attempted to stand unassisted three times, leading to near falls. Currently, mobility is assessed as [MOBILITY ASSESSMENT], and cognitive assessment indicates [COGNITIVE ASSESSMENT]."

R (Recommendation)

Action/Recommendation: Suggest specific actions to address the safety concern. Example: "Recommend increasing supervision for [PATIENT NAME], utilizing fall prevention equipment such as bed alarms and non-slip socks, and re-evaluating sedation levels. Should we also consider a patient safety consult?"