Abstract: Objective To explore the effect of communication mode of Situation- Background-Assessment-Recommendation (SBAR) in the management of nursing excellent events and to promote the quality of nursing safety management. Methods The 65,355 inpatients admitted from January to December 2016 were pre-implementation clinical data in sharing and learning management of nursing excellent events. While those of 145,747 inpatients from January 2017 to December 2018 were post-implementation clinical data in sharing and learning management of nursing excellent events. Meanwhile, SBAR communication mode was applied in the reporting and learning of nursing excellent events. The incidence of nursing adverse events, the reporting rate of nursing excellent events, and the patient satisfaction with nursing safety management before and after implementation of SBAR mode were compared. Results The incidence of nursing adverse events after the implementation was decreased significantly (P<0.05). The reporting rate of nursing excellent events was significantly higher and patients were more satisfied with nursing safety management (P<0.05). Conclusion The management of nursing excellent events based on SBAR communication mode is effective for decreasing the incidence of nursing adverse events, but increasing the reporting rate of nursing excellent events and patients' satisfaction with nursing safety management, and improving the ability of nurses to observe clinical conditions of patients, and further promoting the management of the nursing safety quality.

Key words: nursing excellent events, nursing adverse events, SBAR model, patient safety