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Table 3 Proportion of elements opening ("First") and closing ("Last") the handovers and succession of SBAR, SOAP and MAN elements*, @

From: Handover patterns: an observational study of critical care physicians

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  
  1. * 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.
  2. @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.