Background
Inadequate verbal and written communication is recognised as being the most common root cause of serious errors (1). NHS England advocated SBAR as a way of communicating more effectively between health professionals, preventing breakdowns in communication. We have created a novel approach to teach SBAR to nurses through high fidelity simulation within a large trust in East London. 

Summary of Work
High fidelity simulation is being delivered regularly on the ward to Healthcare Assistants, nurses and doctors through a critical patient scenario. We observe of tools used by nurses to communicate a patient’s condition to the doctor. After simulation, a de-brief is done with teaching on SBAR as a communication tool. Questionnaires are given before and after sessions, assessing nurse’s knowledge and confidence of using SBAR. 

Summary of Results
• 10 nurses (5 in-centre and 5 in-situ) have so far completed a training session 
• 100% of nurses had pre-existing knowledge of SBAR handover yet this approach was not routinely used within the scenario. After simulation and teaching, 100% of nurses felt more confident in escalating early to a doctor using the SBAR approach. 100% of doctors in the scenario said they would prefer communication through an SBAR approach, which would help them decide on clinical urgency. 

Discussion & Conclusion
Ultimately, high fidelity simulation is showing to be an important tool in improving patient safety through teaching effective communication tools. Further assessment of the effect of this training is required through more sessions. Secondarily, the simulation sessions directly bring contact between nurses and doctors, allowing communication to flow more freely in future crisis situations. 

Take-home Message
Teaching SBAR through high fidelity simulation has several benefits. While it directly allows nurses and doctors to practice this important communication framework, it inadvertently promotes trust and communication on the wards.