Background: Structured communication may reduce information loss during handovers, but associations with patient-safety outcomes require careful interpretation. Objective: To examine the association between recorded SBAR communication implementation and reported patient safety incident classification among inpatient nurses. Methods: This cross-sectional analysis involved 56 nurses at Mayapada Hospital Tangerang, Indonesia. Nurses were categorized by SBAR implementation (poor/good) and recorded incident status (yes/no). A two-sided Fisher’s exact test and the Newcombe confidence interval for the difference between two proportions were calculated from the reported 2 × 2 table. Results: Among nurses classified as having poor SBAR implementation, 20/21 (95.2%) were in the incident category, compared with 0/35 (0%) in the good-implementation group. The absolute difference was 95.2 percentage points (95% CI 74.8–99.2); Fisher’s exact p < 0.001. Overall, 20/56 (35.7%) records indicated incidents. Conclusion: SBAR implementation category was strongly associated with recorded incident classification in this sample. The cross-sectional design and incomplete documentation of outcome ascertainment preclude causal or patient-level incidence claims. Prospective studies with verified incident data are needed.
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