Abstract: Objective To evaluate the application effect of near miss management combined with situation-background-assessment-recommendation（SBAR）standardized communication model in hospital transportation of critical patients in nephrology department. Methods We selected the critically ill patients who need to be transferred to ICU in the department of nephrology of a tertiary class A general hospital as the research object by convenient sampling. 112 patients from January to June 2022 were selected as the test group and received near miss management combined with SBAR communication mode for in-hospital transfer. 103 patients from June to December 2021 were selected as the control group and received the conventional in-hospital transfer method. Compare the incidence of nursing near miss events,transfer time,and the score of nurses' knowledge,belief and practice on hospital transfer of critical patients between the two groups. Results The incidence of transport near miss events in the test group（18.75%）was lower than that in the control group（38.83%）（χ²=10.651,P<0.05）. The length of transport preparation,handover time after transfer and total handover time of transportation in the test group were lower than those in the control group（P<0.001）. But there was no significant difference in transport time（P=0.537）. After training and clinical practice,the score of knowledge,belief and practice of nurses on hospital transfer of critical patients was（154.32±5.00）,which was significantly higher than that before training（120.56±6.25）（t=10.734,P<0.05）. Conclusion The implementation of near miss management in the transport of critically ill patients in the department of nephrology and the use of SBAR communication mode for the transfer will reduce the incidence of near miss events,shorten the transport and handover time,improve the efficiency and quality of transport.

Key words: Near Miss, SBAR Communication Mode, Critical Care Nursing, Transportation of Patients, Safety Management