Objective  To explore the application effect of situation-background-assessment-recommendation(SBAR) communication mode based on modified early warning in duty shifting of neurology thrombolysis patients.

  Methods  A total of 50 patients with neurological thrombolysis were enrolled in the control group, given routine duty shifting model. Another 53 patients with neurological thrombolytic therapy were selected as observation group, given duty shifting based on modified early warning in duty shifting. The satisfaction to the nursing staff in the two groups, the incidence of complications, and the transfer rate of ICU due to disease changes were observed.

  Results  The satisfaction to nursing work in the observation group was higher, and the incidenceof complications in the observation group and the transfer rate of ICU due to change of the disease were lower than that in the control group(P < 0.05).

  Conclusion  SBAR communication mode based on modified early warning can improve the patients′satisfaction to the nurses, reduce the incidence of complications and the transfer rate of ICU due to disease changes for patients with neurology thrombolysis.