This record archives the published journal article "From HAS-BLED to SH-BRAT: Bridging the Bleeding Risk Gap with the First Universal Nurse-Led Tool" for long-term preservation and open scientific dissemination.

This comparative review evaluates the Selwan Hamza's Bleeding Risk Assessment Tool (SH-BRAT) against established bleeding risk assessment models, including HAS-BLED, ORBIT, CRUSADE, and IMPROVE. The article examines differences in conceptual design, scoring systems, clinical applicability, workflow integration, and suitability for routine nursing practice.

The review demonstrates that SH-BRAT addresses a significant gap in bedside nursing by providing a simple, standardized, and evidence-based framework for early bleeding risk identification across hospitalized patients. Unlike physician-oriented assessment tools developed for specific clinical populations, SH-BRAT is designed to support universal nurse-led screening, facilitate timely clinical decision-making, and strengthen patient safety through routine nursing assessment.

By bridging the gap between traditional physician-centered bleeding risk models and practical nursing workflows, this article highlights the role of standardized nursing assessment tools in advancing evidence-based nursing practice and improving healthcare quality.

Original Journal Publication

Elgazzar, S. H. (2025). From HAS-BLED to SH-BRAT: Bridging the Bleeding Risk Gap with the First Universal Nurse-Led Tool. Egyptian Journal of Health Care, 16(3), 480–494.

DOI: https://doi.org/10.21608/ejhc.2025.448342

The published journal article remains the Version of Record and should be cited using the original journal publication and DOI.7