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ISBAR for clear communication A standardised structured communication tool to improve patient safety. ISBAR - a structured communication tool. Identify : Name, position & location. Ask to speak to the correct person. Patient details: unique ID number, ward & bed

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slide1
ISBAR

for clear communication

A standardised structured communication tool to improve patient safety

isbar a structured communication tool
ISBAR - a structured communication tool

Identify: Name, position & location. Ask to speak to the correct person. Patient details: unique ID number, ward & bed

Situation: Why you are calling? What is currently happening? If URGENT, say so!

Background: Tell the story eg: admission diagnosis and date Brief relevant medical history and treatment summary

Assessment: Vital signs, your clinical impressions and what you think is going on

Request:State what you want from them - come and review the patient? Management advice?

isbar background
ISBAR - background

Healthcare: increasingly complex, fast paced, multiple interactions

Communication failure is a major factor in 60-70% adverse events (JCAHO, 2004)

Southern Health complaints and adverse events: 35 % are related to communication

WHO has made clinical communications one of its ‘High 5’ priorities to improve patient safety

Australia has taken a leading role in this initiative

isbar background4
ISBAR – background

Southern Health Simulation Centre adapted SBAR from US Navy. ‘I’ was added for identification of self , location, receiver and patient

Structured method of communication in High Reliability Industries (HRI): Air traffic control, nuclear power generation & military

Currently HRI error rating 1:10,000

Healthcare Globally error rating 1:10 to 1:15

isbar the evidence
ISBAR - the evidence

Simulation Centre : Medical students taught ISBAR

ISBAR trainees out performed non trainees each time

88% of Junior Staff using ISBAR tool six months later

Marshall et all Qual Saf Health care 2009,18(2):137-40

There is leading evidence that ISBAR promotes improved patient safety and outcomes

isbar southern health project
ISBAR - Southern Health project

Rolled out as a QUALITY Improvement project

7001 Medical Nursing & Allied Health staff trained in ISBAR technique

4760 attended face to face sessions2813 evaluation forms were completed

Staff feedback94.08% worthwhile, 91.66% relevant to them 93.85% relevant to colleagues

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isbar in practice
ISBAR in practice

Diagnostic Imaging: reduction in errors

(Interim results - Southern Health 2009 )

Reduced inpatient misidentification: 9% to 2 %

Reduced incorrect procedure verification: 30% to 4%

Reduced incorrect side and site verification: 55% to 5%

Referrer Audit: improved compliance. Clinical details

provided 100% of time

Contact details: non conformance reduced: 15% to 2%

isbar forms
ISBAR forms
  • Emergency Dept to ward transfer form
  • Emergency surgery booking form
  • Medical Referral Form
  • Pain Consultancy Request Form

New ISBAR forms discovered during evaluation

    • Birth Suite record of telephone contact
    • Wound Assessment Request
receiving a referral
Receiving a referral

How you can help –

If you want good communication, please ask for it!

Are we using the ISBAR format?

Can you give this to me in ISBAR format please?

Can you please identify ….?

the patient’s name, location

What is the Situation?

What is the Background?

What is your Assessment?

What do you think needs to happen?

how can senior staff help
How can senior staff help?

Provide leadership by modelling behaviour - Please use ISBAR!

Check your staff have attended training - ask them at ‘rounds’

Make it an expectation that the tool is used when communicating about your patients

questions
Questions?

Further training can be organised as required

(insert your contact details)

Thank you for supporting the use of

ISBAR in our organisation

ISBAR tools (2010) – developed by Southern Health in partnership with the VMIA