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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
for clear communication
A standardised structured communication tool to improve patient safety
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?
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
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
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
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
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%
New ISBAR forms discovered during evaluation
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?
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
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