ISBAR Flashcards
ISBAR standardized communication
communicate the same way every time
TJC
the joint commision
sentinel event
a patient safety event (not primarily related to the natural course of the patients illness or underlying condition) that reaches a patient and results in any of the following
- death
- permanent harm
- severe temporary harm
severe temporary harm
critical, potentially life treating harm lasting for a limited time with no permanent risdual
examples of sentinel events
suicide in or 72 hours after discharge
unanticipated death of a full term infant
discharge of an infant to wrong family
abduction of any patient
elopement (leaving hospital)
surgical souvienirs
falls resulting in harm
administration of wrong blood
what do majority if sentinel events are directly caused by
communication failure
what are the 3 factors contributing to increase patent outcome
leadership
- everyone feels safe to speak up
human factors
- teamwork and communication
reliability
- polices and procedures
3 failures of communication errors
plan, recognize, resuce
why might speaking in ambiguous terms be bad
one person may thing good BP is 120/80 and other might thing 100/60
CUS
concered, unsafe, scared
ISBAR
I
introduction
ISBAR
S
situation
ISBAR
B
Background
ISBAR
A
assessment
ISBAR
R
recomendation
introduction
name, title, floor
situation
5-10 seconds
pt, room #, bed, why calling
backgroung
familiar with patient, how did we get here, current vital signs, history
assessment
what do you think the problem is
recommendaton
what you think needs to be done
pt advocate
- orders
- assess by doctor
before you call
assess patient yourself
review chart
know vitals and labs
read progress notes
trents
VS
code
benefits of ISBAR
improves patient safety
promotes critical thinking
develops teamwork
increased employee satisfaction
decreased communication errors
