ISBAR Flashcards
what is ISBAR standardized communication
communicates the same way every time
TJC
the joint comission
what is a sentinel event?
a pt safety event (not primarily related to natural course of pt illness) that results in:
permanent harm
severe temporary harm
death
severe temporary harm
critical, potentially life threatening harm lasting for limited time with no permanent residual
sentinel event examples
-suicide in 72 hours after discharge
-unanticipated death of full term infant
-discharge infant to wrong family
-pt abduction
-elopement
-surgical souvenirs
-falls resulting in harm
-admin of wrong blood
majority of sentinel events are directly caused by?
communication failures
3 factors contributing to increase pt outcomes
leadership
-everyone feels safe to speak up
human factors
-teamwork and communication
reliability
-policies and procedures
3 communication failures
plan
recognize
rescue
why might speaking in ambiguous terms be bad?
discrepancies in communication
what is CUS language
concerned
unsafe
scared
ISBAR?
introduction
situation
background
assessment
recommendation
introduction in ISBAR
name, title, floor
situation in ISBAR
5-10 seconds
pt, room, bed, reason for calling
background in ISBAR
pt hx, VS, how we got there
assessment in ISBAR
what i think problem may be
