Manias et al. iSoBAR format Doctor to doctor Lack of information on who **** Identification: 201638 comprising information transfer from made and who received Date and time of interaction, Australia identification, Royal Flying Doctor expect’ calls ‘patient patient name, age, date of situation, Service to emergency contact address, medical Information on identification observations, department doctor record number, doctor’s sticker for name and gender background, agreed For seriously ill patients name at transferring hospital, did not always correspond plan and readback moving from rural to clinical area, speciality, and with details in ‘patient metropolitan hospital contact details of receiving expect’ calls clinician Name of clinicians in Situation: receiving hospital provided in 11% of calls current medical diagnosis Actions to be taken included Observations: in 19% of calls Temperature, blood pressure, Planning was restricted to respirations, pulse, oxygen who to contact to review saturation, neurological state instructions Background: Inconsistency and overuse Relevant past medical history of abbreviations Agreed plan: Expected arrival time at receiving hospital, recommended tests and procedures, medications to be ordered Readback: Ready access of information relating to patients
Manias et al. 201638 Australia iSoBAR format comprising identification, situation, observations, background, agreed plan and readback Doctor to doctor information transfer from Royal Flying Doctor Service to emergency department doctor For seriously ill patients moving from rural to metropolitan hospital Identification: Date and time of interaction, patient name, age, date of contact address, medical record number, doctor’s name at transferring hospital, clinical area, speciality, and contact details of receiving clinician Situation: current medical diagnosis Observations: Temperature, blood pressure, respirations, pulse, oxygen saturation, neurological state Background: Relevant past medical history Agreed plan: Expected arrival time at receiving hospital, recommended tests and procedures, medications to be ordered Readback: Ready access of information relating to patients Lack of information on who made and who received ‘patient expect’ calls Information on identification sticker for name and gender did not always correspond with details in ‘patient expect’ calls Name of clinicians in receiving hospital provided in 11% of calls Actions to be taken included in 19% of calls Planning was restricted to who to contact to review instructions Inconsistency and overuse of abbreviations ****
Rapid-review-Improving-documentation-at-transitions-of-care-for-complex-patients.docx