EM · Clinical handover and ISBAR

Clinical handover and the ISBAR framework in the emergency department

Also known as ISBAR handover · SBAR communication · Clinical handover · Patient handoff · Transfer of care communication · ED-to-ICU handover · Shift change handover · Paramedic-to-ED handover · IMIST-AMBO · I-PASS handoff

Clinical handover and the ISBAR framework in the emergency department — the structured transfer of information and responsibility at every care transition; the six elements of ISBAR (Identify, Situation, Background, Assessment, Recommendation) and how the Identifier distinguishes ISBAR from its parent SBAR; the alternative and extended structures (SBAR, ISOBAR, IMIST-AMBO for paramedic-to-ED, I-PASS for the trainee-to-trainee handoff); the six ED handover types (triage-to-treatment, shift change, ED-to-ward, ED-to-ICU, ED-to-retrieval, ED-to-theatre) and the emphasis, recipient and risk profile of each; the applied steps of a structured handover from preparation through the receiver's readback to the explicit transfer of responsibility; the com…