Paeds Cases · clinical-assessment-and-reasoning
Handover and consultation OSCE — ED to ward with residual risk
Observed structured encounter testing I-PASS handoff, ISBAR surgical consult, interpreter use and residual-risk communication.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A 6-year-old with abdominal pain is partially treated in ED. Focal tenderness persists. The caregiver is worried and speaks limited English. You must consult surgery, hand over to the ward team and communicate with the family.
Candidate brief
Time: 12 minutes. You are the paediatric ED registrar. Roles present: surgical registrar (phone), ward registrar (bedside), professional interpreter (available if requested), caregiver. [1] [4]
References6ShowHide
- [1]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
- [2]Finnigan MA ISBAR for clear communication: one hospital's experience spreading the message. Australian health review : a publication of the Australian Hospital Association, 2010.PMID 21108899
- [3]Huth K Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ quality & safety, 2021.PMID 32299957
- [4]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387
- [5]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. The Lancet. Child & adolescent health, 2025.PMID 40451224
- [6]Khan A Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. BMJ (Clinical research ed.), 2018.PMID 30518517