ISBAR

, Western NSW Primary Health Network
, Western NSW Primary Health Network

ISBAR communication tool helps enhance clinical handover in aged care

, Western NSW Primary Health Network

Clear, structured communication is crucial for high-quality patient care, particularly in time-sensitive situations. ISBAR is a proven communication tool designed to support healthcare staff in delivering safe and effective care through structured handovers. Whether you’re talking to a visiting GP, another nurse, or a hospital team, ISBAR ensures that everyone is on the same page quickly, even in urgent situations.

, Western NSW Primary Health Network
, Western NSW Primary Health Network
, Western NSW Primary Health Network

What is ISBAR?

, Western NSW Primary Health Network

ISBAR stands for:

Introduction (Identify)

Situation

Background

Assessment

Recommendation (Request)

It provides a systematic approach to communication, ensuring all necessary information is conveyed in a clear and concise manner. The ISBAR method has been endorsed by the World Health Organization (WHO) for its ability to standardise communication across healthcare settings, improving both care quality and patient safety.

When to use ISBAR

The ISBAR framework can be applied in a wide variety of clinical scenarios, including:

  • Shift changeover
  • Transfers for hospital admission, tests, or appointments
  • Inter-hospital transfers
  • Responding to patient deterioration
  • End-of-life care communication
  • Report writing
, Western NSW Primary Health Network

Benefits of ISBAR in aged care

, Western NSW Primary Health Network

Research shows the consistent use of ISBAR leads to significant improvements in clinical communication, directly enhancing patient care outcomes. The benefits of implementing ISBAR across healthcare teams include:

  • Clearer handovers and documentation
  • Fewer medication errors and clinical mistakes
  • Strengthened teamwork across shifts and services
  • Better continuity of care when residents go to hospital or see a specialist
  • Increased confidence in raising concerns or making recommendations

Key tips for effective ISBAR preparation

, Western NSW Primary Health Network
  • Preparation is key: ensure that the reason for the referral is clear from the outset.
  • Be prepared with questions: having written, prepared questions will help guide the conversation.
  • Gather all necessary patient information: ensure you have relevant charts, ECG, CXR results, etc. before the handover.
  • Take notes and record instructions: writing down key points ensures accuracy.
  • Consistency is crucial: ensure both parties use the same ISBAR framework for smooth communication.
, Western NSW Primary Health Network

What you can expect from using the ISBAR method

, Western NSW Primary Health Network

Short-Term:

  • Staff will better understand how to use ISBAR in their daily work.
  • Improved understanding of effective clinical communication practices.

Medium-Term:

  • Increased staff confidence and competence during handovers.
  • Better communication between aged care facilities, hospitals, and GPs.
  • Fewer misunderstandings.

Long-Term:

  • Reduced medication mix-ups and clinical errors.
  • Fewer unnecessary hospital visits or readmissions.
  • More consistent follow-through with Advance Care Plans.
, Western NSW Primary Health Network

Building and measuring strong communication skills with ISBAR

, Western NSW Primary Health Network

WNSW PHN provides tailored support, training, and resources to help RACHs with their digital health journey, including the integration of clinical information systems (ACCIS) and tools for managing digital health records and medication.

To learn more about these initiatives and how WNSW PHN can assist with the adoption of digital health solutions, please contact us.

Contact our team
, Western NSW Primary Health Network
Step 1

Learn the ISBAR framework

Learn about the ISBAR framework and how it can guide your clinical communications. To access training please email: agedcare@wnswphn.org.au.

Step 2

Build confidence through practice

Once you’ve grasped the basics, practice using ISBAR in real scenarios. Using ISBAR daily, role-playing simulated handovers with colleagues and using the ISBAR Interprofessional Communication Rubric (IICR) can help refine your skills and identify areas for improvement.

How do I order a supply of ISBAR pads for my facility in the Western or Far West NSW region?

, Western NSW Primary Health Network

Order your free supply of ISBAR pads to help implement this communication tool in your facility.

Order copies here