The communication structure Identify, Situation, Background, Assessment and Recommendation (ISBAR) was created to standardise the effective transfer of information in the US armed forces. ISBAR was adopted by the public health service in the 2000s
Introduction (Hello Dr. my name is)
Situation (What’s this about?)
Background (Brief & pertinent info)
If it's urgent and/or you are concerned — speak up.
Brief and relevant case history
Admission diagnosis and date
Previous illnesses of significance
Relevant problems and treatment/interventions to date
Assessment (Your analysis and consideration of options)
Recommendation (What do you want the physician to do?)
When should I next make contact? When will you be here?
Confirm messages and interventions with a closed loop.
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