Schmidt Thierry, Kocher Dominik R, Mahendran Piratheepan, Denecke Kerstin
Bern University of Applied Sciences, Biel, Switzerland.
Spitalzentrum Biel, Biel, Switzerland.
Stud Health Technol Inform. 2019 Sep 3;267:224-229. doi: 10.3233/SHTI190831.
A risk factor for patient safety are communication failures among health professionals. Communication standards such as SBAR or ISBAR (situation, background, assessment, recommendation) aim at improving the exchange of information between health professionals by specifying a certain structure and content of information. However, those tools are not well established in daily clinical practice and IT support is missing which results in unstructured, inefficient and error prone information exchange. In this paper, we address this issue by presenting a mobile application that implements the ISBAR communication standard for the intensive care unit (ICU). The system can serve as digital pocket card supporting nurses in preparation for reporting and in a structured information provision during shift handover and in daily reporting. We collected requirements in collaboration with a hospital and developed a prototype. Within the application, nurses can take notes on the five information categories of ISBAR, which allows to reproduce the information in reporting situations in a structured manner. In future, it will be assessed in a pilot phase whether the digital pocket card is suitable for everyday clinical use.
医疗专业人员之间的沟通失误是患者安全的一个风险因素。诸如SBAR或ISBAR（情况、背景、评估、建议）等沟通标准旨在通过规定特定的信息结构和内容来改善医疗专业人员之间的信息交流。然而，这些工具在日常临床实践中并未得到很好的应用，并且缺乏信息技术支持，这导致信息交流缺乏结构性、效率低下且容易出错。在本文中，我们通过展示一款为重症监护病房（ICU）实施ISBAR沟通标准的移动应用程序来解决这个问题。该系统可以作为数字袖珍卡片，帮助护士在交接班和日常报告时进行报告准备和结构化信息提供。我们与一家医院合作收集了需求并开发了一个原型。在该应用程序中，护士可以记录ISBAR的五个信息类别，这使得在报告情况下能够以结构化的方式重现信息。未来，将在试点阶段评估数字袖珍卡片是否适合日常临床使用。
