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Related Experiment Video

Updated: Jan 20, 2026

Role of Communication in the Nursing Process II: Planning and Implementation
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Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication.

Thierry Schmidt1, Dominik R Kocher1, Piratheepan Mahendran2

  • 1Bern University of Applied Sciences, Biel, Switzerland.

Studies in Health Technology and Informatics
|September 5, 2019
PubMed
Summary

Communication failures in healthcare pose patient safety risks. This study introduces a mobile app implementing the ISBAR standard to improve structured information exchange for nurses in intensive care units.

Keywords:
Change of shift reportHealth information exchangeISBARmedical communicationpatient handoff/organization and administrationpatient safetyshift handover

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Area of Science:

  • Healthcare Informatics
  • Patient Safety
  • Clinical Communication

Background:

  • Communication failures among health professionals are a significant risk factor for patient safety.
  • Standardized communication tools like ISBAR (situation, background, assessment, recommendation) aim to improve information exchange but lack widespread adoption and IT support in clinical practice.
  • Current information exchange methods are often unstructured, inefficient, and prone to errors.

Purpose of the Study:

  • To address the limitations of current clinical communication practices by developing a mobile application.
  • To implement the ISBAR communication standard within a digital tool for intensive care unit (ICU) nurses.
  • To support nurses in structured information provision during shift handovers and daily reporting.

Main Methods:

  • Requirements were collected through collaboration with a hospital.
  • A prototype of a mobile application was developed.
  • The application allows nurses to document information within the five ISBAR categories.

Main Results:

  • A mobile application prototype was created to support the ISBAR communication standard.
  • The application facilitates structured note-taking for nurses based on ISBAR categories.
  • The system is designed as a digital pocket card to aid nurses in reporting.

Conclusions:

  • The developed mobile application offers a potential solution to enhance structured communication in ICUs.
  • The digital pocket card aims to improve the efficiency and reduce errors in information exchange during clinical reporting.
  • Future pilot phases will assess the suitability of the digital pocket card for everyday clinical use.