ArticleArchives of academic emergency medicine2025
Effectiveness of ISBAR Protocol Implementation by Emergency Medicine Residents in Pediatric Handovers; A Pre-post Intervention Study.
Article in Archives of academic emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Transforming challenging telephone conversations - investigating the effectiveness of an adapted ISBAR tool for delivering bad news.BMC medical education · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Effective information transfer between healthcare providers is essential for patient safety. This study aimed to evaluate the impact of ISBAR (Identify, Situation, Background, Assessment, Recommendation) framework on the quality of clinical handovers in emergency department (ED). Methods: This prospective, pre- and post-intervention study was conducted at Hazrat Ali Asghar Pediatric Hospital in Tehran, Iran, from May to September 2023. A total of 428 clinical handovers were recorded (214 pre-intervention and 214 post-intervention) following a 90-minute training session and the introduction of a standardized ISBAR checklist. Handover quality was measured using the completeness of a 16-item ISBAR checklist. Data analysis employed descriptive statistics, the Mann-Whitney U test, and Chi-square tests. Results: Implementation of the ISBAR protocol significantly improved the overall quality of information conveyed during handovers. Total handover scores increased from a mean rank of 127.55 pre-intervention to 301.45 post-intervention (P < 0.001). All five ISBAR domains showed significant enhancements; Identify (from 145.41 to 283.59, P=0.001), Situation (from 129.64 to 299.36, P=0.001), Background (from 136.40 to 292.60, P=0.001), Assessment (from 156.00 to 273.00, P< 0.001), and Recommendations (from 198.14 to 230.86, P=0.03). In addition, the completeness of individual items such as patient diagnosis, admission date, and vital signs improved markedly. Conclusions: Adopting a standardized ISBAR handover protocol in a high-stakes pediatric environment ED significantly enhances the accuracy and completeness of patient handovers, thereby reducing the potential for errors and strengthening patient safety.
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Registered trials
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