Miss Rosie Schultz1, Ms Angela Miles, Dr Yee Pei Chan
1Southern Adelaide Local Health Network, Australia
Abstract:
Background:
Complex neurodevelopmental disorders require a multidisciplinary approach in case formulation and diagnosis. Effective collaboration between paediatricians, clinical psychologists, speech pathologists and occupational therapists, is essential. Holistic assessment of the child’s developmental domains can occur over multiple sessions with multiple different clinicians. Effective collection and synthesis of clear and critical diagnostic information over this process is often challenging due to these factors.
Implementing a structured communication tool like ISBAR (Introduction, Situation, Background, Assessment, Recommendation), modified to include medical, environmental, and neuropsychological constructs/domains enhances communication of critical information, team coordination and improves patient outcomes.
Objective:
This poster presents a model for integrating modified ISBAR into multidisciplinary neurodevelopmental team-meetings to streamline communication, reduce miscommunication, and support training of less experienced diagnosticians.
Method:
A multidisciplinary team used the ISBAR framework to discuss cases of children with neurodevelopmental concerns in multidisciplinary case conferences. Key indicators will include clinician satisfaction and perceptions of the framework’s use.
Results:
Early implementation of modified ISBAR facilitated clear, concise, and structured discussions, improving information sharing and decision-making and documentation of actions to progress assessment. Preliminary findings suggest this approach structures case formulation, encourages holistic consideration of the child’s presentation, provides a clear documentation of findings and actions, and increases clinician satisfaction and efficiency.
Conclusion:
Integrating modified ISBAR into multidisciplinary team meetings fosters efficient communication, better integrated and efficient care, increased clinician satisfaction in diagnostic formulation of neurodevelopmental concerns. This model is adaptable to various clinical and educational settings and can be a valuable tool for enhancing interprofessional collaboration.