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I Shared
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Improved communication = Improved safety for patients

Efficient, empowering and effective, ‘I SHARED’ is a standardized communication framework. Using the ‘I SHARED’ framework to capture and organize information leads to a habit of precise and complete information gathering and exchange.

The ‘I SHARED’ framework streamlines communication and captures crucial information. It is useful for all communication including hand-offs, referrals, transfers, requests, discharges, etc.

There is a growing consensus that standardized frameworks encourage communication and empower staff to communicate critical observations to the appropriate individuals.

Why it works:

  • Helps users process information
  • Increases one’s ability to plan patient care
  • Builds the health care team
  • Provides cues of important information to pass on
  • Sets expectations about what will be communicated between team members
  • Allows the giver and receiver of information to have a timely, interactive exchange

I SHARED:

I Identify - Who you are and who or what you are speaking about.
S Situation - Gives the ‘Punch Line’ in 5-10 seconds. A concise statement.
H History - Gives relevant & objective data as it applies to this specific patient.
A Assessment - Gives an assessment of the situation as it is right now.
R Recommendation - ‘What we need to do’ in a collaborative approach.
E Extras - What else do you need?
D Document

Benefits:

  • Provides a framework for communication
  • Tool ensures completeness of information and reduces the likelihood of missed data.
  • Allows for an easy and focused way to set expectations for what will be communicated and how it will be communicated
  • Standardizes communication between healthcare providers
  • Allows opportunity to ask questions or clarify information

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Page last updated: April 30, 2010