Importance: Clinical communication is an important source of medical error and preventable
Objective: To determine the effectiveness of proficiency-based progression (PBP) simulation
training for ISBAR (Identify, Situation, Background, Assessment, Recommendation)
communication in the deteriorating patient.
Setting: The study will be conducted in University College Cork, Ireland. Participants: Third
year undergraduate nursing and fifth year medical students, who are scheduled to undertake
ISBAR training as part of the National Early Warning Score (NEWS) programme.
Intervention: Participants will be prospectively randomized to one of three groups before
undertaking a performance assessment of an ISBAR communication relevant to a deteriorating
patient in a high fidelity simulation laboratory: HSE group (the national e-learning
programme only); S group (national e- learning plus simulation training) and PBP group
(national e-learning plus proficiency-based progression simulation).
Main outcome and measures: A proficiency benchmark on the performance of ISBAR communication
in the context of an acutely deteriorating patient.