We identified broad institutional support, customized written handoff documents, and peer observations with feedback as crucial factors in sustaining I-PASS usage.Ĭopyright © 2020 the Author(s). Clinicians reported reductions in errors and improvements in handoff performance. I-PASS is adaptable to many handoff settings, which expands its potential to improve patient safety. Clinicians across most handoff settings reported that using I-PASS improved both general and personal handoff performance. Inpatient nurses reported reductions in handoff-related errors following I-PASS implementation. We also evaluated changes in handoff-related error frequency and clinician attitudes about the effects of I-PASS on personal and overall handoff performance.Īll 5 elements of the I-PASS mnemonic were used in 87% of inpatient nursing, 76% of physician, and 89% of imaging/procedures handoffs. Adherence to I-PASS was the primary outcome. Peers observed handoffs, scored performance, and provided formative feedback. Throughout the initiative, end-user stakeholders participated as team members and informed the adaptation of the I-PASS mnemonic, handoff processes, written handoff documents, and performance evaluation methods. We adapted and implemented I-PASS for inpatient nursing bedside report, physician handoff, and imaging/procedures handoff. The objectives of this quality improvement initiative were to adapt and implement I-PASS to handoff contexts throughout a pediatric hospital, including those with little or no known evidence of using I-PASS. I-PASS was validated for physician handoffs, yet has the potential for broader application. The I-PASS mnemonic is defined as illness severity, patient information, action list, situational awareness and contingency plans, and synthesis by receiver. I-PASS is a handoff program that decreases medical errors and preventable patient harm. 1 The resident handoff bundle includes 3 major elements: team training by using focused TeamSTEPPS communication strategies, 2 implementation of a. Standardized, structured handoffs improve communication and patient safety. The I-PASS Study aims to determine the effectiveness of implementing a resident handoff bundle to standardize inpatient transitions in care and decrease medical errors in 10 pediatric institutions. Communication failures are common root causes of serious medical errors.
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