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I-PASS-to-PICU: A Structured Handoff Program to Improve Interfacility Referral Communication for PICU Transfer.

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Orienteering as a Tool for Cognitive Research: An Implementation Guide
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I-PASS Mentored Implementation Handoff Curriculum: Implementation Guide and Resources.

Jennifer K O'Toole1,2,3, Amy J Starmer4,5, Sharon Calaman6,7

  • 1Program Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine.

Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
PubMed
Summary
This summary is machine-generated.

The I-PASS Mentored Implementation Guide aids healthcare sites in adopting the I-PASS Handoff Program, a system proven to reduce medical errors and adverse events during patient care transitions. This guide offers a comprehensive framework for successful program implementation and sustainability.

Keywords:
HandoffsI-PASSImplementation GuidePatient HandoffTransitions of Care

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Area of Science:

  • Healthcare quality improvement
  • Patient safety research
  • Medical education and training

Background:

  • Communication failures during patient handoffs are a significant cause of adverse events in healthcare.
  • The I-PASS Handoff Program has demonstrated efficacy in reducing medical errors and adverse events.
  • A need exists for structured guidance to facilitate the widespread adoption of the I-PASS Handoff Program.

Purpose of the Study:

  • To introduce the I-PASS Mentored Implementation Guide as a resource for healthcare institutions.
  • To provide a comprehensive framework for implementing the I-PASS Handoff Program at scale.
  • To support the dissemination and adaptation of a proven patient handoff protocol.

Main Methods:

  • The guide was developed from materials of the original I-PASS Study and Society of Hospital Medicine (SHM) mentored programs.
  • It offers a detailed framework covering institutional support, training, campaign development, impact measurement, and program sustainability.
  • Mentorship was provided through phone calls, with the guide serving as a primary reference.

Main Results:

  • Thirty-two North American sites utilized the guide within the SHM program.
  • The guide was referenced for 477 hours of mentoring calls.
  • Post-program surveys indicated 85% of respondents rated the guide's quality as very good/excellent, with frequent reference to curriculum and observation sections.

Conclusions:

  • The I-PASS Mentored Implementation Guide is an essential tool for institutions seeking to implement the I-PASS Handoff Program.
  • The guide's structure and content facilitate successful large-scale adoption of standardized patient handoffs.
  • Positive user feedback highlights the guide's practical value and effectiveness in supporting implementation efforts.