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Implementation of the m-ISHAPED Tool for Nursing Interdepartmental Handoffs
Megan Stimpson1, Kristen Carlin, Debra Ridling
1Vascular Access (Dr Stimpson), Clinical and Translational Research (Ms Carlin), and Nursing Practice and Research (Dr Ridling), Seattle Children's Hospital, Washington.
Background:
Handoffs can pose risks to patients.
Local Problem:
Nurses throughout a children's hospital understood patient handoffs differently, resulting in handoff errors (failures) across departments.
Methods:
Lean principles were used to modify and implement the ISHAPED (Introduction, Story, History, Assessment, Plan, Error Prevention, and Dialogue) tool.
Interventions:
The team implemented a modified ISHAPED (m-ISHAPED) tool to align the content shared and the expectations for interdepartmental handoff.
Results:
Improvements were seen in reported patient safety events from 6.84 to 1.57 per 100 patient days (P < .001) and nurse satisfaction from 81.1% to 90.6% (P < .001).
Conclusions:
A standardized process for interdepartmental nursing handoff was successfully implemented.
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