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Updated: Aug 23, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Implementation of the I-PASS handoff program in diverse clinical environments: A multicenter prospective

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Summary

Implementing the I-PASS handoff program significantly reduced medical errors and improved communication quality across diverse hospital settings. This patient safety initiative proved effective in both community and academic hospitals.

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Area of Science:

  • Healthcare quality improvement
  • Patient safety research
  • Medical communication studies

Background:

  • Handoff miscommunications are a primary cause of medical errors.
  • The I-PASS handoff program previously reduced errors in pediatric academic hospitals.
  • The program's effectiveness across diverse specialties and settings was not yet assessed.

Purpose of the Study:

  • To evaluate the association between I-PASS implementation and improvements in patient safety and communication.
  • To assess the effectiveness of the I-PASS program in varied healthcare environments.

Main Methods:

  • A prospective Type 2 Hybrid effectiveness-implementation study was conducted.
  • The study involved residents from diverse specialties across 32 hospitals (12 community, 20 academic).
  • Longitudinal coaching and monthly metric reviews facilitated the enhanced I-PASS program implementation.

Main Results:

  • Handoff-related adverse events decreased by 47% post-implementation.
  • The quality of verbal and written handoffs significantly improved, with increased inclusion of key data elements and contingency plans.
  • Improvements were consistent across adult and pediatric providers, and community and academic settings.

Conclusions:

  • The I-PASS handoff program is effective in reducing medical errors and enhancing communication quality.
  • The program's benefits extend across various specialties and healthcare settings, including community hospitals.
  • This study supports the widespread adoption of the I-PASS program to improve patient safety.