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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Enhancing Implementation of the I-PASS Handoff Tool Using a Provider Handoff Task Force at a Comprehensive Cancer

Maria C Franco Vega, Mohamed Ait Aiss, Marina George

    Joint Commission Journal on Quality and Patient Safety
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    Implementing the I-PASS electronic health record tool significantly improved patient handoff processes and safety culture at a cancer center. This evidence-based approach enhanced adherence and provider perception of handoffs.

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    Area of Science:

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

    Background:

    • Communication failures are a leading cause of medical errors.
    • Patient handoffs lacked standardization across services at a Comprehensive Cancer Center.
    • A project was initiated to standardize handoffs using an evidence-based tool.

    Purpose of the Study:

    • To implement and evaluate an organization-wide project to improve patient handoffs.
    • To standardize handoff documentation using the electronic health record I-PASS tool.
    • To assess the impact of the intervention on adherence and safety culture.

    Main Methods:

    • A task force with multidisciplinary representation was formed to address handoff issues.
    • The electronic health record I-PASS tool was implemented to standardize documentation.
    • Training, compliance monitoring, and a safety culture survey were utilized.

    Main Results:

    • Adherence to the I-PASS tool increased from 41.6% to 70.5% between 2019 and 2022.
    • The frequency of updating key handoff elements improved over the study period.
    • Handoff favorability scores on the safety culture survey rose from 38% to 59%.

    Conclusions:

    • The Provider Handoff Task Force's implementation strategy successfully increased I-PASS tool utilization.
    • The project led to measurable improvements in patient handoff processes.
    • Enhanced handoff procedures positively impacted the safety culture survey's favorability scores.