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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

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  1. Home
  3. I-pass-to-picu: A Structured Handoff Program To Improve Interfacility Referral Communication For Picu Transfer.
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  3. I-pass-to-picu: A Structured Handoff Program To Improve Interfacility Referral Communication For Picu Transfer.

Related Experiment Video

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

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

Nehal R Parikh1, Madhuradhar Chegondi2, Jessica P Liu3

  • 1Department of Pediatrics, Division of Critical Care Medicine, Children's Mercy Hospital Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, MO.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|June 22, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

A structured handoff program improved communication for interfacility pediatric intensive care unit (PICU) transfers, increasing clinician preparedness. Implementation barriers and facilitators were identified for future program adaptation.

Keywords:
critical carehandoffspatient safetypatient transferpediatrics

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Area of Science:

  • Pediatric Critical Care Medicine
  • Healthcare Communication
  • Patient Safety

Background:

  • Interfacility transfers to the Pediatric Intensive Care Unit (PICU) carry risks due to communication failures during patient handoffs.
  • Handoff miscommunication can negatively impact patient outcomes and safety during critical care transfers.

Purpose of the Study:

  • To evaluate the effectiveness of a structured interfacility handoff program (I-PASS-to-PICU) in enhancing communication.
  • To assess improvements in information exchange between referring and receiving clinicians and the PICU admitting team.

Main Methods:

  • Prospective intervention study utilizing a mixed-methods approach: surveys, chart reviews, and semistructured interviews.
  • Data collected pre- and post-implementation of the I-PASS-to-PICU program in an academic tertiary referral PICU.
  • Study included 220 pediatric patients (0-18 years) undergoing urgent interfacility PICU admission.

    • Main Results:

    • No significant association between I-PASS-to-PICU use and reduced omissions of key handoff information reported by receiving physicians (OR, 0.92; p = 0.88).
    • A significant decrease observed in the proportion of admitting PICU staff per patient not receiving key handoff information (16% pre vs. 10% post; p = 0.032).
    • Increased reported preparedness of receiving PICU physicians (95% pre vs. 100% post; p = 0.026); however, only 50% of staff viewed the handoff note before admission.

    Conclusions:

    • The structured interfacility handoff program enhanced communication within the PICU admitting team and improved physician preparedness.
    • Identified implementation barriers and facilitators provide insights for program refinement and broader adoption in other PICUs.
    • Further optimization is needed to ensure consistent utilization of handoff documentation by all admitting staff.