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Journal article
Development, Implementation, and Dissemination of the I-PASS Handoff Curriculum: A Multisite Educational Intervention to Improve Patient Handoffs
Academic medicine, v 89(6), pp 876-884
01 Jun 2014
PMID: 24871238
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Patient handoffs are a key source of communication failures and adverse events in hospitals. Despite Accreditation Council for Graduate Medical Education requirements for residency training programs to provide formal handoff skills training and to monitor handoffs, well-established curricula and validated skills assessment tools are lacking. Developing a handoff curriculum is challenging because of the need for standardized processes and faculty development, cultural resistance to change, and diverse institution-and unit-level factors. In this article, the authors apply a logic model to describe the process they used from June 2010 to February 2014 to develop, implement, and disseminate an innovative, comprehensive handoff curriculum in pediatric residency training programs as a fundamental component of the multicenter Initiative for Innovation in Pediatric Education-Pediatric Research in Inpatient Settings Accelerating Safe Sign-outs (I-PASS) Study. They describe resources, activities, and outputs, and report preliminary learner outcomes using data from resident and faculty evaluations of the I-PASS Handoff Curriculum: 96% of residents and 97% of faculty agreed or strongly agreed that the curriculum promoted acquisition of relevant skills for patient care activities. They also share lessons learned that could be of value to others seeking to adopt a structured handoff curriculum or to develop large-scale curricular innovations that involve redesigning firmly established processes. These lessons include the importance of approaching curricular implementation as a transformational change effort, assembling a diverse team of junior and senior faculty to provide opportunities for mentoring and professional development, and linking the educational intervention with the direct measurement of patient outcomes.
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Details
- Title
- Development, Implementation, and Dissemination of the I-PASS Handoff Curriculum: A Multisite Educational Intervention to Improve Patient Handoffs
- Creators
- Amy J. Starmer - Oregon Health & Science UniversityJennifer K. O'Toole - University of CincinnatiGlenn Rosenbluth - University of California, San FranciscoSharon Calaman - Drexel UniversityDorene Balmer - Baylor College of MedicineDaniel C. West - University of California, San FranciscoJames F. Bale - PEDIATRIC EDUCATIONClifton E. Yu - Uniformed Services University of the Health SciencesElizabeth L. Noble - Harvard University ,Lisa L. Tse - Harvard University ,Rajendu Srivastava - PEDIATRIC INPATIENT MEDICINEChristopher P. Landrigan - Harvard University ,Theodore C. Sectish - Harvard University ,Nancy D. Spector - Drexel UniversityI-PASS Study Educ Executive Comm
- Publication Details
- Academic medicine, v 89(6), pp 876-884
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 9
- Grant note
- American Academy of Pediatrics Academic Pediatric Association Society of Hospital Medicine Pfizer 1R18AE000029-01 / U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation Medical Research Foundation of Oregon Physician Services Incorporated Foundation (of Ontario, Canada) K12HS019456 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality Children's Hospital Association 1K12HS019456-01 / Oregon Comparative Effectiveness Research K12 Program (Agency for Healthcare Research and Quality)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000337176300018
- Scopus ID
- 2-s2.0-84903584914
- Other Identifier
- 991019167901104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Scientific Disciplines
- Health Care Sciences & Services