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Implementation of the I-PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study
Journal article   Open access   Peer reviewed

Implementation of the I-PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study

Amy J Starmer, Nancy D Spector, Jennifer K O'Toole, Zia Bismilla, Sharon Calaman, Maria-Lucia Campos, Maitreya Coffey, Lauren A Destino, Jennifer L Everhart, Jenna Goldstein, …
Journal of hospital medicine, v 18(1), pp 5-14
Jan 2023
DOI: https://doi.org/10.1002/jhm.12979
PMID: 36326255
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10964397View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Adult Child Communication Humans Internal Medicine Internship and Residency Patient Handoff Prospective Studies
Handoff miscommunications are a leading source of medical errors. Harmful medical errors decreased in pediatric academic hospitals following implementation of the I-PASS handoff improvement program. However, implementation across specialties has not been assessed. To determine if I-PASS implementation across diverse settings would be associated with improvements in patient safety and communication. Prospective Type 2 Hybrid effectiveness implementation study. Residents from diverse specialties across 32 hospitals (12 community, 20 academic). External teams provided longitudinal coaching over 18 months to facilitate implementation of an enhanced I-PASS program and monthly metric reviews. Systematic surveillance surveys assessed rates of resident-reported adverse events. Validated direct observation tools measured verbal and written handoff quality. 2735 resident physicians and 760 faculty champions from multiple specialties (16 internal medicine, 13 pediatric, 3 other) participated. 1942 error surveillance reports were collected. Major and minor handoff-related reported adverse events decreased 47% following implementation, from 1.7 to 0.9 major events/person-year (p < .05) and 17.5 to 9.3 minor events/person-year (p < .001). Implementation was associated with increased inclusion of all five key handoff data elements in verbal (20% vs. 66%, p < .001, n = 4812) and written (10% vs. 74%, p < .001, n = 1787) handoffs, as well as increased frequency of handoffs with high quality verbal (39% vs. 81% p < .001) and written (29% vs. 78%, p < .001) patient summaries, verbal (29% vs. 78%, p < .001) and written (24% vs. 73%, p < .001) contingency plans, and verbal receiver syntheses (31% vs. 83%, p < .001). Improvement was similar across provider types (adult vs. pediatric) and settings (community vs. academic).

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11 Record Views
31 citations in Web of Science
22 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#4 Quality Education
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Health Care Sciences & Services
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