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Peers observed handoffs, scored performance, and provided formative feedback. Throughout the initiative, end-user stakeholders participated as team members and informed the adaptation of the I-PASS mnemonic, handoff processes, written handoff documents, and performance evaluation methods. We adapted and implemented I-PASS for inpatient nursing bedside report, physician handoff, and imaging/procedures handoff. The objectives of this quality improvement initiative were to adapt and implement I-PASS to handoff contexts throughout a pediatric hospital, including those with little or no known evidence of using I-PASS. I-PASS was validated for physician handoffs, yet has the potential for broader application. The I-PASS mnemonic is defined as illness severity, patient information, action list, situational awareness and contingency plans, and synthesis by receiver. I-PASS is a handoff program that decreases medical errors and preventable patient harm. Standardized, structured handoffs improve communication and patient safety. The work cannot be changed in any way or used commercially without permission from the journal.Ĭommunication failures are common root causes of serious medical errors.
#IPASS MEDICAL LICENSE#
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Jude Children’s Research Hospital, 262 Danny Thomas Place, MS 313, Memphis, TN 38105, Email:, Tel: 90. Burlison, PhD, Department of Pharmaceutical Sciences, St. Pediatr Qual Saf 2020 4:e323.Ĭorresponding author. Improving Patient Handoffs and Transitions through Adaptation and Implementation of I-PASS Across Multiple Handoff Settings. To cite: Blazin LJ, Sitthi-Amorn J, Hoffman JM, Burlison JD, for the I-PASS Working Group. ♪ complete list of the non-author contributors appears in the Acknowledgements section. Supported by ALSAC and Cancer Center Support Grant (CA 21765). Received for publication JanuAccepted June 9, 2020. Jude Children’s Research Hospital, Memphis TN. Jude Children’s Research Hospital, Memphis, TN ‡Department of Pharmaceutical Sciences, St.