User:Ipasswiki/sandbox

BACKGROUND

The IIPE-PRIS Accelerating Safe Signouts (I-PASS) study sought to standardize handoff processes and create better handoffs and safer patient care. Funded by a $3 million grant from the US Department of Health and Human Services with additional support from a variety of institutions and foundations, including the Initiative for Innovation in Pediatrics Education (IIPE) and the Pediatric Research in Inpatient Settings (PRIS) Network, the I-PASS Study began to implement a standardized, evidence-based handoff program to improve handoffs and patient care. This study was initiated in response to evidence cited by the Joint Commission that communication and handoff failures are a root cause of two-thirds of sentinel events. A pilot study at Boston Children's Hospital demonstrated a reduction in medical errors from 33.8 per 100 admissions to 18.3 per 100 admissions and in preventable adverse events from 3.3 per 100 admissions to 1.5 per 100 admissions after implementation of a resident handoff bundle. The findings from this study inspired the multi-centered I-PASS study across nine hospitals in the United States and Canada.



OVERVIEW

The I-PASS study aims were to:

1. Implement a standardized, evidence-based handoff program comprised of the I-PASS handoff bundle including:

2. Measure impact of the implemented handoff program and handoff bundle on medical errors, verbal and written miscommunications and resident physician workflow and satisfaction
 * TeamSTEPPS® communication training and handoff skills training (including simulation and role-play exercises)
 * Novel verbal mnemonic (I-PASS)
 * Structured computerized printed handoff tool
 * Faculty development
 * Campaign to ensure sustainability

I-PASS as the novel mnemonic utilized as part of the handoff bundle stands for:

I: Illness Severity

P: Patient Summary

A: Action List

S: Situation Awareness and Contingency Planning

S: Synthesis by Receiver

PARTICIPATING INSTITUTIONS


 * Boston Children's Hospital


 * Brigham and Women's Hospital


 * Cincinnati Children's Hospital Medical Center


 * Lucille Packard Children's Hospital at Stanford


 * Oregon Health and Science University


 * Intermountain Primary Children's Medical Center


 * Hospital for Sick Children, Toronto


 * St. Christopher's Hospital for Children


 * Children's Hospital St. Louis


 * UCSF Benioff Children's Hospital


 * Walter Reed National Military Medical Center

I-PASS STUDY RESULTS