Ipass medical handoff
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2 In order to address this risk, the ACGME now requires that residency programs provide residents with handoff training and monitor the quality of their handoff communication. 1 Handoffs are cited by leading regulatory and patient safety organizations as high-risk events that potentially put patients at risk for medical errors and adverse events. The I-PASS frontline training materials were rated highly by those trained and are an integral part of a successful I-PASS Handoff Program implementation.Īs duty-hour standards by the Accreditation Council for Graduate Medical Education (ACGME) have evolved over the past 15 years, the number of handoffs between resident physicians has increased. Universally, the training provided them with knowledge and skills relevant to their patient care activities. After receiving the training, over 90% agreed/strongly agreed that they were able to distinguish a good- from a poor-quality handoff, articulate the elements of the I-PASS mnemonic, construct a high-quality patient summary, advocate for an appropriate environment for handoffs, and participate in handoff simulations. At the end of their training, 1,762 frontline providers completed the workshop evaluation form (64% response rate). The training includes an overview of I-PASS handoff techniques, TeamSTEPPS team communication strategies, verbal handoff simulation scenarios, and a printed handoff document exercise.Īs part of the SHM I-PASS Mentored Implementation Program, 2,735 frontline providers were trained at 32 study sites (16 adult and 16 pediatric) across North America. The adapted materials embrace a flipped classroom approach with an emphasis on adult learning theory principles. The I-PASS Mentored Implementation Handoff Curriculum frontline provider training materials were created as part of the original I-PASS Study and adapted for the Society of Hospital Medicine (SHM) I-PASS Mentored Implementation Program. It is important they receive robust handoff training. Frontline providers are the key individuals participating in handoffs of patient care. Transitions of care, patient handoffs, sign-outs, I-PASS, ED I-PASS, patient safety, emergency department communication, emergency medicine, medical education.The I-PASS Handoff Program is a comprehensive handoff curriculum that has been shown to decrease rates of medical errors and adverse events during patient handoffs. It outlines the importance of effective communication in patient handoffs, reviews the I-PASS mnemonic, and illustrates examples of how it may be adapted to the ED setting. This presentation includes a comprehensive, self-contained ED handoff training module utilizing I-PASS streamlined for the ED. Two appendices are also provided as additional resources: 1) an “ED-IPASS Fast Facts” quick reference guide, and 2) a transcript of the videos with optional debriefing exercises. This educational module features 1) a PowerPoint presentation with an embedded audio track and hyperlinks to videos, and 2) a multiple-choice question (MCQ) exam. By the end of this presentation, the learner will be able to 1) describe the importance of safe and efficient handoffs, 2) recall each element of the I-PASS mnemonic, and 3) demonstrate an understanding of how it can be feasibly performed in a busy ED setting. The purpose of this presentation is to provide ED providers with a tool that may improve the safety of their patient handoffs. The attached curriculum presents a streamlined version of I-PASS that can be performed efficiently in the ED. However, these studies were conducted on inpatient wards, subject to different workflows than the ED.
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The multicenter I-PASS study 2 showed that implementing the I-PASS handoff process 3 significantly decreased medical errors and adverse events. An organized approach to patient handoffs has the potential to significantly improve patient safety in the ED. The Joint Commission estimates that 80% of serious medical errors are related to miscommunication between providers during transitions of care (also known as patient “handoffs” or “sign-outs”) 1. The target audience for this presentation includes attendings, residents, advanced practice providers, and medical students who work in the emergency department (ED).