Future work is focused on IT incorporation for IPASS. In conclusion, these results are promising for the uptake of the validated IPASS sign-out format however implementation into current workflow remains the greatest barrier. The last completed cycle was implementation of IPASS on an entire team with night float feedback which garnered good responses from the program. Next, in an effort to further justify IPASS, we completed another PDSA cycle of timing verbal handoff which averaged approximately 1 minute per patient. We next attempted to implement it into the electronic system to reduce barriers to implementation but found this was not readily possible in discussion with IT. However, night float reported it was confusing to have mixed formats on the same team. The anesthesia provider is not the only person providing sign out information to the PACU nurse our surgical colleagues provide information that is also. We aimed to reduce preventable adverse events and unexpected floor calls while also improving residents’ confidence and preparedness to care for patients overnight. ![]() We introduced the I-PASS Handoff Bundle for resident sign-out in the inpatient setting. They successfully passed this message onto their interns. A structured handoff is an effective communication tool. They received an email explaining IPASS and were asked to incorporate it into handoff of all new patients to the team. Our next step was exploring resident uptake through asking two residents on different teams to implement IPASS. The night float interns did not notice a large difference between traditional method and IPASS. The next PDSA was to explore the impact of IPASS compared to the traditional handoff method on the night float interns, who completed a survey. This tool was updated by the team, which was about to sign out. The interns were more receptive to implementation in this cycle and furthermore the sign-outs were more complete (19% improvement). Of the numerous handoff protocols out there, I-PASS is probably the one weve written. During the second cycle the resident on a single team interactively provided ongoing education on IPASS. Handoffs were scored on a numerical scale correlated to incomplete, partially complete and complete. Uptake was the main barrier with the interns reporting it was burdensome. The first PDSA cycle was sending an email to the interns on a single team explaining IPASS and how to use it. Our aim was to utilize the IPASS structure to standardize the written handoff process between day and night teams in the internal medicine residency. The IPASS handoff structure (i.e., illness severity, patient summary, action items, situational awareness and contingency planning, synthesis by receiver) has previously been established to reduce verbal and written miscommunications and errors when used and implemented within an education bundle ( Sectish et al, Pediatrics 2011). It has become increasingly important with restrictions to resident work hours. This resource is submitted as supplemental documents to a PRiMER manuscript. Quality, standardized sign-out between medical providers is integral to patient safety on an inpatient service. Meta-Analyses of the Effects of Standardized Handoff Protocols. Sign-Out with I-PASS Handoff - Resource Library Sign-Out with I-PASS Handoff 12-08-2020 19:09 Kento Sonoda This resource consists of a sign-out template with I-PASS instructions and a survey that were utilized in our sign-out safety project.
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