1. Integrating Research, Quality Improvement, and Medical Education for Better Handoffs and Safer Care: Disseminating, Adapting, and Implementing the I-PASS Program
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Amy J. Starmer, Nancy D. Spector, Daniel C. West, Rajendu Srivastava, Theodore C. Sectish, Christopher P. Landrigan, Aravind Ajakumar Menon, Arshia Ali, Brenda K. Allair, April D. Allen, Nureddin Almaddah, Claire Alminde, Wilma Alvarado-Little, Elizabeth Anson, Michele Ashland, Marisa Atsatt, Megan Aylor, Jennifer D. Baird, James F. Bale, Dorene Balmer, Aisha Barber, Kevin Barton, Kimberly Bates, Carolyn Beck, Kathleen Berchelmann, Renuka Bhan, Zia Bismilla, Rebecca L. Blankenburg, Aileen Boa-Hocbo, Talya Bordin-Wosk, Michelle Brooks, Sharon Calaman, Julie Campe, Maria Lucia Campos, Debra Chandler, Yvonne Cheung, Amanda Choudhary, Eileen Christensen, Katherine Clark, Maitreya Coffey, Sally Coghlan-McDonald, Ellen Cohen, F. Sessions Cole, Elizabeth Corless, Sharon Cray, Roxi Da Silva, Devesh Dahale, Anuj K. Dalal, Lauren A. Destino, Jonathan Doroshow, Benard Dreyer, Katharine duPont, Steven Eagle, Courtney Edgar-Zarate, Angie Etzenhouser, Jennifer L. Everhart, Angela M. Feraco, Alexandra Ferrer, Paul Galardy, Briana M. Garcia, Maria Gaspar-Oishi, Jenna Goldstein, Brian P. Good, Dionne A Graham, Amanda S. Growdon, LeAnn Gubler, Amy Guiot, Charin Hanlon, Mona Hanna-Attisha, Roben Harris, Helen Haskell, Melvyn Hecht, Rebecca S Hehn, Justin Held, Jennifer H. Hepps, Debra Hillier, Mark Hiraoka, Eric Howell, Christine Hrach, Helen Hughes, Charles Huskins, Scott Kaatz, Vishnu Kanala, Michael Kantrowitz, Peter Kaplan, Deanne Kashiwagi, Rajat Kaul, Carol A. Keohane, Jeremy Kern, Alisa Khan, Nazia Naz S. Khan, Barry Kitch, Irene Kocolas, Lara Kothari, Elizabeth Kruvand, Nicholas Kuzma, Mary Lacy, Michele Lane, Kate Langrish, Christy J.W. Ledford, Laura LeRoux, Kheyandra Lewis, Stuart Lipsitz, Katherine P. Litterer, Joseph O. Lopreiato, Aimee Lyons, Avram Mack, Meghan Mallouk, Christopher G. Maloney, Amanda Mangan, Keith Mann, Peggy Markle, Christine Marrese, David Marseille, Greg Maynard, Bijal Mehta, Fernando Mendoza, Alexandra N. Mercer, Dale Micalizzi, Lisa Mims, Vineeta Mittal, Stephanie Mueller, Thuy L. Ngo, Ann Nolan, Christopher Nyenpan, Maria Obermeyer, Katherine O'Donnell, Jennifer K. O'Toole, Mary Ottolini, Mobola Owolabi, Aarti Patel, Rajesh Patel, Shilpa J. Patel, Catherine Perron, Rita Pickler, Alina Popa, Patrick Reppert, Robert Riss, Justin Roesch, Jayne E. Rogers, Glenn Rosenbluth, Jeffrey M. Rothschild, Lee Sanders, Kimberly Sauder, Jeff Schnipper, Kumiko O Schnock, Amy Scholtz, Barry Seltz, Theresa Serra, Janet Serwint, Samir Shah, Meesha Sharma, Kathleen Sheppard, Arabella Simpkin, Karin A Sloan, Lauren G. Solan, Michael W Southgate, Jaime Blank Spackman, Scott M. Stevens, Adam Stevenson, Windy Stevenson, Anupama Subramony, William Surkis, Sudhagar Thangarasu, E. Douglas Thompson, Cheryl Toole, Laura Trueman, Tanner Trujillo, Lisa Tse, Michael P. Turmelle, Vishwas Vaniawala, Tamara Wagner, Cindy Warnick, John Webster, Mary Webster, Adina Weinerman, Chelsea Welch, Andrew J. White, Matthew F. Wien, Ariel S. Winn, Stephanie Wintch, H. Shonna Yin, Catherine S. Yoon, Clifton E. Yu, Dominick Zampino, and Katherine R. Zigmont
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Quality management ,Leadership and Management ,Information Dissemination ,Severity of Illness Index ,Workflow ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,030225 pediatrics ,Medicine ,Humans ,030212 general & internal medicine ,Staff Development ,Patient Care Team ,Medical education ,business.industry ,Communication ,Professional development ,Health services research ,Patient Handoff ,Awareness ,Work Engagement ,Quality Improvement ,United States ,Group Processes ,Observational study ,Patient Safety ,business - Abstract
Background In 2009 the I-PASS Study Group was formed by patient safety, medical education, health services research, and clinical experts from multiple institutions in the United States and Canada. When the I-PASS Handoff Program, which was developed by the I-PASS Study Group, was implemented in nine hospitals, it was associated with a 30% reduction in injuries due to medical errors and significant improvements in handoff processes, without any adverse effects on provider work flow. Methods To effectively disseminate and adapt I-PASS for use across specialties and disciplines, a series of federally and privately funded dissemination and implementation projects were carried out following the publication of the initial study. The results of these efforts have informed ongoing initiatives intended to continue adapting and scaling the program. Results As of this writing, I-PASS Study Group members have directly worked with more than 50 hospitals to facilitate implementation of I-PASS. To further disseminate I-PASS, Study Group members delivered hundreds of academic presentations, including plenaries at scientific meetings, workshops, and institutional Grand Rounds. Some 3,563 individuals, representing more than 500 institutions in the 50 states in the United States, the District of Columbia, Puerto Rico, and 57 other countries, have requested access to I-PASS materials. Most recently, the I-PASSSM Patient Safety Institute has developed a virtual immersion training platform, mobile handoff observational tools, and processes to facilitate further spread of I-PASS. Conclusion Implementation of I-PASS has been associated with substantial improvements in patient safety and can be applied to a variety of disciplines and types of patient handoffs. Widespread implementation of I-PASS has the potential to substantially improve patient safety in the United States and beyond.
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- 2017