Ipass handoff mnemonic1/21/2024 4 There were no significant changes in the duration of oral handoffs per patient (2.4 vs. As evidence of successful implementation, significant increases across all sites were observed in inclusion of key information in written handoff documents (improvements in nine of nine prespecified key elements) and in verbal communications during handoffs (five of five key elements p <. 001) and a 30% reduction in preventable adverse events (4.7 vs. 6- 12 Implementation of this bundle at the study sites was associated with a 23% reduction in medical errors (24.5 vs. The original I-PASS Handoff Bundle included a comprehensive suite of educational materials with seven major complementary components that were published in MedEdPORTAL in 2013-2014. 3- 5 This study involved the implementation of a novel handoff bundle that included (1) the I-PASS mnemonic (2) an interactive workshop to teach TeamSTEPPS teamwork and communication skills, as well as I-PASS handoff techniques (3) simulation and role-play exercises to practice skills learned in the workshop (4) a computer module to allow for independent learning (5) a faculty development program (6) handoff assessment tools designed to be used by faculty to observe handoffs and provide feedback to frontline providers to improve performance and (7) a process and culture-change campaign featuring a logo, posters, and other visual reinforcement materials to ensure program adoption and sustainability. In 2010, we launched the I-PASS Handoff Study at 11 institutions across North America. 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. As 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.
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