I-PASS Mentored Implementation Handoff Curriculum: Implementation Guide and Resources.

O'Toole JK1,2,3, Starmer AJ4,5, Calaman S6,7, Campos ML8, Goldstein J9, Hepps J10, Maynard GA11,12, Owolabi M13, Patel SJ14,15, Rosenbluth G16,17, Schnipper JL18,19, Sectish TC20,21,22, Srivastava R23,24, West DC25,26,27, Yu CE28,29, Landrigan CP30,31,18,32, Spector ND33,34,35.

Author information

1: Program Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine.
2: Associate Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical Center.
3: Associate Professor, Department of Internal Medicine, University of Cincinnati College of Medicine.
4: Director of Primary Care Quality Improvement, Boston Children's Hospital.
5: Assistant Professor, Department of Pediatrics, Harvard Medical School.
6: Associate Professor, Department of Pediatrics, Drexel University College of Medicine.
7: Director, Pediatric Residency Program, St. Christopher's Hospital for Children.
8: Research Study Coordinator, Division of General Pediatrics, Boston Children's Hospital.
9: Director, Center for Hospital Innovation and Improvement, Society of Hospital Medicine.
10: Assistant Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
11: Chief Quality Officer, UC Davis Medical Center.
12: Clinical Professor, Department of Internal Medicine, UC Davis Medical Center.
13: Former Staff Member, Society of Hospital Medicine.
14: Associate Professor, Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine.
15: Pediatric Hospitalist, Kapi'olani Medical Center for Women & Children.
16: Associate Director, Pediatric Residency Program, Benioff Children's Hospital.
17: Associate Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
18: Associate Professor, Department of Medicine, Harvard Medical School.
19: Associate Professor, Department of Medicine, Brigham and Women's Hospital.
20: Program Director, Boston Combined Residency Program in Pediatrics, Boston Children's Hospital.
21: Vice Chair for Education, Boston Combined Residency Program in Pediatrics, Boston Children's Hospital.
22: Professor, Department of Pediatrics, Harvard Medical School.
23: Assistant Vice President of Research, Intermountain Healthcare.
24: Tenured Associate Professor, Department of Pediatrics, Division of Inpatient Medicine, University of Utah School of Medicine.
25: Director, Pediatric Residency Program, University of California, San Francisco, School of Medicine.
26: Vice-Chair for Education, University of California, San Francisco, School of Medicine.
27: Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
28: Director, Graduate Medical Education, Walter Reed National Military Medical Center.
29: Associate Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
30: Director of Research, Inpatient Pediatrics Service, Boston Children's Hospital.
31: Director, Sleep and Patient Safety Program, Brigham and Women's Hospital.
32: Associate Professor, Department of Pediatrics, Harvard Medical School.
33: Executive Director, Executive Leadership in Academic Medicine, Drexel University College of Medicine.
34: Associate Dean for Faculty Development, Drexel University College of Medicine.
35: Professor, Department of Pediatrics, Drexel University College of Medicine.

Abstract

INTRODUCTION:

Communication failures during shift-to-shift handoffs of patient care have been identified as a leading cause of adverse events in health care institutions. The I-PASS Handoff Program is a comprehensive handoff program that has been shown to decrease rates of medical errors and adverse events. As part of the spread and adaptation of this program, a comprehensive implementation guide was created to assist individuals in the implementation process.

METHODS:

The I-PASS Mentored Implementation Guide grew out of materials created for the original I-PASS Study, Society of HospitalMedicine (SHM) mentored implementation programs, and the experience of members of the I-PASS Study Group. The guide provides a comprehensive framework of all elements required to implement the large-scale I-PASS Handoff Program and contains detailed information on generating institutional support, training activities, a campaign, measuring impact, and sustaining the program.

RESULTS:

Thirty-two sites across North America utilized the guide as part of the SHM program. The guide served as a main reference for 477 hours of mentoring phone calls between site leads and their mentors. Postprogram surveys from wave 2 sites revealed that 85% (N = 34) of respondents felt the quality of the guide was very good/excellent. Site leads noted that they referenced the guide most often during the early part of the program and that they referenced the sections on the curriculum and handoff observations most often.

DISCUSSION:

The I-PASS Mentored Implementation Guide is an essential resource for those looking to implement the large-scale I-PASS Handoff Program at their institution.