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Integrating Research, Quality Improvement, and Medical Education for Better Handoffs and Safer Care: Disseminating, Adapting, and Implementing the I-PASS Program

2017; Elsevier BV; Volume: 43; Issue: 7 Linguagem: Inglês

10.1016/j.jcjq.2017.04.001

1938-131X

Amy J. Starmer, Nancy D. Spector, Daniel C. West, Rajendu Srivastava, Theodore C. Sectish, Christopher P. Landrigan, Christopher P. Landrigan, Nancy D. Spector, Amy J. Starmer, Theodore C. Sectish, Rajendu Srivastava, Daniel C. West, Aravind Menon, Arshia Ali, Brenda Allair, April D. Allen, Nureddin Almaddah, Claire Alminde, Wilma Alvarado-Little, Elizabeth Anson, Michele Ashland, Marisa Atsatt, Megan Aylor, Jennifer Baird, James F. Bale, Dorene F. Balmer, Aisha Barber, Kevin T. Barton, Kimberly Bates, Carolyn E Beck, Kathleen Berchelmann, Renuka Bhan, Zia Bismilla, Rebecca Blankenburg, Aileen Boa-Hocbo, Talya Bordin-Wosk, Michelle Brooks, Sharon Calaman, Julie Campe, Maria Lúcia Arruda de Moura Campos, Debra Chandler, Yvonne Y. 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 Destino, Jonathan Doroshow, Benard P. Dreyer, Katharine duPont, Steven Eagle, Courtney L. Edgar-Zarate, Angie Etzenhouser, Jennifer L. Everhart, Angela M. Feraco, Alexandra Ferrer, Paul J. Galardy, Briana M. Garcia, Maria Gaspar-Oishi, Jenna Goldstein, Brian Good, Dionne A. Graham, Amanda S. Growdon, LeAnn Gubler, Amy Guiot, Charin Hanlon, Mona Hanna‐Attisha, Roben Harris, Helen Haskell, Melvyn Hecht, Rebecca Hehn, Justin D. Held, Jennifer Hepps, Debra Hillier, Mark Hiraoka, Eric Howell, Christine Hrach, Helen Hughes, W. Charles Huskins, Scott Kaatz, Vishnu Kanala, Michael Kantrowitz, Peter Kaplan, Deanne T. Kashiwagi, Rajat Kaul, Carol Keohane, Jeremy Kern, Alisa Khan, Nazia Khan, Barry Kitch, Irene Kocolas, Lara Kothari, Elizabeth Kruvand, Nicholas Kuzma, Mary E. Lacy, Michele Marie Lane, Kate Langrish, Christy J. W. Ledford, Laura LeRoux, Kheyandra D. Lewis, Stuart R. Lipsitz, Katherine P. Litterer, Joseph Lopreiato, Aimee Lyons, Avram H. 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 Ann Micalizzi, Lisa Mims, Vineeta Mittal, Stephanie K. Mueller, Thuy L. Ngo, Ann Nolan, Christopher Nyenpan, Maria Obermeyer, Katherine A. O’Donnell, Jennifer K. O’Toole, Su‐Ting T. Li, Mobola Owolabi, Aarti Patel, Rajesh Patel, Shilpa J. Patel, Catherine Perron, Rita H. Pickler, Alina Delia Popa, Patrick Reppert, Robert Riss, Justin Roesch, Jayne Rogers, Glenn Rosenbluth, Jeffrey M. Rothschild, Lee Sanders, Kimberly Sauder, Jeff Schnipper, Kumiko O. Schnock, Amy Scholtz, Barry Seltz, Theresa Serra, Janet R. Serwint, Samir S. Shah, Meesha Sharma, Kathleen L. Sheppard, Arabella L. Simpkin, Karin Sloan, Lauren G. Solan, Michael W Southgate, Jaime Blank Spackman, Scott M. Stevens, Adam Stevenson, Windy Stevenson, Anupama Subramony, William Surkis, Sudhagar Thangarasu, E. D. Thompson, Cheryl Toole, Laura Trueman, Tanner Trujillo, Lisa L. Tse, Michael Turmelle, Vishwas Vaniawala, Tamara S. Wagner, Cindy Warnick, John S. Webster, Mary Webster, Adina Weinerman, Chelsea Welch, Andrew J. White, Matthew Wien, Ariel S. Winn, Stephanie Wintch, H. Shonna Yin, Catherine Yoon, Clifton E. Yu, Dominick Zampino, Katherine Zigmont,

Emergency and Acute Care Studies

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. 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. 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. 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.