Children's Hospitals Today - Winter 2018 - 23

INNOVATION / FEATURE

IMPROVING HANDOFFS

CHANGE THE WAY TEAMS
COMMUNICATE

ESTABLISH quiet hours
with dim lights and
reduced noise levels
SHIFT tasks, such as
bathing, to hours best
suited for children,
not necessarily staff
members' convenience
COORDINATE floor
cleaning and trash
removal during
daytime hours
PROVIDE access to
quiet, comfortable sleep
locations for parents

SHORTCOMINGS IN PROVIDER
communications on patient
handoffs are a leading cause of
preventable errors in hospitals.
Enter I-PASS. The mission
of the I-PASS Study Group:
to improve patient safety
by standardizing provider
communication, with a specific
focus on improving transitions
of care. I-PASS is an evidencebased, standardized approach
to teaching, evaluating and
improving handoffs. More than
50 medical faculty members
from institutions across
North America contributed
to the curriculum, and its
name is a mnemonic for the
key elements of the handoff
process. The mnemonic is
integrated throughout the
I-PASS curriculum and serves
as the framework upon which
the process is taught. "It's

a simple structure," says
Amy Starmer, M.D., M.P.H.,
the director of primary care
quality improvement at Boston
Children's Hospital and the
I-PASS Study project leader.
"But what makes I-Pass one-ofa-kind is we pair it with other
implementation strategies to
change provider behavior and
transform the way people are
communicating." Children's
hospitals looking to improve
patient safety by standardizing
provider communication around
patient handoffs can learn about
the participating children's
hospitals and start with a
free download of the I-PASS
curriculum materials. The
I-PASS Study Group also offers
a consultation program to help
hospitals with implementation.

Getting results
I-PASS was tested in
nine centers over a
three-year period and
drove significant results:

 Medical errors
decreased by
23 percent
 Preventable adverse
events decreased
by 30 percent
 Improved written
documentation
and verbal
communication
 No significant
changes in the
duration of the
verbal handoff
per patient or
resident workflow

Learn more: ipassinstitute.com

Learn the lingo
Getting results
Hospitals can make
strides to improve
patient sleep. Stremler
cites a study by Efrosini
Papaconstantinou,
Ph.D., at the University
of Toronto, where
teaching pediatric
patients deep breathing
and relaxation
techniques resulted
in 50 minutes more
sleep per night than
patients who didn't use
the techniques.

I: Illness severity
P: Patient summary
A: Action items
S: Situation awareness
and contingency
planning
S: Synthesis by
receiver

Megan McDonnell Busenbark is a writer and founder and principal of Encore Communications LLC in New Fairfield, Connecticut.

CHILDREN'S HOSPITAL S TODAY Winter 2018

23


http://www.ipassinstitute.com

Table of Contents for the Digital Edition of Children's Hospitals Today - Winter 2018

Contents
Children's Hospitals Today - Winter 2018 - Intro
Children's Hospitals Today - Winter 2018 - Cover1
Children's Hospitals Today - Winter 2018 - Cover2
Children's Hospitals Today - Winter 2018 - Contents
Children's Hospitals Today - Winter 2018 - 2
Children's Hospitals Today - Winter 2018 - 3
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