Study Aims: 1) Develop a nurse I-PASS handoff. Effects of the I-PASS nursing handoff bundle on communication quality and workflow. These data were included in a hospital-wide continuous improvement initiative, intending to improve compliance, ultimately affecting patient outcomes. A total of 58 nurses (from both units) participated in I-PASS education and pre/post intervention surveys. Development of an I-PASS toolkit, giving nurses tools to decrease the barriers, and having I-PASS champions on each unit allowed for better adherence to using the I-PASS hand-off tool. I would like to bridge into becoming an RN, but I cannot unless I pass the NCLEX. FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships. It is copyrighted by Idaho Alliance of Leaders in Nursing (IALN) and. Despite 94% of nurses knowing where to find the tool in the medical record and 98% feeling there was time to ask questions, nurses agreed that interruptions during shift change were prominent barriers to use of I-PASS admissions, phone calls, and families asking for assistance represented some common distractions.Ĭonclusion: Standardized hand-off communication can assist in preventing health care-related errors. Starmer, MD, MPH, Department of Pediatrics, Doernbecher Children's Hospital, Oregon Health and Science University, Mail code: CDRCP, 707 SW Gaines St, Portland, OR 97239-2998. A survey was disseminated to all nurses working on these units responses were collected, and data were analyzed.įindings: Seventy-two percent of nurses completed the survey, with a mean of working at this hospital for seven years. Methods: A quality improvement (QI) initiative was used to engage nurses working on two inpatient pediatric units to identify barriers to the use of the I-PASS hand-off tool and determine evidence-based recommendations to improve compliance.
Investigating and addressing the barriers to use of I-PASS process were the goals of this project.
the test stopped at 92 and I got my results after 2 days from IPASS. Purpose: I-PASS is a standardized shift report process, studied and validated in the United States and Canada, instituted in 2015 in this children's hospital. Only your licensing nursing regulatory body can issue your official results. HANDOFFCOMMUNICATIONCASEEXAMPLE NCQCPSOSafeTableOctober/November2015 Patient:Smith,Richard MedicalRecord:87654321 DateofBirth:3/1/22(age93) Mr.
Nurses in a large children's hospital had poor compliance on the implementation of standardizing hand-off using the I-PASS mnemonic (illness severity, patient summary, action list, situational awareness, and synthesis by receiver) hand-off tool, interfering with patient safety objectives. Background: The Joint Commission reports that hand-offs are one of the most complex communication processes, and despite mandating a standardized approach, there are still gaps and a lack of consistency, ultimately resulting in medical and nursing errors.
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