Original Publication
Open Access

I-PASS Handoff Curriculum: Core Resident Workshop

Published: January 17, 2013 | 10.15766/mep_2374-8265.9311

Included in this publication:

  • Curriculum Goals and Objectives for Residents.docx
  • Instructor Guide.docx
  • Resident Workshop Facilitator Evaluation.doc
  • Resident Workshop Interactive Guide for Facilitator.docx
  • Resident Workshop Interactive Guide for Participant.docx
  • Resident Workshop Participant Evaluation.doc
  • Resident Workshop Slides.ppt
  • Resident Workshop Videos & Sounds.zip

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

The Core Resident Workshop is the centerpiece of the I-PASS Curriculum Collection. The workshop features a 2-hour didactic and interactive session devoted to team training in structured communication techniques, and to the teaching of a standardized approach to the handoff process (including the integration of oral and written handoff components). Key structured team communication techniques and the I-PASS mnemonic are taught in detail and reinforced with the use of trigger videos and large group discussion. Ideally this 2-hour session is followed by the 1-hour handoff simulation exercises which features small group interactive role-plays in which participants gain hands-on experience and practice the I-PASS handoff technique. This workshop is also suitable for a faculty educational retreat. In brief, we found in a detailed review of 10,740 patient admissions that a 23% reduction in medical errors and a 30% reduction in injuries due to medical errors (preventable adverse events) occurred following implementation of the I-PASS Handoff Bundle in nine academic medical centers. In direct observation of thousands of hours of resident workflow (time motion analysis) before and after implementation of the program, conducting handoffs using the I-PASS method was found to require no more time per handoff, and resident workflow throughout the shift was likewise unchanged, including no change in the amount of time spent at the computer or in direct patient care.


Educational Objectives

By the end of this module, the learner will be able to:

  1. Describe the importance of effective communication in reducing medical errors.
  2. Apply effective team training strategies to improve handoffs.
  3. Detail the essential content and sequence of effective handoffs.
  4. Practice handoff skills.

Author Information

Nancy Dollase Spector, MD: St. Christopher's Hospital for Children

Amy J. Starner, MD, MPH: Boston Children's Hospital

April D. Allen, BA, MA: Boston Children's Hospital

James F. Bale, MD: Primary Children's Medical Center

Zia Bismilla, MD: The Hospital for Sick Children

Sharon Calaman, MD: Drexel University College of Medicine

Maitreya Coffey, MD, FAAP, FRCPC: University of Toronto Department of Pediatrics

F. Sessions Cole, MD: St. Louis Children's Hospital

Lauren Destino, MD: Lucile Packard Children's Hospital

Jennifer Everhart, MD: Lucile Packard Children's Hospital

Jennifer Hepps, MD: National Capital Consortium on Pediatric Residency

Madelyn Kahana, MD: Lucile Packard Children's Hospital

Joseph Lopreiato, MD: Doernbecher Children's Hospital

Robert McGregor, MD: St. Christopher's Hospital for Children

Jennifer K. O'Toole, MD: Cincinnati Children's Hospital

Shilpa Patel, MD: Kapi'olani Medical Center for Women and Children

Glenn Rosenbluth, MD: UCSF Benioff Children's Hospital

Rajendu Srivastava, MD, MPH: Primary Children's Medical Center

Adam Stevenson, MD: Primary Children's Medical Center

Lisa L. Tse, BS: Boston Children's Hospital

Daniel West, MD: UCSF Benioff Children's Hospital

Clifton E. Yu, MD: Walter Reed National Military Medical Center, National Capital Consortium on Pediatric Residency Program

Theodore Sectish, MD: Boston Children's Hospital

Christopher Landrigan, MD, MPH: Boston Children's Hospital

I-PASS Education Executive Committee


Acknowledgments
Drs. Spector and Starner are co-primary authors on this publication. Drs. Sectish and Landrigan are co-last authors on this publication.

Disclosures
Drs. Landrigan and Srivastava are supported in part by the Child Health Corporation of America for their work on the PRIS Research Network Executive Council. Dr Starmer is supported in part by an institutional K12 award from Oregon Health and Science University and the Agency for Health Care Research and Quality, grant 1K12HS019456-01. This work was developed with input from the IIPE and the PRIS Network.

Funding/Support
This project was supported with a grant from the US Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, in addition to an in-kind sponsorship from both the Initiative for Innovation in Pediatric Education (IIPE) and Pediatric Research in Inpatient Settings (PRIS).

Prior Presentations
Starmer AJ, Sectish TC, Simon D, Landrigan CP. Impact of a resident handoff bundle on medical error rates and written handoff miscommunications. Presented at: Pediatric Academic Societies Annual Meeting; 2011; Denver, CO.


References

  1. Agency for Healthcare Research and Quality. TeamSTEPPS Curriculum Tools and Materials. http://www.ahrq.gov/. N.p., n.d. Web. 6 Feb 2012. http://teamstepps.ahrq.gov/abouttoolsmaterials.htm. 
  2. Bordage, G. Prototypes and Semantic Qualifiers: From Past to Present. Medical Education. 41.12 (2007): 1117-21. http://dx.doi.org/10.1111/j.1365-2923.2007.02919.x
  3. Cohen, M.D., and Hilligoss, P.B. The Published Literature on Handoffs in Hospitals: Deficiencies Identified in an Extensive Review. Quality and Safety in Health Care. 19.6 (2010): 493-497. http://dx.doi.org/10.1136/qshc.2009.033480 
  4. Kaplan, D.M. Perspective: Whither the Problem List? Organ-Based Documentation and Deficient Synthesis by Medical Trainees. Academic Medicine. 85.10 (2010): 1578-1582. http://dx.doi.org/10.1097/ACM.0b013e3181f06c67
  5. Solomon, B. A., and Felder, R.M. Index of Learning Styles Questionnaire. North Carolina State University. N.p., 2011. Web. 6 Feb 2012. http://www.engr.ncsu.edu/learningstyles/ilsweb.html. 
  6. Starmer, A.J., Spector, N.D., Srivastava, R., Allen, A.D., Landrigan, C.P., Sectish, T.C. et al. I-PASS, a Mnemonic to Standardize Verbal Handoffs. Pediatrics. 129.2 (2012): 201-204. http://dx.doi.org/10.1542/peds.2011-2966


Citation

Spector N, Starner A, Allen A, et al. I-PASS handoff curriculum: core resident workshop. MedEdPORTAL. 2013;9:9311. https://doi.org/10.15766/mep_2374-8265.9311