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.
By the end of this module, the learner will be able to:
- Describe the importance of effective communication in reducing medical errors.
- Apply effective team training strategies to improve handoffs.
- Detail the essential content and sequence of effective handoffs.
- Practice handoff skills.
Drs. Spector and Starner are co-primary authors on this publication. Drs. Sectish and Landrigan are co-last authors on this publication.
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.
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).
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.
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