The I-PASS Computer Module provides a unique platform for asynchronous, individualized learning of key elements of the I-PASS curriculum. It features embedded knowledge questions which provide an evaluation of learners’ understanding of each of the major I-PASS concepts. In addition, individual subtopics may be accessed separately if one wishes to refresh knowledge of certain components of the I-PASS Curriculum. Video elements, supplemental printable documents, and test your knowledge questions are integrated into the module. 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.
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 educational module was supported by an unrestricted medical education grant from Pfizer, as well as a grant from the US Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (# 1R18AE000023-01), 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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