The suite of I-PASS Campaign materials is designed to ensure successful I-PASS implementation at your institution. An Implementation Workbook and Curriculum Log are provided that give practical step-by-step instructions regarding I-PASS planning, development, and implementation. The Just in Time Didactic is a condensed presentation that revisits the major components of the I-PASS curriculum, and is designed for team members who may not have been using I-PASS recently (e.g., clinicians who may have substantial non-clinical commitments) as well as those who want a quick refresher. Speaker notes are provided to assist presenters. The visual advertising campaign includes standard-size pocket reference cards, screen frames for computer monitors, and posters for work areas, all of which can be produced locally using templates included within this Toolkit. I-PASS Tips of the Day could be formatted for printing as flip-books to display on chart racks or nursing stations, and mini-Tips can be tucked into fortune cookies! To ensure that you stay organized throughout the process, refer to the Implementation Workbook to keep track of key elements and timelines. Together and individually, these campaign materials will be essential for your successful I-PASS implementation. 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:
- List key elements of a campaign to transform the handoff process within your institution.
- Describe the use of Just in Time training didactic to reinforce learning.
- Identify key leaders who will become champions of change.
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 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).
- Gladwell M. The Tipping Point: How Little Things Can Make a Big Difference. Little, Brown and Company, 2000. Boston, MA.
- Kotter JP. Leading Change: Why Transformation Efforts Fail. Harvard Business Review. Mar/Apr 1995; 73(2):59-67. http://dx.doi.org/10.1016/0024-6301(95)91633-4
- Starmer AJ, Spector ND, Srivastava R, Allen AD, Landrigan CP, Sectish TC, et al. I-PASS, a Mnemonic to Standardize Verbal Handoffs. Pediatrics. 2012; 129 (2): 201-204. http://dx.doi.org/10.1542/peds.2011-2966
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