I-PASS Enhances Effectiveness and Accuracy of Hand-off for Pediatric General Surgery Patients.
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In brief
In brief
Implementation of the I-PASS standardized handoff protocol on a pediatric surgery service improved written documentation accuracy and hand-off effectiveness compared to pre-implementation practices. This quality improvement study demonstrates that structured communication tools validated in pediatric medicine can successfully transfer to surgical settings, potentially reducing medical errors during care transitions.
Written by the GCMD Library team from the article.
Background
: I-PASS is a validated and standardized hand-off protocol shown to reduce medical error and improve hand-off efficiency in the pediatric medical population. Our aim was to evaluate the feasibility, effectiveness, accuracy and resident satisfaction of implementing I-PASS on a pediatric surgery service.
Methods
: A prospective intervention Quality Improvement (QI approved) study was utilized to evaluate resident written and verbal hand-offs before and after implementation of I-PASS on a pediatric surgery service at a tertiary center. Anonymous surveys were completed by residents following each observation. Results were analysed using T or Mann-Whitney U Tests and Chi Square.
Results
: A total of 49 written tools and 50 verbal hand-offs were compared pre-and post I-PASS implementation. With I-PASS, increased written accuracy was observed in the documentation of the patient summary (p