I-PASS Enhances Effectiveness and Accuracy of Hand-off for Pediatric General Surgery Patients.

Space: StayCurrentMD Author: Justyna M Wolinska, Eveline Lapidus-Krol, Erica M Fallon, Yuriy Kolivoshka, Annie Fecteau Published:

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Justyna M Wolinska, Eveline Lapidus-Krol, Erica M Fallon, Yuriy Kolivoshka, Annie Fecteau

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Abstract

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

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