I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials

Jennifer K O'Toole¹, Amy J Starmer², Sharon Calaman³, Maria-Lucia Campos⁴, Jennifer Hepps⁵, Joseph O Lopreiato⁶, Shilpa J Patel⁷, Glenn Rosenbluth⁸, Jeffrey L Schnipper⁹, Theodore C Sectish¹⁰, Rajendu Srivastava¹¹, Daniel C West¹², Clifton E Yu¹³, Christopher P Landrigan¹⁴, Nancy D Spector¹⁵; I-PASS Study Education Executive Committee

Affiliations

¹ Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine; Associate Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical Center; Associate Professor, Department of Internal Medicine, University of Cincinnati College of Medicine.
² Director of Primary Care Quality Improvement, Boston Children's Hospital; Assistant Professor, Department of Pediatrics, Harvard Medical School.
³ Associate Professor, Department of Pediatrics, Drexel University College of Medicine; Director, Pediatric Residency Program, St. Christopher's Hospital for Children.
⁴ Research Study Coordinator, Division of General Pediatrics, Boston Children's Hospital.
⁵ Assistant Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
⁶ Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences; Associate Dean for Simulation Education, Uniformed Services University of the Health Sciences.
⁷ Associate Professor, Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine; Pediatric Hospitalist, Kapi'olani Medical Center for Women & Children.
⁸ Associate Director, Pediatric Residency Program, Benioff Children's Hospital; Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
⁹ Associate Professor, Department of Medicine, Harvard Medical School; Associate Professor, Department of Medicine, Brigham and Women's Hospital.
¹⁰ Program Director, Boston Combined Residency Program in Pediatrics, Boston Children's Hospital; Vice Chair for Education, Boston Combined Residency Program in Pediatrics, Boston Children's Hospital; Professor, Department of Pediatrics, Harvard Medical School.
¹¹ Assistant Vice President of Research, Intermountain Healthcare; Tenured Associate Professor, Department of Pediatrics, Division of Inpatient Medicine, University of Utah School of Medicine.
¹² Director, Pediatric Residency Program, University of California, San Francisco, School of Medicine; Vice-Chair for Education, University of California, San Francisco, School of Medicine; Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
¹³ Director, Graduate Medical Education, Walter Reed National Military Medical Center; Associate Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
¹⁴ Director of Research, Inpatient Pediatrics Service, Boston Children's Hospital; Director, Sleep and Patient Safety Program, Brigham and Women's Hospital; Associate Professor, Department of Medicine, Harvard Medical School; Associate Professor, Department of Pediatrics, Harvard Medical School.
¹⁵ Executive Director, Executive Leadership in Academic Medicine Program, Drexel University College of Medicine; Associate Dean for Faculty Development, Drexel University College of Medicine; Professor, Department of Pediatrics, Drexel University College of Medicine.

PMID: 30800994
PMCID: PMC6354793
DOI: 10.15766/mep_2374-8265.10794

I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials

Jennifer K O'Toole et al. MedEdPORTAL. 2019.

. 2019 Jan 10:15:10794.

doi: 10.15766/mep_2374-8265.10794.

Authors

Affiliations

¹ Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine; Associate Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical Center; Associate Professor, Department of Internal Medicine, University of Cincinnati College of Medicine.
² Director of Primary Care Quality Improvement, Boston Children's Hospital; Assistant Professor, Department of Pediatrics, Harvard Medical School.
³ Associate Professor, Department of Pediatrics, Drexel University College of Medicine; Director, Pediatric Residency Program, St. Christopher's Hospital for Children.
⁴ Research Study Coordinator, Division of General Pediatrics, Boston Children's Hospital.
⁵ Assistant Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
⁶ Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences; Associate Dean for Simulation Education, Uniformed Services University of the Health Sciences.
⁷ Associate Professor, Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine; Pediatric Hospitalist, Kapi'olani Medical Center for Women & Children.
⁸ Associate Director, Pediatric Residency Program, Benioff Children's Hospital; Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
⁹ Associate Professor, Department of Medicine, Harvard Medical School; Associate Professor, Department of Medicine, Brigham and Women's Hospital.
¹⁰ Program Director, Boston Combined Residency Program in Pediatrics, Boston Children's Hospital; Vice Chair for Education, Boston Combined Residency Program in Pediatrics, Boston Children's Hospital; Professor, Department of Pediatrics, Harvard Medical School.
¹¹ Assistant Vice President of Research, Intermountain Healthcare; Tenured Associate Professor, Department of Pediatrics, Division of Inpatient Medicine, University of Utah School of Medicine.
¹² Director, Pediatric Residency Program, University of California, San Francisco, School of Medicine; Vice-Chair for Education, University of California, San Francisco, School of Medicine; Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
¹³ Director, Graduate Medical Education, Walter Reed National Military Medical Center; Associate Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
¹⁴ Director of Research, Inpatient Pediatrics Service, Boston Children's Hospital; Director, Sleep and Patient Safety Program, Brigham and Women's Hospital; Associate Professor, Department of Medicine, Harvard Medical School; Associate Professor, Department of Pediatrics, Harvard Medical School.
¹⁵ Executive Director, Executive Leadership in Academic Medicine Program, Drexel University College of Medicine; Associate Dean for Faculty Development, Drexel University College of Medicine; Professor, Department of Pediatrics, Drexel University College of Medicine.

PMID: 30800994
PMCID: PMC6354793
DOI: 10.15766/mep_2374-8265.10794

Abstract

Introduction: The I-PASS Handoff Program is a comprehensive handoff curriculum that has been shown to decrease rates of medical errors and adverse events during patient handoffs. I-PASS champions are a critical part of the implementation and sustainment of this curriculum, and therefore, a rigorous program to support their training is necessary.

Methods: The I-PASS Handoff champion training materials were created for the original I-PASS Study and adapted for the Society of Hospital Medicine (SHM) I-PASS Mentored Implementation Program. The adapted materials embrace a flipped classroom approach and adult learning theory. The training includes an overview of I-PASS handoff techniques, an opportunity to practice evaluating handoffs with the I-PASS observation tools using a handoff video vignette, and other key implementation principles.

Results: As part of the SHM I-PASS Mentored Implementation Program, 366 champions were trained at 32 sites across North America and participated in a total of 3,491 handoff observations. A total of 346 champions completed the I-PASS Champion Workshop evaluation form at the end of their training (response rate: 94.5%). After receiving the training, over 90% agreed/strongly agreed that it provided them with knowledge or skills critical to their patient care activities and that they were able to distinguish the difference between high- and poor-quality handoffs, competently use the I-PASS handoff assessment tools, and articulate the importance of handoff observations.

Conclusion: The I-PASS champion training materials were rated highly by those trained and are an integral part of a successful I-PASS Handoff Program implementation.

Keywords: Faculty Development; Handoffs; I-PASS; Quality Improvement; Safety.

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Conflict of interest statement

None to report.

References

1. Landrigan CP. The handoff: a critical point of vulnerability. Forum. 2007;25(1):6–7.
1. The Joint Commission. Improving hand-off communications: meeting National Patient Safety Goal 2E. Jt Comm Perspect Patient Saf. 2006;6(8):9–15.
1. Accreditation Council for Graduate Medical Education. ACGME common program requirements. Accreditation Council for Graduate Medical Education website. http://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRs_2017-07... Accessed April 18, 2018.
1. Core Entrustable Professional Activities for Entering Residency: Curriculum Developer's Guide. Washington, DC: Association of American Medical Colleges; 2014.
1. Gordon M, Hill E, Stojan JN, Daniel M. Educational interventions to improve handover in health care: an updated systematic review. Acad Med. 2018;93(8):1234–1244. https://doi.org/10.1097/ACM.0000000000002236 - PMC - PubMed

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I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials

Affiliations

I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Research Materials