I-PASS Mentored Implementation Handoff Curriculum: Frontline Provider Training Materials

Jennifer K O'Toole¹, Jennifer Hepps², Amy J Starmer³, Shilpa J Patel⁴, Glenn Rosenbluth⁵, Sharon Calaman⁶, Maria-Lucia Campos⁷, Joseph O Lopreiato⁸, Jeffrey L Schnipper⁹, Theodore C Sectish¹⁰, Rajendu Srivastava¹¹, Daniel C West¹², Christopher P Landrigan¹³, Nancy D Spector¹⁴, Clifton E Yu¹⁵; I-PASS Study Education Executive Committee

Affiliations

¹ Program 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 Program Director, National Capital Consortium Transitional Year Internship, Walter Reed National Military Medical Center; Associate Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
³ Director of Primary Care Quality Improvement, Boston Children's Hospital; Assistant Professor, Department of Pediatrics, Harvard Medical School.
⁴ Associate Professor, Department of Pediatrics, University of Hawaii John A. Burns School of Medicine; Pediatric Hospitalist, Kapi'olani Medical Center for Women & Children.
⁵ Associate Director, Pediatric Residency Program, Benioff Children's Hospital; Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
⁶ Program Director, Pediatric Residency Program, St. Christopher's Hospital for Children; Professor, Department of Pediatrics, Drexel University College of Medicine.
⁷ Research Study Coordinator, Division of General Pediatrics, Boston Children's Hospital.
⁸ Associate Dean, Simulation Education, Uniformed Services University of the Health Sciences; Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
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 Professor, Department of Pediatrics, Intermountain Primary Children's Hospital; Tenured Professor, Department of Pediatrics, University of Utah School of Medicine.
¹² Associate Chair for Education, Children's Hospital of Philadelphia; Professor, Department of Pediatrics, University of Pennsylvania School of Medicine.
¹³ Chief, Division of General Pediatrics, Boston Children's Hospital; Director, Sleep and Patient Safety Program, Brigham and Women's Hospital; William Berenberg Professor of Pediatrics, Harvard Medical School.
¹⁴ 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.
¹⁵ Deputy Director, Education, Training, and Research, Walter Reed National Military Medical Center; Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.

PMID: 32715086
PMCID: PMC7375701
DOI: 10.15766/mep_2374-8265.10912

I-PASS Mentored Implementation Handoff Curriculum: Frontline Provider Training Materials

Jennifer K O'Toole et al. MedEdPORTAL. 2020.

. 2020 Jun 22:16:10912.

doi: 10.15766/mep_2374-8265.10912.

Authors

Affiliations

¹ Program 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 Program Director, National Capital Consortium Transitional Year Internship, Walter Reed National Military Medical Center; Associate Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
³ Director of Primary Care Quality Improvement, Boston Children's Hospital; Assistant Professor, Department of Pediatrics, Harvard Medical School.
⁴ Associate Professor, Department of Pediatrics, University of Hawaii John A. Burns School of Medicine; Pediatric Hospitalist, Kapi'olani Medical Center for Women & Children.
⁵ Associate Director, Pediatric Residency Program, Benioff Children's Hospital; Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
⁶ Program Director, Pediatric Residency Program, St. Christopher's Hospital for Children; Professor, Department of Pediatrics, Drexel University College of Medicine.
⁷ Research Study Coordinator, Division of General Pediatrics, Boston Children's Hospital.
⁸ Associate Dean, Simulation Education, Uniformed Services University of the Health Sciences; Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.
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 Professor, Department of Pediatrics, Intermountain Primary Children's Hospital; Tenured Professor, Department of Pediatrics, University of Utah School of Medicine.
¹² Associate Chair for Education, Children's Hospital of Philadelphia; Professor, Department of Pediatrics, University of Pennsylvania School of Medicine.
¹³ Chief, Division of General Pediatrics, Boston Children's Hospital; Director, Sleep and Patient Safety Program, Brigham and Women's Hospital; William Berenberg Professor of Pediatrics, Harvard Medical School.
¹⁴ 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.
¹⁵ Deputy Director, Education, Training, and Research, Walter Reed National Military Medical Center; Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences.

PMID: 32715086
PMCID: PMC7375701
DOI: 10.15766/mep_2374-8265.10912

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. Frontline providers are the key individuals participating in handoffs of patient care. It is important they receive robust handoff training.

Methods: The I-PASS Mentored Implementation Handoff Curriculum frontline provider training materials were created as part of 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 with an emphasis on adult learning theory principles. The training includes an overview of I-PASS handoff techniques, TeamSTEPPS team communication strategies, verbal handoff simulation scenarios, and a printed handoff document exercise.

Results: As part of the SHM I-PASS Mentored Implementation Program, 2,735 frontline providers were trained at 32 study sites (16 adult and 16 pediatric) across North America. At the end of their training, 1,762 frontline providers completed the workshop evaluation form (64% response rate). After receiving the training, over 90% agreed/strongly agreed that they were able to distinguish a good- from a poor-quality handoff, articulate the elements of the I-PASS mnemonic, construct a high-quality patient summary, advocate for an appropriate environment for handoffs, and participate in handoff simulations. Universally, the training provided them with knowledge and skills relevant to their patient care activities.

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

Keywords: Advanced Care Providers; Case-Based Learning; Flipped Classroom; Handoffs; Hospital Medicine; I-PASS; Internal Medicine; Nurse/Nurse Practitioner; Online/Distance Learning; Pediatrics; Physician; Physician Assistant; Quality Improvement; Residents; Safety; Simulation.

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References

1. Requirements Common Program. Accreditation Council for Graduate Medical Education website. Accessed July 24, 2018. http://www.acgme.org/What-We-Do/Accreditation/Common-Program-Requirements
1. communication Inadequate hand-off. Sentinel Event Alert. 2017;(58):1–6. - PubMed
1. Starmer AJ, Spector ND, Srivastava R, et al.; I-PASS Study Group. I-PASS, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201–204. 10.1542/peds.2011-2966 - DOI - PMC - PubMed
1. Starmer AJ, Spector ND, Srivastava R, et al.; I-PASS Study Group. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803–1812. 10.1056/NEJMsa1405556 - DOI - PubMed
1. Starmer AJ, O'Toole JK, Rosenbluth G, et al.; I-PASS Study Education Executive Committee. Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. Acad Med. 2014;89(6):876–884. 10.1097/ACM.0000000000000264 - DOI - PubMed

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I-PASS Mentored Implementation Handoff Curriculum: Frontline Provider Training Materials

Affiliations

I-PASS Mentored Implementation Handoff Curriculum: Frontline Provider Training Materials

Authors

Affiliations

Abstract

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources