All Content

The I-PASS signout tool has become a widely used method of patient handoffs when transferring care from the primary clinician to a covering clinician. This study used the I-PASS framework to develop and implement a standardized signout process for transferring patients from the pediatric cardiac intensive care unit to the general ward. The new process significantly improved clinician workflow and perceived safety culture relating to handoffs.

Pediatric residents felt comfortable caring independently for patients, but reported difficulty working within a team environment, in this study that used the Safety Attitudes Questionnaire to assess safety culture.

This special issue highlights Canadian experiences in several safety-related areas: culture shift in support of safety, risk identification and reduction, medication safety, change initiative strategies, and disclosure and accountability.

The Concord Hospital has been recognized for its effective use of teamwork and communication, and the Concord Collaborative Care Model draws from successful efforts in the aviation industry, human factors science, and high-reliability organizations.