Study
Published July 2017

Effects of the I-PASS nursing handoff bundle on communication quality and workflow.

Classic

Starmer AJ, Schnock KO, Lyons A, et al. BMJ Qual Saf. 2017;26:949-957.

Topics
Resource Type
- Journal Article
  - › Study
Approach to Improving Safety
- Structured Hand-offs
Safety Target
- Discontinuities, Gaps, and Hand-Off Problems
Setting of Care
- Hospitals
Clinical Area
- Nursing
Target Audience
- Nurses
- Nurse Managers
Error Types
- Epidemiology of Errors and Adverse Events
Origin/Sponsor
- United States of America

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Starmer AJ ; Schnock KO ; Lyons A; et al. Effects of the I-PASS nursing handoff bundle on communication quality and workflow. BMJ Qual Saf. 2017; 26: 949-957

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Handoffs increase the risk of adverse events, mainly due to lapses in communication. Implementation of a standardized approach to handoffs may help improve patient safety. This prospective pre–post intervention study examined the impact of a multicomponent handoff intervention consisting of education, verbal handoff mnemonic implementation (I-PASS), and visual aids on nursing handoffs. Researchers used assessment tools to evaluate both the quality and duration of handoffs. Implementation of the intervention was associated with an overall improvement in the handoff process and did not adversely impact nursing workflow. A previous Annual Perspective highlighted safety issues related to handoffs and care transitions.

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Tools/Toolkit › Toolkit

Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.

Davis K, Collier S, Situ J, Coe M, Cleary-Fishman M. Rockville, MD: Agency for Healthcare Research and Quality; December 2017. AHRQ Publication No. 1800051EF.