Adapting the I-PASS handoff program for emergency department inter-shift handoffs

James A. Heilman, Moira Flanigan, Anna Nelson, Tom Johnson, Lalena Yarris

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Introduction: Academic emergency department (ED) handoffs are high-risk transfer of care events. Emergency medicine residents are inadequately trained to handle these vital transitions. We aimed to explore what modifications the I-PASS (illness severity, patient summary, action list, situation awareness and contingency plans, and synthesis by receiver) handoff system requires to be effectively modified for use in ED inter-shift handoffs. Methods: This mixed-method needs assessment conducted at an academic ED explored the suitability of the I-PASS system for ED handoffs. We conducted a literature review, focus groups, and then a survey. We sought to identify the distinctive elements of ED handoffs and discern how these could be incorporated into the I-PASS system. Results: Focus group participants agreed the patient summary should be adapted to include anticipated disposition of patient. Participants generally endorsed the order and content of the other elements of the I-PASS tool. The survey yielded several wording changes to reflect contextual differences. Themes from all qualitative sources converged to suggest changes for brevity and clarity. Most participants agreed that the I-PASS tool would be well suited to the ED setting. Conclusion: With modifications for context, brevity, and clarity, the I-PASS system may be well suited for application to the ED setting. This study provides qualitative data in support of using the I-PASS tool and concrete suggestions for how to modify the I-PASS tool for the ED. Implementation and outcome research is needed to investigate if the I-PASS tool is feasible and improves patient outcomes in the ED environment.

Original languageEnglish (US)
Pages (from-to)756-761
Number of pages6
JournalWestern Journal of Emergency Medicine
Volume17
Issue number6
DOIs
StatePublished - 2016

Fingerprint

Hospital Emergency Service
Focus Groups
Needs Assessment
Emergency Medicine
Outcome Assessment (Health Care)

Keywords

  • Handoff
  • Patient safety
  • Resident communication
  • Sign-out
  • Transitions of care

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Adapting the I-PASS handoff program for emergency department inter-shift handoffs. / Heilman, James A.; Flanigan, Moira; Nelson, Anna; Johnson, Tom; Yarris, Lalena.

In: Western Journal of Emergency Medicine, Vol. 17, No. 6, 2016, p. 756-761.

Research output: Contribution to journalArticle

@article{267cfdee187542479d18e1f0a0744cf6,
title = "Adapting the I-PASS handoff program for emergency department inter-shift handoffs",
abstract = "Introduction: Academic emergency department (ED) handoffs are high-risk transfer of care events. Emergency medicine residents are inadequately trained to handle these vital transitions. We aimed to explore what modifications the I-PASS (illness severity, patient summary, action list, situation awareness and contingency plans, and synthesis by receiver) handoff system requires to be effectively modified for use in ED inter-shift handoffs. Methods: This mixed-method needs assessment conducted at an academic ED explored the suitability of the I-PASS system for ED handoffs. We conducted a literature review, focus groups, and then a survey. We sought to identify the distinctive elements of ED handoffs and discern how these could be incorporated into the I-PASS system. Results: Focus group participants agreed the patient summary should be adapted to include anticipated disposition of patient. Participants generally endorsed the order and content of the other elements of the I-PASS tool. The survey yielded several wording changes to reflect contextual differences. Themes from all qualitative sources converged to suggest changes for brevity and clarity. Most participants agreed that the I-PASS tool would be well suited to the ED setting. Conclusion: With modifications for context, brevity, and clarity, the I-PASS system may be well suited for application to the ED setting. This study provides qualitative data in support of using the I-PASS tool and concrete suggestions for how to modify the I-PASS tool for the ED. Implementation and outcome research is needed to investigate if the I-PASS tool is feasible and improves patient outcomes in the ED environment.",
keywords = "Handoff, Patient safety, Resident communication, Sign-out, Transitions of care",
author = "Heilman, {James A.} and Moira Flanigan and Anna Nelson and Tom Johnson and Lalena Yarris",
year = "2016",
doi = "10.5811/westjem.2016.9.30574",
language = "English (US)",
volume = "17",
pages = "756--761",
journal = "Western Journal of Emergency Medicine",
issn = "1936-900X",
publisher = "University of California",
number = "6",

}

TY - JOUR

T1 - Adapting the I-PASS handoff program for emergency department inter-shift handoffs

AU - Heilman, James A.

AU - Flanigan, Moira

AU - Nelson, Anna

AU - Johnson, Tom

AU - Yarris, Lalena

PY - 2016

Y1 - 2016

N2 - Introduction: Academic emergency department (ED) handoffs are high-risk transfer of care events. Emergency medicine residents are inadequately trained to handle these vital transitions. We aimed to explore what modifications the I-PASS (illness severity, patient summary, action list, situation awareness and contingency plans, and synthesis by receiver) handoff system requires to be effectively modified for use in ED inter-shift handoffs. Methods: This mixed-method needs assessment conducted at an academic ED explored the suitability of the I-PASS system for ED handoffs. We conducted a literature review, focus groups, and then a survey. We sought to identify the distinctive elements of ED handoffs and discern how these could be incorporated into the I-PASS system. Results: Focus group participants agreed the patient summary should be adapted to include anticipated disposition of patient. Participants generally endorsed the order and content of the other elements of the I-PASS tool. The survey yielded several wording changes to reflect contextual differences. Themes from all qualitative sources converged to suggest changes for brevity and clarity. Most participants agreed that the I-PASS tool would be well suited to the ED setting. Conclusion: With modifications for context, brevity, and clarity, the I-PASS system may be well suited for application to the ED setting. This study provides qualitative data in support of using the I-PASS tool and concrete suggestions for how to modify the I-PASS tool for the ED. Implementation and outcome research is needed to investigate if the I-PASS tool is feasible and improves patient outcomes in the ED environment.

AB - Introduction: Academic emergency department (ED) handoffs are high-risk transfer of care events. Emergency medicine residents are inadequately trained to handle these vital transitions. We aimed to explore what modifications the I-PASS (illness severity, patient summary, action list, situation awareness and contingency plans, and synthesis by receiver) handoff system requires to be effectively modified for use in ED inter-shift handoffs. Methods: This mixed-method needs assessment conducted at an academic ED explored the suitability of the I-PASS system for ED handoffs. We conducted a literature review, focus groups, and then a survey. We sought to identify the distinctive elements of ED handoffs and discern how these could be incorporated into the I-PASS system. Results: Focus group participants agreed the patient summary should be adapted to include anticipated disposition of patient. Participants generally endorsed the order and content of the other elements of the I-PASS tool. The survey yielded several wording changes to reflect contextual differences. Themes from all qualitative sources converged to suggest changes for brevity and clarity. Most participants agreed that the I-PASS tool would be well suited to the ED setting. Conclusion: With modifications for context, brevity, and clarity, the I-PASS system may be well suited for application to the ED setting. This study provides qualitative data in support of using the I-PASS tool and concrete suggestions for how to modify the I-PASS tool for the ED. Implementation and outcome research is needed to investigate if the I-PASS tool is feasible and improves patient outcomes in the ED environment.

KW - Handoff

KW - Patient safety

KW - Resident communication

KW - Sign-out

KW - Transitions of care

UR - http://www.scopus.com/inward/record.url?scp=84995487776&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84995487776&partnerID=8YFLogxK

U2 - 10.5811/westjem.2016.9.30574

DO - 10.5811/westjem.2016.9.30574

M3 - Article

VL - 17

SP - 756

EP - 761

JO - Western Journal of Emergency Medicine

JF - Western Journal of Emergency Medicine

SN - 1936-900X

IS - 6

ER -