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I-PASS: A Novel Bundled Handoff Intervention 11 лет назад


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I-PASS: A Novel Bundled Handoff Intervention

Synopsis: The I-PASS Study aims to implement a standardized, evidence-based handoff program comprised of the innovative I-PASS Handoff Bundle (including team training, a verbal mnemonic, and a structured printed tool) and to rigorously measure its impact on medical errors, verbal and written miscommunication and resident physician workflow and satisfaction. The I-PASS Study is an ongoing collaborative effort that aims to determine the effectiveness of the I-PASS Handoff Bundle in standardizing and improving handoffs. In a pilot study, a similar intervention was associated with a 40% reduction in medical errors and significant decreases in both verbal and written miscommunication rates. A total of nine hospitals in the United States and Canada serve as data collection sites for the study. Staggered six-month waves of baseline data collection of medical errors and resident workflow, satisfaction, and miscommunication began in January 2010. Each site has a six-month wash-in period to implement the I-PASS Handoff Bundle intervention before embarking upon an additional six months of post-intervention data collection. The data collection for the I-PASS Study is scheduled to be completed in May 2013. The I-PASS team will provide the background to the study and share the experience of the paediatric setting. There will be time for questions and discussion following this exciting presentation. Speaker Bios: Trey Coffey, SickKids Site Principle Investigator Trey Coffey MD FAAP FRCPC is an academic hospitalist at SickKids where she has recently assumed the role of Medical Officer for Patient Safety, Associate Director of the University of Toronto Centre for Patient Safety, and member of the Pediatric International Patient Safety and Quality Community (PIPSQC). Her clinical, academic, and administrative interests include disclosure of medical error, medication reconciliation, Lean healthcare, and handoff. Christopher Landrigan, Principal Investigator Christopher P. Landrigan, MD, MPH seeks to improve the quality of care in hospitals by studying the structure, processes and outcomes of hospital care. His research focuses on patient safety, as well as efficiency, variability and quality of care in pediatric hospitalist systems, with a strong interest in the effects of physicians' sleep deprivation and handoffs on patient and physician safety. He is the Research Director for Children's Hospital Boston Inpatient Pediatrics Service, Director of the Sleep and Patient Safety Program at Brigham and Women's Hospital, and Associate Professor of Medicine and Pediatrics at Harvard Medical School. Amy Starmer, Project Leader Amy J. Starmer, MD, MPH is a general academic pediatrician with a research interest in the comparative effectiveness of strategies to improve patient safety and provider communication. During her research fellowship Dr. Starmer served as the chair of the American Academy of Pediatrics Section on Medical Students, Residents, and Fellowship Trainees and developed a particular interest in assessing the relationship between residency training and patient safety. She joined Oregon Health and Science University as an Assistant Professor of Pediatrics in May of 2011 and participates in the OHSU Comparative Effectiveness K12 program. She currently serves as the Project Leader and Education Executive Committee Co-Chair for the I-PASS Handoff Study. Zia Bismilla, SickKids Site Co-investigator Zia Bismilla completed medical school at the University of Western Ontario and residency in Pediatrics and the University of Toronto. She went on to complete a fellowship in Academic Pediatric Medicine and a Masters in Education, with a focus on simulation in medical education. She is now an Academic Hospitalist at the Hospital for Sick Children and Assistant Professor of Pediatrics at the University of Toronto. Her research interests include medical education, procedural training, and human patient simulation. In her day to day life she is heavily involved with both medical student and resident education through teaching and curriculum development. Nancy Spector Dr. Spector is a Professor of Pediatrics at Drexel University College of Medicine. She is currently the Pediatric Residency Program Director at St. Christopher's Hospital for Children. Dr. Spector has served in several national leadership roles in pediatrics. She is the current Chair of the Association of Pediatric Program Directors (APPD) Faculty and Professional Development Task Force, as well as Chair of the APPD Mentorship Program. Dr. Spector also has several leadership roles in the IPASS Handoff Study Project.

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