The I-PASS study group has created a nationally recognized standardized patient hand-off system that has been utilized by various residency programs. This study describes the impact of the I-PASS Mentored Implementation Project by comparing our local Ob-gyn residency I-PASS adoption with pooled data from residency programs that implemented I-PASS in the same period.METHODS:
Patient hand-offs were evaluated on a weekly basis by attending physicians using a standardized observation tool. This data was submitted to the I-PASS study group and our site was provided with monthly run-charts that measured I-PASS core measures. Combined data from the other residency program sites were also provided.RESULTS:
We compared three core measures: 1) Adherence to all elements of the I-PASS mnemonic: Locally, the average percent adherence was 33.3%, whereas nationally, the average was 50%. 2) Miscommunication: Locally, average occurrence of miscommunication was 23.3% whereas the national average was 8.2%. 3) Omission of important information: The average reported omission of important information was similar at both the local and national levels at 11.1% and 11.7%, respectively.CONCLUSION:
In one year, the I-PASS Mentored Implementation Project has allowed our residency program to perform similarly to other programs around the country. Our local trend was not dissimilar to the national averages found in the pooled data. Both occurrence of miscommunication and omission of important information were below the core threshold of 25%. However, average adherence was lower than the national average and below the core goal of 75%. We will continue to look for innovative ways to improve handoff.