Display options
Cite
Coffey M, Thomson K, Li SA, et al. Resident Experiences With Implementation of the I-PASS Handoff Bundle. J Grad Med Educ. 2017;9(3):313-320doi: 10.4300/JGME-D-16-00616.1.
Coffey, M., Thomson, K., Li, S. A., Bismilla, Z., Starmer, A. J., O'Toole, J. K., Blankenburg, R. L., Rosenbluth, G., Cole, F. S., Yu, C. E., Hepps, J. H., Sectish, T. C., Spector, N. D., Srivastava, R., Allen, A. D., Mahant, S., & Landrigan, C. P. (2017). Resident Experiences With Implementation of the I-PASS Handoff Bundle. Journal of graduate medical education, 9(3), 313-320. https://doi.org/10.4300/JGME-D-16-00616.1
Coffey, Maitreya, et al. "Resident Experiences With Implementation of the I-PASS Handoff Bundle." Journal of graduate medical education vol. 9,3 (2017): 313-320. doi: https://doi.org/10.4300/JGME-D-16-00616.1
Coffey M, Thomson K, Li SA, Bismilla Z, Starmer AJ, O'Toole JK, Blankenburg RL, Rosenbluth G, Cole FS, Yu CE, Hepps JH, Sectish TC, Spector ND, Srivastava R, Allen AD, Mahant S, Landrigan CP. Resident Experiences With Implementation of the I-PASS Handoff Bundle. J Grad Med Educ. 2017 Jun;9(3):313-320. doi: 10.4300/JGME-D-16-00616.1. PMID: 28638509; PMCID: PMC5476380.
Copy Download .nbib Format: NLM
Share it on

J Grad Med Educ. 2017 Jun;9(3):313-320. doi: 10.4300/JGME-D-16-00616.1.

Resident Experiences With Implementation of the I-PASS Handoff Bundle.

Journal of graduate medical education

Maitreya Coffey, Kelly Thomson, Shelly-Anne Li, Zia Bismilla, Amy J Starmer, Jennifer K O'Toole, Rebecca L Blankenburg, Glenn Rosenbluth, F Sessions Cole, Clifton E Yu, Jennifer H Hepps, Theodore C Sectish, Nancy D Spector, Rajendu Srivastava, April D Allen, Sanjay Mahant, Christopher P Landrigan

PMID: 28638509 PMCID: PMC5476380 DOI: 10.4300/JGME-D-16-00616.1

Abstract

BACKGROUND: The I-PASS Handoff Study found that introduction of a handoff bundle (handoff and teamwork training for residents, a mnemonic, a handoff tool, a faculty development program, and a sustainability campaign) at 9 pediatrics residency programs was associated with improved communication and patient safety.

OBJECTIVE: This parallel qualitative study aimed to understand resident experiences with I-PASS and to inform future implementation and sustainability strategies.

METHODS: Resident experiences with I-PASS were explored in focus groups (N = 50 residents) at 8 hospitals throughout 2012-2013. A content analysis of transcripts was conducted following the principles of grounded theory.

RESULTS: Residents generally accepted I-PASS as an ideal format for handoffs, and valued learning a structured approach. Across all sites, residents reported full adherence to I-PASS when observed, but selective adherence in usual practice. Residents adhered more closely when patients were complex, teams were unfamiliar, and during evening handoff. Residents reported using elements of the I-PASS mnemonic variably, with

CONCLUSIONS: Residents generally supported I-PASS implementation, but adherence was influenced by patient type, context, and individual and team factors. Our findings could inform future implementation, particularly around the areas of resident engagement in change, sensitivity to resident level, perceived efficiency, and faculty observation.

Conflict of interest statement

Conflict of interest: The authors declare they have no competing interests.

References

  1. Pediatrics. 2012 Feb;129(2):201-4 - PubMed
  2. Am J Med Qual. 2007 May-Jun;22(3):214-7 - PubMed
  3. N Engl J Med. 2014 Nov 6;371(19):1803-12 - PubMed
  4. Acad Med. 2014 Jun;89(6):876-84 - PubMed
  5. Milbank Q. 2004;82(4):581-629 - PubMed
  6. J Hosp Med. 2009 Sep;4(7):433-40 - PubMed
  7. Implement Sci. 2009 May 21;4:29 - PubMed
  8. Pediatrics. 2010 Oct;126(4):619-22 - PubMed
  9. Acad Med. 2012 Apr;87(4):411-8 - PubMed

MeSH terms

Publication Types