ArticleJournal of graduate medical education2019
I-PASS Adherence and Implications for Future Handoff Training.
Article in Journal of graduate medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The trial behind it
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Who cites it
12 citing papers in PubMed.
- Enhancing Nurses' Handoff Practices Through Simulation-Based I-PASS Training: An Evidence-Based Study.Journal of clinical nursing · 2026Article
- Teaching communication competencies across the undergraduate medical curriculum: a qualitative exploratory case study.BMC medical education · 2026Article
- Article
- Standardisation Strategies for Nursing Handovers in Paediatric Hospitalisation: A Scoping Review.Nursing reports (Pavia, Italy) · 2026Review
- Pragmatic Study: Resident Verbal Handoffs Using I-PASS Reduces Adverse Patient Events During Transitions of Care.Journal of graduate medical education · 2025Article
- "Left Seat, Right Seat": Transitions of Care Within Graduate Medical Education.Journal of graduate medical education · 2025Article
- Improving Patient Handoffs and Transitions in Care Among Residents: A Chief Resident-Led Initiative.Cureus · 2024Article
- Article
- Article
- Improving handover competency in preclinical medical and health professions students: establishing the reliability and construct validity of an assessment instrument.BMC medical education · 2021Article
- Addition of CORES to the I-PASS Handoff: A Resident-led Quality Improvement Study.Pediatric quality & safetyArticle
- Effect of a Multispecialty Faculty Handoff Initiative on Safety Culture and Handoff Quality.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA formal handoff process, such as the I-PASS handoff program, can improve communication about patients among residents. Faculty observation of resident handoffs has served as the primary method for documenting adherence to I-PASS, and little is known about residents' use when they are not being observed.
objectiveWe determined how frequently pediatric residents use I-PASS when not being observed.
methodsWe implemented I-PASS in the 2016-2017 academic year and anonymously surveyed residents (December 2016 and June 2017), asking them how they perceive the effectiveness of I-PASS at enhancing patient safety, their frequency of I-PASS use when not observed, co-residents' frequency of use, and open-ended questions regarding factors affecting use.
resultsFifty-one (52%) and 50 (51%) of 99 eligible residents completed the December and June surveys, respectively. All respondents thought I-PASS had some effectiveness in enhancing patient safety. In December, only 6 (12%) residents stated they used I-PASS more than 75% of the time and reported providing a synthesis statement during handoffs more than 75% of the time. The results were similar for both surveys. Commonly cited reasons for not using I-PASS included time (n = 30), prior knowledge of patients (n = 20), and patients with limited complexity (n = 9).
conclusionsWhile most residents thought I-PASS was effective at enhancing patient safety, many reported that they do not use all 5 elements in most of their handoffs when not being observed. Barriers reported included time, familiarity with patients, and limited patient complexity.
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