ArticleJournal of graduate medical education2020
I-PASS Illness Severity Identifies Patients at Risk for Overnight Clinical Deterioration.
Article in Journal of graduate medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed.
- Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic.BMC medical education · 2024Article
- Improving clinical reasoning and communication during handover: An intervention study of the BRIEF-C tool.BMJ open quality · 2024Article
- Teamwork and safety climate in Polish long-term care facilities: questionnaire reliability and usability.Scientific reports · 2023Article
- Characteristics of Hot and Cold Debriefs for In-hospital Cardiac Arrest in the Pediatric Intensive Care Unit: A Mixed-methods Analysis.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe I-PASS framework is increasingly being adopted for patient handoffs after a recent study reported a decrease in medical errors and preventable adverse events. A key component of the I-PASS handoff included assignment of illness severity.
objectiveWe evaluated whether illness severity categories can identify patients at higher risk of overnight clinical deterioration as defined by activation of the rapid response team (RRT).
methodsThe I-PASS handoff documentation created by internal medicine residents and patient charts with overnight RRT activations from April 2016 through March 2017 were reviewed retrospectively. The RRT activations, illness severity categories, vital signs prior to resident handoff, and patient outcomes were evaluated.
resultsOf the 28 235 written patient handoffs reviewed, 1.3% were categorized as
conclusionsThe illness severity component of the I-PASS handoff can identify patients at higher risk of overnight clinical deterioration and has the potential to help the overnight residents prioritize patient care.
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