ArticlePRiMER (Leawood, Kan.)2021
Standardizing Sign-out With I-PASS Handoff in Family Medicine Residency.
Article in PRiMER (Leawood, Kan.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Use of structured handoff protocols for within-hospital unit transitions: a systematic review from Making Healthcare Safer IV.BMJ quality & safety · 2025Pooled it
- Physician inpatient handoffs-Patient and physician outcomes: A systematic review.Journal of hospital medicine · 2025Pooled it
- Article
- Improving Communication in the Medical Intensive Care Unit Through Standardization of Handoff Format: A Quality Improvement Project.Mayo Clinic proceedings. Innovations, quality & outcomes · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHandoff miscommunications are a leading cause of medical errors. A structured handoff is an effective communication tool. We introduced the I-PASS Handoff Bundle for resident sign-out in the inpatient setting. We aimed to reduce preventable adverse events and unexpected floor calls while also improving residents' confidence and preparedness to care for patients overnight.
methodsWe conducted an observational study at a single-site family medicine residency between April 2019 and March 2020. Residents received trainings in the I-PASS standardized handoff through didactic lectures and on-the-job sessions in September and November 2019. We evaluated the effectiveness of the I-PASS Handoff Bundle by comparing pre- and postimplementation data including number of medical errors and unexpected floor calls, along with residents' reported levels of preparedness and confidence to care for patients overnight.
resultsPrior to the I-PASS intervention, more than half of resident surveys included at least one unexpected floor call whereas postintervention about one-third of resident surveys included unexpected floor calls (
conclusionI-PASS intervention significantly reduced unexpected floor calls. However, the intervention did not improve residents' reported confidence and preparedness to care for patients overnight.
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Registered trials
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