ArticleBMJ open quality2021
The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS.
Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Development of an Emergency Department Safety Checklist through a global consensus process.Internal and emergency medicine · 2025Guideline
- Enhancing Nurses' Handoff Practices Through Simulation-Based I-PASS Training: An Evidence-Based Study.Journal of clinical nursing · 2026Article
- Article
- Pragmatic Study: Resident Verbal Handoffs Using I-PASS Reduces Adverse Patient Events During Transitions of Care.Journal of graduate medical education · 2025Article
- The consequences of emotionally evocative patient behaviors on emergency nurses' patient assessments and handoffs: An experimental study using simulated patient cases.International journal of nursing studies · 2023Article
- Implementation of the I-PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study.Journal of hospital medicine · 2023Article
- Multisource feedback: an overview of its use and application as a formative assessment.Canadian medical education journal · 2022Article
- Improving Structured Handoff Documentation in a Pediatric Emergency Department.Pediatric quality & safetyArticle
- Enhanced Safety and Efficiency of Ambulatory Cardiology Admissions: A Quality Improvement Initiative.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesDespite the American College of Emergency Physicians and American Academy of Pediatrics recommendations for standardised handoffs in the emergency department (ED), few EDs have an established tool. Our aim was to improve the quality of handoffs in the ED by establishing compliance with the I-PASS handoff tool.
methodsThis is a quality improvement (QI) initiative to standardise handoffs in a large academic paediatric ED. Following review of the literature and focus groups with key stakeholders, I-PASS was selected and modified to fit departmental needs. Implementation throughPlan-Do-Study-Act cycles included the development of educational materials, reminders and real-time feedback. Required use of I-PASS during designated team sign-out began in June 2016. Compliance with the handoff tool and handoff deficiencies was measured through observations by faculty trained in I-PASS. As a balancing measure, time to complete handoff was monitored and compared with preintervention data.
resultsCompliance with I-PASS reached 80% within 6 months, 100% within 7 months and sustained at 100% during the remainder of the study period. The average percent of omissions of crucial information per handoff declined to 8.3%, which was a 53% decrease. Average percentage of tangential information and miscommunications per handoff did not show a decline. The average handoff took 20 min, which did not differ from the preintervention time. Survey results demonstrated a perceived improvement in patient safety through closed-loop communication, clear action lists and contingency planning and proper patient acuity identification.
conclusionsI-PASS is applicable in the ED and can be successfully implemented through QI methodology contributing to an overall culture of safety.
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