ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2022
Sustained Improvement in Quality of Patient Handoffs After Orthopaedic Surgery I-PASS Intervention.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 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
- Daily handover in surgery: systematic review and a novel taxonomy of interventions and outcomes.BJS open · 2024Pooled it
- Article
- A Surgical Handover System for Patient Physiology and Safety.JAMA network open · 2025Article
- Association of the 2017 ACGME US Resident Duty Hour Policy Change With Hospital Quality and Patient Experience.Journal of graduate medical education · 2025Observational
- Simulation-Based Peer Feedback Module for Pediatric Rapid Response Team Handoffs.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- OrthoPass: Long-term Outcomes following Implementation of an Orthopaedic Patient Handoff Template.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Handoffs and the challenges to implementing teamwork training in the perioperative environment.Frontiers in psychology · 2023Article
- Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada.Canadian journal of surgery. Journal canadien de chirurgieArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe I-PASS tool has been shown to decrease medical errors in patient handoffs in nonorthopaedic surgery fields. We prospectively studied the implementation of a version of this handoff tool modified for orthopaedic surgery patients in an academic practice at two level I trauma centers.
methodsThis was a prospective study of a multicenter handoff improvement program. Handoffs were evaluated preintervention and at 1, 6, 9, and 18 months postintervention for key data elements defined by I-PASS. Rates of adverse clinical outcomes were compared before and after the handoff intervention.
resultsSeven hundred five electronic patient handoffs were analyzed. From preintervention to the 18-month time point, notable improvement was observed in 8 of 9 targeted quality elements. In Poisson regression analysis, adherence to the standardized handoff format was sustained at markedly improved levels throughout all postintervention time points. No statistically significant differences were observed between rates of 30-day readmission, 90-day readmission, urinary tract infection, pulmonary embolism/deep vein thrombosis, surgical site infection, or delirium before and after the intervention.
conclusionIntroduction of an orthopaedic-specific I-PASS tool produced sustained adherence from a group of over 50 orthopaedic providers. Objective quality of handoffs improved markedly as defined by the I-PASS standard, and 86% of the providers supported the ongoing use of the tool. Despite the improvement in handoff quality, we were unable to demonstrate a notable change in measured clinical outcomes. Methods for the development and implementation of the orthopaedic-specific I-PASS tool are described. Orthopaedic residency programs should consider using a version of I-PASS to standardize care.
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