ArticleJournal of hospital medicine2023
Implementation of the I-PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study.
Article in Journal of hospital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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
23 citing papers in PubMed, 1 synthesis or guideline 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
- Enhancing Nurses' Handoff Practices Through Simulation-Based I-PASS Training: An Evidence-Based Study.Journal of clinical nursing · 2026Article
- The mirrored burden and accountable handovers in cancer survivorship: co‑designing a post‑treatment transition standard.npj health systems · 2026Article
- Article
- Article
- Team FIRST: an innovative educational strategy for teaching teamwork competencies to medical students.BMC medical education · 2026Article
- Virtual Mentored Implementation to Improve Care Transitions in Chronic Obstructive Pulmonary Disease: Protocol for a Pragmatic Implementation Study.JMIR research protocols · 2026Article
- Communication Surrounding Treatment Preferences for Older Adults With Dementia During Emergency Medical Services Response.Journal of the American Geriatrics Society · 2026Article
- Pragmatic Study: Resident Verbal Handoffs Using I-PASS Reduces Adverse Patient Events During Transitions of Care.Journal of graduate medical education · 2025Article
- Article
- Performance and Improvement of Track and Trigger Scores Before Rescue and Transfer in the General Care Setting.Journal of patient safety · 2025Article
- Using I-PASS to improve nursing handoffs across the continuum of care at a tertiary oncology hospital.BMJ open quality · 2025Article
- Association of the 2017 ACGME US Resident Duty Hour Policy Change With Hospital Quality and Patient Experience.Journal of graduate medical education · 2025Observational
- Interfacility Transfer and Admission to PICUs in the United States: Survey of Referral Communications in 2023.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025Article
- I-PASS-Based Handoff Pilot in a High-Volume Urban Hospital: Benefits and Barriers for Hospitalists.Cureus · 2025Article
- The Effects of an ISOBAR-Structured Patient Handover Conversation Between Rescue Services and Emergency Department Staff: The COPTER Trial.Journal of the American College of Emergency Physicians open · 2025Article
- Article
- Challenges in monitoring vancomycin in outpatient parenteral antimicrobial therapy: opportunities for mitigation utilizing OSHA's framework for mitigating workplace hazards.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- A Standard Approach to Project-Based Learning in a Clinical Informatics Fellowship.Applied clinical informatics · 2024Article
- Development and Evaluation of I-PASS-to-PICU: A Standard Electronic Template to Improve Referral Communication for Interfacility Transfers to the Pediatric ICU.Joint Commission journal on quality and patient safety · 2024Article
Corrections and comments
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Authors and funding
26 authors.
Funding
Abstract
backgroundHandoff miscommunications are a leading source of medical errors. Harmful medical errors decreased in pediatric academic hospitals following implementation of the I-PASS handoff improvement program. However, implementation across specialties has not been assessed.
objectiveTo determine if I-PASS implementation across diverse settings would be associated with improvements in patient safety and communication.
designProspective Type 2 Hybrid effectiveness implementation study. SETTINGS AND
participantsResidents from diverse specialties across 32 hospitals (12 community, 20 academic).
interventionExternal teams provided longitudinal coaching over 18 months to facilitate implementation of an enhanced I-PASS program and monthly metric reviews. MAIN OUTCOME AND MEASURES: Systematic surveillance surveys assessed rates of resident-reported adverse events. Validated direct observation tools measured verbal and written handoff quality.
results2735 resident physicians and 760 faculty champions from multiple specialties (16 internal medicine, 13 pediatric, 3 other) participated. 1942 error surveillance reports were collected. Major and minor handoff-related reported adverse events decreased 47% following implementation, from 1.7 to 0.9 major events/person-year (p < .05) and 17.5 to 9.3 minor events/person-year (p < .001). Implementation was associated with increased inclusion of all five key handoff data elements in verbal (20% vs. 66%, p < .001, n = 4812) and written (10% vs. 74%, p < .001, n = 1787) handoffs, as well as increased frequency of handoffs with high quality verbal (39% vs. 81% p < .001) and written (29% vs. 78%, p < .001) patient summaries, verbal (29% vs. 78%, p < .001) and written (24% vs. 73%, p < .001) contingency plans, and verbal receiver syntheses (31% vs. 83%, p < .001). Improvement was similar across provider types (adult vs. pediatric) and settings (community vs. academic).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.