I-PASS Handoff Curriculum: Handoff Simulation Exercises
Abstract I-PASS role-plays are simulation exercises that serve to bring all the I-PASS curricular elements together. The role-plays allow practice with the techniques and include resident and faculty feedback to help learners refine the skills learned and place them in context. Three role-plays invo...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2013-04-01
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| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.9402 |
| _version_ | 1830209441057734656 |
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| author | Sharon Calaman Jennifer Hepps Nancy Dollase Spector Theodore Sectish Christopher Landrigan Rajendu Srivastava Amy J. Starmer Clifton E. Yu Joseph Lopreiato |
| author_facet | Sharon Calaman Jennifer Hepps Nancy Dollase Spector Theodore Sectish Christopher Landrigan Rajendu Srivastava Amy J. Starmer Clifton E. Yu Joseph Lopreiato |
| author_sort | Sharon Calaman |
| collection | DOAJ |
| description | Abstract I-PASS role-plays are simulation exercises that serve to bring all the I-PASS curricular elements together. The role-plays allow practice with the techniques and include resident and faculty feedback to help learners refine the skills learned and place them in context. Three role-plays involve performing an I-PASS handoff with a giver, receiver, and observer. Communication challenges, such as interruptions, are introduced in later role-plays to increase complexity as learners go through the exercises. The observer uses the faculty observation tools that faculty will subsequently use to evaluate live handoffs. The final role-play focuses on developing a shared mental model. In this exercise, each group of three is divided into a giver and two receivers who develop the action items, as well as the situation awareness and contingency planning portions of the written handoff based on the information from the giver. Neighboring groups perform the same exercise with slightly different information and then compare their success in developing a shared mental model. In brief, we found in a detailed review of 10,740 patient admissions that a 23% reduction in medical errors and a 30% reduction in injuries due to medical errors (preventable adverse events) occurred following implementation of the I-PASS Handoff Bundle in nine academic medical centers. In direct observation of thousands of hours of resident workflow (time motion analysis) before and after implementation of the program, conducting handoffs using the I-PASS method was found to require no more time per handoff, and resident workflow throughout the shift was likewise unchanged, including no change in the amount of time spent at the computer or in direct patient care. |
| first_indexed | 2024-12-18T05:08:50Z |
| format | Article |
| id | doaj.art-3067dbf8a52c4005ba67962336ba1727 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-18T05:08:50Z |
| publishDate | 2013-04-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-3067dbf8a52c4005ba67962336ba17272022-12-21T21:19:57ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652013-04-01910.15766/mep_2374-8265.9402I-PASS Handoff Curriculum: Handoff Simulation ExercisesSharon Calaman0Jennifer Hepps1Nancy Dollase Spector2Theodore Sectish3Christopher Landrigan4Rajendu Srivastava5Amy J. Starmer6Clifton E. Yu7Joseph Lopreiato81 Drexel University College of Medicine2 National Capital Consortium on Pediatric Residency3 St. Christopher's Hospital for Children4 Boston Children's Hospital5 Boston Children's Hospital6 Primary Children's Medical Center7 Boston Children's Hospital8 Walter Reed National Military Medical Center, National Capital Consortium on Pediatric Residency Program9 Doernbecher Children's HospitalAbstract I-PASS role-plays are simulation exercises that serve to bring all the I-PASS curricular elements together. The role-plays allow practice with the techniques and include resident and faculty feedback to help learners refine the skills learned and place them in context. Three role-plays involve performing an I-PASS handoff with a giver, receiver, and observer. Communication challenges, such as interruptions, are introduced in later role-plays to increase complexity as learners go through the exercises. The observer uses the faculty observation tools that faculty will subsequently use to evaluate live handoffs. The final role-play focuses on developing a shared mental model. In this exercise, each group of three is divided into a giver and two receivers who develop the action items, as well as the situation awareness and contingency planning portions of the written handoff based on the information from the giver. Neighboring groups perform the same exercise with slightly different information and then compare their success in developing a shared mental model. In brief, we found in a detailed review of 10,740 patient admissions that a 23% reduction in medical errors and a 30% reduction in injuries due to medical errors (preventable adverse events) occurred following implementation of the I-PASS Handoff Bundle in nine academic medical centers. In direct observation of thousands of hours of resident workflow (time motion analysis) before and after implementation of the program, conducting handoffs using the I-PASS method was found to require no more time per handoff, and resident workflow throughout the shift was likewise unchanged, including no change in the amount of time spent at the computer or in direct patient care.http://www.mededportal.org/doi/10.15766/mep_2374-8265.9402HandoversRole PlayingHandoffTransferSignoutIPASS |
| spellingShingle | Sharon Calaman Jennifer Hepps Nancy Dollase Spector Theodore Sectish Christopher Landrigan Rajendu Srivastava Amy J. Starmer Clifton E. Yu Joseph Lopreiato I-PASS Handoff Curriculum: Handoff Simulation Exercises MedEdPORTAL Handovers Role Playing Handoff Transfer Signout IPASS |
| title | I-PASS Handoff Curriculum: Handoff Simulation Exercises |
| title_full | I-PASS Handoff Curriculum: Handoff Simulation Exercises |
| title_fullStr | I-PASS Handoff Curriculum: Handoff Simulation Exercises |
| title_full_unstemmed | I-PASS Handoff Curriculum: Handoff Simulation Exercises |
| title_short | I-PASS Handoff Curriculum: Handoff Simulation Exercises |
| title_sort | i pass handoff curriculum handoff simulation exercises |
| topic | Handovers Role Playing Handoff Transfer Signout IPASS |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.9402 |
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