2 For example, a 2009 systematic review found that omitted information and incorrect information were common at patient care handoff. 1 Ineffective or incomplete transitions of care can negatively impact both patients and physicians by contributing to potential miscommunication and errors, or by compromising resident confidence. However, the intervention did not improve residentsвЂ™ reported confidence and preparedness to care for patients overnight.Д¬ommunication error is a leading cause for sentinel events. However, the intervention did not significantly affect residentsвЂ™ confidence level in caring for patients overnight and residentsвЂ™ rating of the usefulness of anticipatory guidance for managing night floor calls.В We did not identify any medical errors related to communication issues at patient handoff within the family medicine service.Д¬onclusion: I-PASS intervention significantly reduced unexpected floor calls. Results: Prior 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 (P<.05).

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 residentsвЂ™ reported levels of preparedness and confidence to care for patients overnight. Residents received trainings in the I-PASS standardized handoff through didactic lectures and on-the-job sessions in September and November 2019. Methods: We conducted an observational study at a single-site family medicine residency between April 2019 and March 2020. We aimed to reduce preventable adverse events and unexpected floor calls while also improving residentsвЂ™ confidence and preparedness to care for patients overnight. We introduced the I-PASS Handoff Bundle for resident sign-out in the inpatient setting. A structured handoff is an effective communication tool.

Introduction: Handoff miscommunications are a leading cause of medical errors.

Ipass medical