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{
    "pk": 9736,
    "title": "Adapting the I-PASS Handoff Program for Emergency Department Inter-Shift Handoffs",
    "subtitle": null,
    "abstract": "ABSTRACT\n \nIntroduction\n \nAcademic Emergency Department (ED) handoffs are high-risk transfer of care events. Emergency medicine residents are inadequately trained to handle these vital transitions.\n \nWe aimed to explore what modifications the I-PASS (Illness severity, Patient summary, Action list, Situation awareness and contingency plans, and Synthesis by receiver) handoff system requires to be effectively modified for use in ED inter-shift handoffs.\n \nMethods \n \nThis mixed-method needs assessment conducted at an academic ED explored the suitability of the I-PASS system for ED handoffs. We conducted a literature review, focus groups, and then a survey. We sought to identify the distinctive elements of ED handoffs and discern how these could be incorporated into the I-PASS system.\n \nResults\n \nFocus group participants agreed the Patient summary should be adapted to include anticipated disposition of patient. Participants generally endorsed the order and content of the other elements of the I-PASS tool. The survey yielded several wording changes to reflect contextual differences. Themes from all qualitative sources converged to suggest changes for brevity and clarity (Figure 1). Most participants agreed that the I-PASS tool would be well suited to the emergency department setting.\n \nConclusion\n \nWith modifications for context, brevity, and clarity, the I-PASS system may be well suited for application to the ED setting. This study provides qualitative data in support of utilizing the I-PASS tool and concrete suggestions for how to modify the I-PASS tool for the ED. Implementation and outcome research is needed to investigate if the I-PASS tool is feasible and improves patient outcomes in the ED environment.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Handoff, Transitions of Care, Sign-out, Patient Safety, Resident Communication"
        }
    ],
    "section": "Patient Safety",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2qp5g96n",
    "frozenauthors": [
        {
            "first_name": "James",
            "middle_name": "A",
            "last_name": "Heilman",
            "name_suffix": "",
            "institution": "Oregon Health and Science University (OHSU)",
            "department": "None"
        },
        {
            "first_name": "Moira",
            "middle_name": "",
            "last_name": "Flanigan",
            "name_suffix": "",
            "institution": "",
            "department": "None"
        },
        {
            "first_name": "Anna",
            "middle_name": "",
            "last_name": "Nelson",
            "name_suffix": "",
            "institution": "",
            "department": "None"
        },
        {
            "first_name": "Tom",
            "middle_name": "",
            "last_name": "Johnson",
            "name_suffix": "",
            "institution": "",
            "department": "None"
        },
        {
            "first_name": "Lalena",
            "middle_name": "M",
            "last_name": "Yarris",
            "name_suffix": "",
            "institution": "",
            "department": "None"
        }
    ],
    "date_submitted": "2016-04-08T18:49:57Z",
    "date_accepted": "2016-04-08T18:49:57Z",
    "date_published": "2016-10-05T00:20:37Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9736/galley/5390/download/"
        }
    ]
}