Contain: Patient identification Diagnostic summary Current condition and trajectory A plan of care A prioritized to-do list for anticipated events CACHE NEEDS TO BE UPDATED Just written sign-out does not provide opportunity for questions, clarifications, or synthesis.ġ4 Best Practices: Information Transmissionĭata must be unambiguous and factually correct. When not face-to-face there are more opportunities for distractions. The take-away is that we need to be using synthesis more. Data is poor that face-to-face handoff’s really improve communication. This is essentially the “synthesis” portion of IPASS. ![]() (Justin) The Joint Commission recommended standardizing patient handoff procedures and using read-back and repeat-back practices. “Read-back” and “Repeat-back” practices “Face-to-face, uninterrupted communication combining verbal and written or electronic handoff information is best.” Handoff as an active dialogue. I-PASS mnemonic (Information) 2 hour workshop (TeamSTEPPS teaching teamwork and communication skills) 1-hour role play workshop for skill practice Computer Module to allow for independent learning Faculty and Resident Curriculum (Training) Direct Observation to provide feedback to residents (Behavior) Process-Change and Culture-Change Campaign (Mary) Patient Summary (summary statement, events of admission, hospital course, active plans) Action List (“To-Do List”) Situation Awareness and Contingency Plans Indication of what to do if adverse contingency is encountered Allergy List (auto-populated) Code Status (auto-populated) Med List (auto-populated) Dated Vital Signs Synthesis by Receiver (Mary) When superfluous data is presented it can “squeeze” out other vital information.ġ0 What is I-PASS? Illness Severity (stable, unstable, watcher) Synthesis Feedback Standardized Tool Dedicated Training (Justin) So what are the best practices of handoff and how do we synthesize the most important elements of handoff/signout into one system? What do we do at UNM?ĩ Handoff Failures Omitted Data Superfluous Data (Mary) Discuss variance in sign-out/sign-in behavior Describe 3 practices/systems that can improve hand-off behaviors and reduce potential patient error Review Resident Commentary on Sign-Out Discuss Next Steps Please edit these however, haven’t spent much time on them yet Discuss variance in sign-out/sign-in behavior Describe 3 practices/systems that can improve hand-off behaviors and reduce potential patient error Review Resident Commentary on Sign-Out Discuss Next Steps Please edit these however, haven’t spent much time on them yetįace-to-face? What information is exchanged? What constitutes an effective handoff? How long does it take? Is it written? Oral? Both? (Justin) Who is signing out the patients?ĥ Objectives Create a dialogue to discuss how we can use IPASS to improve patient care at UNM. ![]() Discuss variance in sign-out/sign-in behavior Describe 3 practices/systems that can improve hand-off behaviors and reduce potential patient error Review Resident Commentary on Sign-Out Discuss Next Stepsģ Objectives Create a dialogue to discuss how we can use IPASS to improve patient care at UNM. Reducing Patient Error By Improving Hand-Off Behaviors: Part 2 – Ideas from Needs Assessment and Next steps JMary Lacy MD Justin Roesch MD (on behalf of IPASS Workgroup)Ģ Objectives Create a dialogue to discuss how we can use IPASS to improve patient care at UNM. Presentation on theme: "(on behalf of IPASS Workgroup)"- Presentation transcript:
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