{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T14:09:23Z","timestamp":1788876563687,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R18 HS23291\u201001"],"award-info":[{"award-number":["R18 HS23291\u201001"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Handoff miscommunications are a leading source of medical errors. Harmful medical errors decreased in pediatric academic hospitals following implementation of the I\u2010PASS handoff improvement program. However, implementation across specialties has not been assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine if I\u2010PASS implementation across diverse settings would be associated with improvements in patient safety and communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective Type 2 Hybrid effectiveness implementation study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Participants<\/jats:title>\n                    <jats:p>Residents from diverse specialties across 32 hospitals (12 community, 20 academic).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>External teams provided longitudinal coaching over 18 months to facilitate implementation of an enhanced I\u2010PASS program and monthly metric reviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome and Measures<\/jats:title>\n                    <jats:p>Systematic surveillance surveys assessed rates of resident\u2010reported adverse events. Validated direct observation tools measured verbal and written handoff quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      2735 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\u2010related reported adverse events decreased 47% following implementation, from 1.7 to 0.9 major events\/person\u2010year (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05) and 17.5 to 9.3 minor events\/person\u2010year (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Implementation was associated with increased inclusion of all five key handoff data elements in verbal (20% vs. 66%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094812) and written (10% vs. 74%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091787) handoffs, as well as increased frequency of handoffs with high quality verbal (39% vs. 81%\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and written (29% vs. 78%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) patient summaries, verbal (29% vs. 78%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and written (24% vs. 73%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) contingency plans, and verbal receiver syntheses (31% vs. 83%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Improvement was similar across provider types (adult vs. pediatric) and settings (community vs. academic).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.12979","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T09:14:14Z","timestamp":1667466854000},"page":"5-14","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Implementation of the I\u2010PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6151-7095","authenticated-orcid":false,"given":"Amy J.","family":"Starmer","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy D.","family":"Spector","sequence":"additional","affiliation":[{"name":"Section of General Pediatrics, Department of Pediatrics, St. Christopher's Hospital for Children Drexel University College of Medicine Philadelphia Pennsylvania USA"},{"name":"Department of Pediatrics and Executive Leadership in Academic Medicine\u00ae Drexel University College of Medicine Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer K.","family":"O'Toole","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Cincinnati Children's Hospital Medical Center University of Cincinnati College of Medicine Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zia","family":"Bismilla","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Hospital for Sick Children University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Calaman","sequence":"additional","affiliation":[{"name":"Section of General Pediatrics, Department of Pediatrics, St. Christopher's Hospital for Children Drexel University College of Medicine Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria\u2010Lucia","family":"Campos","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maitreya","family":"Coffey","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Hospital for Sick Children University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren A.","family":"Destino","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Hospital Medicine,\u00a0Stanford University School of Medicine Lucile Packard Children's Hospital Stanford Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Everhart","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Hospital Medicine,\u00a0Stanford University School of Medicine Lucile Packard Children's Hospital Stanford Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Society for Hospital Medicine Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dionne A.","family":"Graham","sequence":"additional","affiliation":[{"name":"Program for Patient Safety and Quality Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer H.","family":"Hepps","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric E.","family":"Howell","sequence":"additional","affiliation":[{"name":"Society for Hospital Medicine Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7214-7595","authenticated-orcid":false,"given":"Nicholas","family":"Kuzma","sequence":"additional","affiliation":[{"name":"Section of General Pediatrics, Department of Pediatrics, St. Christopher's Hospital for Children Drexel University College of Medicine Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Maynard","sequence":"additional","affiliation":[{"name":"Society for Hospital Medicine Philadelphia Pennsylvania 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Burns School of Medicine Honolulu Hawaii USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Popa","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California Riverside Riverside California USA"},{"name":"Division of Hospital Medicine University of California San Diego San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn","family":"Rosenbluth","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Benioff Children's Hospital University of\u00a0California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7072-0781","authenticated-orcid":false,"given":"Jeffrey L.","family":"Schnipper","sequence":"additional","affiliation":[{"name":"Department of Medicine, Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore C.","family":"Sectish","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajendu","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Primary Children's Hospital University of Utah School of Medicine Salt Lake City Utah USA"},{"name":"Healthcare Delivery Institute Intermountain Healthcare Murray Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel C.","family":"West","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clifton E.","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher P.","family":"Landrigan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Medicine, Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA"},{"name":"Departments of Medicine and Neurology, Division of Sleep and Circadian Disorders, Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the I\u2010PASS SHM Mentored Implementation Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,3]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"The Joint Commission.Sentinel event statistics released for 2014.The Joint Commission Online. 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