![]() ![]() JAMA 2013 310:Ĥ Results: Medical Error and Preventable Adverse Events Resident Handoff Bundle (RHB) + + = Communication and handoff skills training Redesigned Verbal Handoff Process Mnemonic + Computerized Handoff Tool (Unit 1 only) Starmer AJ, Sectish TC, Simon DW, Keohane C, McSweeney ME, Chung EY, Yoon CS, Lipsitz SR, Wassner AJ, Harper MB, Landrigan CP. Sentinel Event Statistics Data - Root Causes by Event Type ( Third Quarter 2011)ģ Handoff Bundle Intervention: Boston Children’s Hospital Sentinel event statistics data: root causes by event type. This presentation contains copyrighted materials with permission from Boston Children’s Hospital and the I-PASS Study Group.Ĭommunication failures, including failures in handoff communication, are the major root cause of sentinel events reported to the JCAHO Reference The Joint Commission. Landrigan, MD, MPH Massachusetts Coalition for the Prevention of Medical Errors MaPermissions: The IIPE logo is used with permission from the Initiative for Innovation in Pediatric Education The PRIS logo is used with permission from the Pediatric Research in Inpatient Settings Network Some content in the I-PASS Handoff Study Curriculum includes materials adapted from TeamSTEPPSTM, an evidence-based teamwork curriculum developed by the Agency for Healthcare Research and Quality. Presentation on theme: "I-PASS: Improving, Disseminating, and Sustaining Safer Handoffs"- Presentation transcript:ġ I-PASS: Improving, Disseminating, and Sustaining Safer HandoffsĬhristopher P. ![]()
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