Compared with the control phase, the perceived duration of handoffs among clinicians using UW-IPASS was unchanged (+5.5 minutes 95% CI, 0.34-9.39 P = .30). During the control period, clinicians reported being unprepared for their shift because of a poor-quality handoff in 35 of 343 handoffs (10.2%), while UW-IPASS–period residents reported being unprepared in 53 of 740 handoffs (7.2%) (odds ratio, 0.19 95% CI, 0.03-0.74 P = .03). Results A total of 63 residents and advance practice clinicians, 13 fellows, and 30 attending physicians participated in the study. Mixed-effects logistic regression was used to compute odds ratios and confidence intervals with adjustment for location, time period, and clinician. Patient days of mechanical ventilation, intensive care unit length of stay, reintubations within 24 hours, and order workflow patterns were also analyzed. Main Outcomes and Measures The primary aim was to assess the effect of the UW-IPASS handoff curriculum on perceived adequacy of interclinician communication. Participants included residents, fellows, advance-practice clinicians, and attending physicians (n = 106 clinicians, with 1488 handoff events over 8 months) and data were collected from daily text message–based surveys and patient medical records.Įxposures The UW-IPASS standardized handoff curriculum Objective To determine the effect of a standardized handoff curriculum, UW-IPASS, on interclinician communication and patient outcomes.ĭesign, Setting, and Participants This cluster randomized stepped-wedge randomized clinical trial was conducted from October 2015 to May 2016 at 8 medical and surgical intensive care units at 2 hospital systems within an academic tertiary referral center. Efforts to standardize handoff communication may reduce errors and improve patient safety. Importance Clinician miscommunication contributes to an estimated 250 000 deaths in US hospitals per year. Shared Decision Making and Communication. ![]() Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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