Games, EHRs and the cloudĪt BMC, which has been using I-PASS processes since 2015, working with the Patient Safety Institute will help it better train incoming medical professionals, standardize hand-off processes more widely and initiate metrics and benchmarking, he said.
"We needed to expand this to other hospitals because it's such a significant improvement to medical errors," said Floyd. One of its newest clients is 496-bed Boston Medical Center, the biggest safety-net hospital in New England. In 2016, the I-PASS Patient Safety Institute was launched as a company to help scale up those strategies, and bring the program's mentors, immersive online simulation training, benchmarking tools and EHR customizations to more locations. And, importantly, handoffs weren't any more time-consuming than before." The program is now at use in about 50 hospitals nationwide. As noted in the New England Journal of Medicine, "medical errors decreased by 23 percent, preventable adverse events decreased by 30 percent, and critical information was included more frequently in written and verbal handoffs.
The program was tested at nine pediatrics programs, and proved its mettle with some impressive safety gains. I-PASS – Illness severity, Patient summary, Action list, Situation awareness and contingency plans and Synthesis by receiver – is meant to be a checklist that summarizes a patient's care plan and uses "closed loop communication" to ensure clinicians get the right information. Several years ago, a group of physicians and researchers devised a tool to bring some standardization to the hand-off process. It's been estimated that 80 percent of the most dangerous medical errors occur because of communication failures during handoffs, when docs and nurses change shifts, or patients are moved to new locations in the hospital. "Why are we putting people at risk when really we just need to improve these handoffs?" said William Floyd, president and CEO of the I-PASS Patient Safety Institute. But a bleary-eyed doctor in the waning hours of a 30-hour shift presents its own patient safety challenges. One sure way to reduce risky patient handoffs in a hospital, where the potential exists for miscommunication and medical errors, is to increase the length of shifts that physicians and nurses work.
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