Related Papers
BMJ Open Quality
The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS
Cara Doughty
Background and objectivesDespite the American College of Emergency Physicians and American Academy of Pediatrics recommendations for standardised handoffs in the emergency department (ED), few EDs have an established tool. Our aim was to improve the quality of handoffs in the ED by establishing compliance with the I-PASS handoff tool.MethodsThis is a quality improvement (QI) initiative to standardise handoffs in a large academic paediatric ED. Following review of the literature and focus groups with key stakeholders, I-PASS was selected and modified to fit departmental needs. Implementation throughPlan–Do–Study–Act cycles included the development of educational materials, reminders and real-time feedback. Required use of I-PASS during designated team sign-out began in June 2016. Compliance with the handoff tool and handoff deficiencies was measured through observations by faculty trained in I-PASS. As a balancing measure, time to complete handoff was monitored and compared with prei...
Journal of Korean Academy of Child Health Nursing
Core educational components of interprofessional education in pediatric emergencies: An integrated review
2021 •
Soonyoung Shon
Purpose: This study was conducted to explore the core educational components of interprofessional education (IPE) for pediatric emergencies to establish a basis for interprofessional simulation education. Methods: Using Whittemore and Knafl's integrative review method, we searched for studies in PubMed, Embase, Cochrane Library, CINAHL, and four South Korean databases (RISS, NDSL, DBpia, and KISS). Results: We identified 21 studies on the general characteristics of IPE in pediatric emergency situations and integrated the core components of IPE according to a PRISMA flowchart. Three core components were identified (individual-competent professionals, team-cooperative professions, and outcome-optimal achievement), with the subthemes of role and responsibility, clinical judgment, performance, leadership, communication, teamwork, patient safety, and quality improvement. Conclusion: We recommend that IPE pediatric emergencies should contain the three dimensions of these core componen...
Resident Experiences With Implementation of the I-PASS Handoff Bundle
Shelly-Anne Li
Background The I-PASS Handoff Study found that introduction of a handoff bundle (handoff and teamwork training for residents, a mnemonic, a handoff tool, a faculty development program, and a sustainability campaign) at 9 pediatrics residency programs was associated with improved communication and patient safety.
The Journal of emergency medicine
Resident to resident handoffs in the emergency department: anobservational study
2014 •
Linda Regan, Susan Peterson
Despite patient handoffs being well recognized as a potentially dangerous time in the care of patients in the emergency department (ED), there is no established standard and little supporting research on how to optimize the process. Minimizing handoff risks is particularly important at teaching hospitals, where residents often provide the majority of patient handoffs. Our aim was to identify hazards to patient safety and barriers to efficiency related to resident handoffs in the ED. An observational study was completed using the Systems Engineering Initiative for Patient Safety model to assess the safety and efficiency of resident handoffs. Thirty resident handoffs were observed with residents in emergency medicine over 16 weeks. Residents were interrupted, on average, every 8.5 min. The most common deficit in relaying the plan of care strategy was failing to relay medications administered (32%). In addition, there were ambiguities related to medication administration, such as when ...
Annals of Emergency Medicine
Improving Handoffs in the Emergency Department
2010 •
Kevin Klauer, Heather Farley, Emily Patterson, Marjorie White
Academic Emergency Medicine
Handoff Practices in Emergency Medicine: Are We Making Progress?
2016 •
Fiona Gallahue
Heliyon
Training residents to lead emergency teams: A qualitative review of barriers, challenges and learning goals
Doris Østergaard
Prehospital and Disaster Medicine
Simulation Training with Structured Debriefing Improves Residents’ Pediatric Disaster Triage Performance
2012 •
Kevin Lee Choon Ching
IntroductionPediatric disaster medicine (PDM) triage is a vital skill set for pediatricians, and is a required component of residency training by the Accreditation Council for Graduate Medical Education (ACGME). Simulation training is an effective tool for preparing providers for high-stakes, low-frequency events. Debriefing is a learner-centered approach that affords reflection on one's performance, and increases the efficacy of simulation training. The purpose of this study was to measure the efficacy of a multiple-victim simulation in facilitating learners’ acquisition of pediatric disaster medicine (PDM) skills, including the JumpSTART triage algorithm. It was hypothesized that multiple patient simulations and a structured debriefing would improve triage performance.MethodsA 10-victim school-shooting scenario was created. Victims were portrayed by adult volunteers, and by high- and low-fidelity simulation manikins that responded physiologically to airway maneuvers. Learners ...
Pediatric emergency care
Pediatric Crisis Resource Management Training Improves Emergency Medicine Trainees’ Perceived Ability to Manage Emergencies and Ability to Identify Teamwork Errors
2014 •
Ilana Bank
Air Medical Journal
Implementing IPASS Handoff to Improve Patient Safety in Pediatric Critical Care Transport
Rémi Hueckel
