Does this sound familiar? In most health systems patient handoffs are unstructured and variable across providers and departments. For most, this is very time-consuming and involves a large amount of manual data entry.
Question Does the UW-IPASS standardized handoff affect clinician communication in the intensive care unit?
Findings In this single-institution cluster randomized stepped-wedge clinical trial, the use of a standardized handoff curriculum resulted in a significant 3% decrease in communication errors, without any change in the duration of the handoff. Seventy-three percent of clinicians reported that participation in the curriculum improved team communication and patient safety.
Purpose. To determine whether changing sign-out practices and decreasing the time spent in rounding and recopying patient data affect patient safety. Responding to limited resident duty hours, the University of Washington launched a computerized rounding and sign-out system (“UW Cores”). The system shortened duty hours by facilitating signout, decreasing rounding time, and sharply reducing the time spent in prerounds data recopying.
Background. Hospital-based clinicians and educators face a difficult challenge trying to simultaneously improve measurable quality, educate residents in line with ACGME core competencies, while also attending to fiscal concerns such as hospital length of stay (LOS).