12- 15 Herein, we describe our quality improvement (QI) initiative to adapt, implement, and sustain I-PASS for handoff communication across various contexts at a pediatric teaching hospital. We selected the I-PASS program because of the strong evidence that its use reduces errors 9 and the emerging evidence that I-PASS can be adapted broadly across handoff contexts. In consideration of our hospital’s patient safety events, patient safety culture survey results, and focus group feedback, standardizing patient handoffs was identified as an institutional improvement priority. Central to the I-PASS program is its mnemonic, which represents 5 components of quality patient handoff: illness severity (I), patient summary (P), action list (A), situational awareness and contingency plans (S), and synthesis by the receiver (S). Starmer et al 10 described the I-PASS program curriculum that used successful tactics to address cultures that are resistant to change. I-PASS aims to help clinicians develop a shared mental model of each patient so that every clinician involved in the patient’s care can make decisions aligned with overall goals.
I-PASS is a comprehensive handoff program that trains clinicians to exchange and synthesize relevant patient information concisely. Their study used rigorous methodology to demonstrate that the use of a structured handoff communication program, I-PASS, led to a 23% reduction in medical errors and a 30% reduction in preventable adverse events (AEs) among residents physicians at 9 pediatric hospitals. 8 More recently, a landmark paper by Starmer et al 9 reported improvements in patient safety through handoff standardization. Earlier studies showed that training clinicians to provide structured patient handoffs increased clinician comfort and patient information retention. Structured patient handoff processes can improve the fidelity of communication. Effective handoff communication skills need to be systematically taught, but few clinicians receive formal handoff education during training. 6 Clinicians across all disciplines regularly participate in some form of patient handoff or transition of care. Studies in teaching hospitals have documented 4,000 patient handoffs per day. 5 Approximately half of these communication failures occur during patient handoffs, which are pervasive in current healthcare systems. 3, 4 The Joint Commission reported communication failures as the root cause of most sentinel events. Future nurses must understand this language to communicate successfully because numerous nursing phrases are specific to the profession.While controversy exists regarding the number of patient deaths that result from medical errors annually, 1, 2 experts agree this is a significant problem in healthcare. Nurses regularly use acronyms to save time and effectively communicate information regarding a patient’s prescriptions and pre-op and post-op orders to other medical experts. NP: Neuropsychiatric or nursing procedure LP/VN: Licensed Practical/Vocational Nurse The following are some examples of nursing-related acronyms:ĪDHD: Attention Deficit-Hyperactivity Disorder However, keeping up with the terminology cannot be easy for a novice nurse.
Nurses frequently use medical acronyms since it allows them to communicate better with other healthcare professionals. If you want to keep up with and understand your nursing peers, take your time to familiarize these abbreviations. These are examples of abbreviations that are frequently used inside the hospital. Some of the nursing abbreviations that medical professionals regularly use are listed below: Nurses routinely use nursing abbreviations to save time and write more information in their nursing notes or discharge summaries. Meanwhile, acronyms are terms constructed from the first letter of each word or major components of a complicated word. Visascreen Application (Nurses & MedTech)Ĭommon Nursing Abbreviations and AcronymsĪbbreviations are condensed versions of written words or phrases used in place of the whole expression.MOH & Prevention Exam Application (UAE).Middle East Licensure Exam Applications.
IPASS NURSING REPORT SHEET LICENSE
License Endorsement from New Zealand to Australia.License Endorsement from Australia to New Zealand.NCLEX-RN & NCLEX-PN USA Exam Application.
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