ED Manag. 2015 Jan;27(1):6-8.
A new approach to hospital handoffs has shown it can significantly reduce medical errors as well as preventable adverse events. The approach, dubbed the I-PASS bundle, uses a mnemonic to alert providers to all the issues that need to be covered during a handoff, but also includes a written handoff tool, communication training, a sustainability campaign, and a process for feedback. In a study of the I-PASS bundle conducted at nine pediatric hospitals, investigators found that the approach reduced medical errors by 23%, and the rate of preventable adverse events by 30%. Investigators say I-PASS did not increase the amount of time required to conduct a handoff. On average, handoffs in the study took 2.5 minutes per patient. Several medical centers are now implementing the approach hospital-wide, and additional studies into the approach are planned. Developers advise hospitals interested in the approach to first gather data and survey providers to make a case for the intervention.
一种新的医院交接班方法已表明,它能显著减少医疗差错以及可预防的不良事件。这种方法被称为I-PASS套餐,使用助记符提醒医护人员在交接班期间需要涵盖的所有问题,还包括书面交接班工具、沟通培训、可持续性活动以及反馈流程。在对九家儿科医院进行的I-PASS套餐研究中,研究人员发现该方法使医疗差错减少了23%,可预防不良事件发生率降低了30%。研究人员表示,I-PASS并未增加交接班所需的时间。该研究中,平均每位患者的交接班时间为2.5分钟。目前,几家医疗中心正在全院实施这种方法,并且计划对该方法进行更多研究。开发者建议对该方法感兴趣的医院首先收集数据并对医护人员进行调查,以便为干预措施提供依据。