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  4. Original/Research Article

Vol. 8 No. 1 (2021)

November 2020

Evaluating I-PASS System Implementation in Improvement of Handoff Process among Emergency Medicine Residents of Mazandaran University of Medical Sciences

  • Zahra Yahyapour
  • Fatemeh Jahanian
  • Mohammad Hosseini Nejad
  • Touraj Asadi
  • Hossein Montazer
  • Masoumeh Pashaei

Journal of Practical Emergency Medicine, Vol. 8 No. 1 (2021), 23 November 2020 , Page e10
https://doi.org/10.22037/ijem.v8i1.32596 Published: 2021-03-15

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Abstract

Introduction: The emergency department is one of the most important departments of educational and medical centers that despite the crowds of patients must provide immediate and vital services in the shortest possible time with high efficiency to different patients. Therefore, it is necessary to use the standard method in transmitting this information between emergency medicine assistants.

Methods: This research is a quasi-experimental interventional study that was conducted and completed by survey-analytical method during the years (1398-99) during three phases. In the first phase, information on the current status of the patient delivery process was collected among emergency medicine assistants. In the second phase, a workshop based on the I-PASS method was held. In the final phase, the process of patient delivery by I-PASS method was practically implemented and the obtained information was collected through a researcher-made questionnaire and analyzed using statistical methods.

Results: First, the average and qualitative value of all research variables are high and very high. Second, there is a significant relationship between I-PASS indicators and patient delivery process improvement indicators. In other words, there is a direct relationship between all I-PASS indicators and all indicators of patient delivery process improvement between emergency medical assistants Inter-Shift Handoffs. Third, the main purpose of the research has been met. Therefore, this study has an innovative and new aspect for the effectiveness of the I-PASS system.

Conclusion: The use of I-PASS system has a high impact on improving the patient delivery process between emergency medicine assistants Inter-Shift Handoffs in Imam Khomeini Educational and Medical Center of Mazandaran University of Medical Sciences. As this effect is in most cases, above 70%.

Keywords:
  • I-PASS, Delivery Process Improvement, Emergency Medicine, Emergency Medicine Assistants, Inter-Shift Handoffs
  • pdf (فارسی)

How to Cite

Yahyapour, Z., Jahanian, F., Hosseini Nejad, M., Asadi, T., Montazer, H., & Pashaei, M. (2021). Evaluating I-PASS System Implementation in Improvement of Handoff Process among Emergency Medicine Residents of Mazandaran University of Medical Sciences. Journal of Practical Emergency Medicine, 8(1), e10. https://doi.org/10.22037/ijem.v8i1.32596
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References

Shojaee M, Kariman H, Hatamabadi HR, Sabzghabaie A, Dolatabadi AA, Moghadam MA, et al. History and guideline of emergency medicine residency discipline in Shahid Beheshti University of Medical Sciences, Iran; review of 2014. Iranian Journal of Emergency Medicine. 2014;1(1):2-10.

Jalili Mohammad FM, Eslami Bahareh Principles of Emergency Management. Ebony Publishing, Tehran. 2012.

Salehi S, Zarea K, Mohammadi AA. Patient handover process problems between emergency medical service personnel and emergency department nurses. Iranian Journal of Emergency Medicine. 2016;4(1):27-34.

Walia J, Qayumi Z, Khawar N, Dygulska B, Bialik I, Salafia C, et al. Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. Academic Pediatrics. 2016;16(6):519-23.

O'Toole JK, Starmer AJ, Calaman S, Campos M-L, Goldstein J, Hepps J, et al. I-PASS mentored implementation handoff curriculum: implementation guide and resources. MedEdPORTAL. 2018;14.

Starmer AJ, Spector ND, West DC, Srivastava R, Sectish TC, Landrigan CP, et al. Integrating research, quality improvement, and medical education for better handoffs and safer care: disseminating, adapting, and implementing the I-PASS Program. The Joint Commission Journal on Quality and Patient Safety. 2017;43(7):319-29.

Alrajhi K, Alsaawi A. Developing an emergency medicine handoff tool: an electronic Delphi approach. International journal of emergency medicine. 2019;12(1):37.

Kwok ES, Clapham G, White S, Austin M, Calder LA. Development and implementation of a standardised emergency department intershift handover tool to improve physician communication. BMJ Open Quality. 2020;9(1).

Momeni M, Shirani F, Lachini M, Vahidi E, Saeedi M, Karimialavijeh E. Affecting Factors on the Quality of Resident Education in Emergency Department; a Cross-Sectional Study. Iranian Journal of Emergency Medicine. 2018;5:5.

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