![]() ![]() ![]() It was pretty clear early on, the dangers there.” We realized we had to develop systems to solve handoff problems. As we started implementing safer work schedules that eliminated these marathon shifts, handoffs between physicians working shorter shifts became more common. ![]() “I started working on trying to understand the risks of long work hours early in my career. “I trained in an era of no shift length limits,” he says, noting it wasn’t uncommon for physicians to be on for 36 hours or more at the time. Chris Landrigan, chief of general pediatrics at Boston Children’s Hospital, began looking into the issue of patient handoffs as a pediatric hospitalist. A 75% reduction in both major and minor patient harm events due to miscommunications.3 million major and minor patient harm events prevented.100 million handoffs using the I-PASS solution.hospitals, the I-PASS Institute and the I-PASS Study Group have seen significant successes over the past decade: To combat these risks, I-PASS has developed methods for improving communication during transitions-and the I-PASS Institute has just celebrated its fifth year using its process. In addition, handoff communication errors can lead to financial costs and reputational harm. The Joint Commission has found that communication mistakes made during patient handoffs are a root cause for more than two-thirds of the most serious errors that befall patients. Patient handoffs present an especially high risk for communication errors. Handoff process marks five years of successįailures in communication frequently prompt medical errors, which make up one of the leading causes of death in the United States, behind heart disease and cancer. ![]()
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