Study: I-PASS Nursing Handoff Bundle improves quality of nurse communication

A new study, published in BMJ Quality & Safety, examined the impact of the I-PASS Nursing Handoff Bundle on nursing workflow and communication.

The I-PASS Nursing Handoff Bundle intervention includes educational training, verbal handoff I-PASS mnemonic implementation and visual materials to provide reinforcement and sustainability. The researchers studied the impact of the bundle in a pediatric intensive care unit from 2011 to 2012.

The study shows that I-PASS implementation was associated with improvements in verbal handoff communications, including:

• Inclusion of illness severity assessment
• Patient summary
• To-do list
• An opportunity for the receiving nurse to ask questions

Overall, 62 percent of verbal handoff data elements were more likely to be present following I-PASS implementation and no data elements were less likely present.

Additionally, I-PASS implementation was associated with a decrease in interruption frequency, without a change in the median handoff duration or changes in time spent in direct or indirect patient care activities.

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