Bringing I-PASS to the Bedside: Patient and Family Centered Rounds

This initiative aims to reduce medical errors, improve the patient, family, and provider experiences, and promote a shared mental model of the plan of care. Based on pilot data that patients and families had a discordant understanding of the plan of care, Alisa Khan and Christopher Landrigan developed an Intervention Bundle and launched a multisite project across North America. We will be implementing the new approach to care at Boston Children’s Hospital and Boston Medical Center on the general inpatient units starting in the new academic year. The Intervention Bundle consists of: 1) engaging and empowering patients and families with an orientation to Patient and Family Centered Rounds on admission (with a brochure); 2) a new format of discussion on rounds based on the organizing framework of the mnemonic, I-PASS, plus a written Rounds Report that summarizes what we discussed; and 3) standardized communication techniques throughout the day and night shifts with an inter-professional Huddle at mid-shift. We have been training faculty at both sites this Spring and will do training at Rising Junior Orientation, Rising Senior Orientation and New Intern Orientation.

Award-winning study group

The I-PASS Study Group based out of Boston Children’s Hospital has been named the recipient of the 2016 John M. Eisenberg Award for Innovation in Patient Safety and Quality at the National Level presented annually by The Joint Commission and the National Quality Forum. The award is the foremost award in the United States recognizing contributions to patient safety.

Members of the I-PASS Study Group, led by Principal Investigator Christopher Landrigan, MD, MPH, Project Leader, Amy Starmer, MD, MPH, and Pediatric Residency Program Director Theodore Sectish, MD, all at Boston Children’s Hospital, designed I-PASS with the goal of improving patient safety through improved provider-to-provider communication. I-PASS is a multi-faceted intervention to standardize and improve handoffs.

The group’s initial research study, published in the New England Journal of Medicine, found that across 9 hospitals, harmful medical errors (preventable adverse events) fell 30% following implementation of I-PASS. Subsequent research in more than 50 hospitals has found that I-PASS similarly led to reductions in handoff-related injuries to patients when used by nurses and doctors from across specialties, both in academic and community hospitals.