Increasing Adoption and Ensuring Sustainment of the I-PASS Handoff Format across BMC

Activity Details
  • Credit Type: Other
  • Credit Amount: 0.00
  • Cost: Free
  • Release: Jul 6, 2015
  • Expires: Jul 1, 2017
  • Average User Rating:
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Karin Sloan Karin Sloan, MD
Assistant Professor of Medicine, Director of Clinical Quality, Department of Medicine, Boston University School of Medicine

Needs Statement

Handoffs have been identified as a vulnerable time in patient care, and ACGME duty hour restrictions have led to an increase in the number of handoffs. One of three sentinel events reported to JCAHO involve lack of adequate communication or errors in communication (Joint Commission. (2011). Sentinel Event Statistics Data - Root Causes by Event Type (2004 - Third Quarter 2011). Futhermore, the ACGME CLER Program has identified Transitions of Care as a focus area, requiring that sponsoring institutions demonstrate effective standardization and oversight of transitions of care.

Structured communication following the I-PASS handoff format has been shown to reduce preventable adverse events, and did not increase time to do a sign-out, or take away from patient care time (Starmer et al, 2014: 


The Boston University School of Medicine certifies this activity for 0.00 hours of participation.

Resident Project Leaders

Project Champion Aravind 

Program Champions (Including CIR/QI Council core resident leadership representing Programs)

Internal Medicine: Aravind Menon, Bhavna Seth, Anshul Srivastava, Maggie Collison, Stephanie Le

Surgery: Ryan Macht, Stephanie Talutis, Olga Beresneva, Aaron Richman

Neurology: Simy Parikh

Family Medicine: Mary Iaculli

OBGYN: Roxane Handel-Orifice


Specific Aims Of Project

  • All BMC inpatient interns and residents trained in I-PASS by December 2016.
  • –Increase the percentage of observed handoffs in which the Giver usually or always included all 5 elements of the I-PASS mnemonic to 80% by July 2016.
  • –Increase the percentage of observed handoffs in which the Receiver usually or always verbalized a concise, accurate summary of each patient to 80% by July 2016.
  • –Increase utilization of EPIC tool among BMC residents to 80% by July 2016.


Status Of Project

Currently ongoing 

Interim Results

Please see materials for results through July 31, 2016.