NCT02320175

Bringing I-PASS to the Bedside: A Communication Bundle to Improve Patient Safety and Experience

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 6,478 (actual)
• Sponsor: Boston Children's Hospital · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Accepted

Summary

Patient and Family-Centered I-PASS is a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. This project tests the hypothesis that rates of medical errors and adverse events (primary outcome), hospital experience, communication, and shared understanding will improve following implementation of Patient and Family Centered I-PASS, as compared with current practice.

Detailed description

We conducted an intervention study on pediatric inpatient units in seven North American hospitals. Each site was assigned to one of 3 staggered waves of implementation and data collection. The Patient and Family Centered I-PASS intervention included a health literacy-informed, structured communication framework for family-centered rounds; written rounds summaries for families; a training and learning program; and strategies to support teamwork and implementation. We measured errors and adverse events (AEs) via an established systematic surveillance methodology, family experience via pre-discharge surveys, and communication processes via direct observations.

Conditions

• Communication

Interventions

Type	Name	Description
BEHAVIORAL	Patient and Family Centered I-PASS	Patient and Family-Centered I-PASS is a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. The intervention included a health literacy-informed, structured communication framework for family-centered rounds; written rounds summaries for families; a training and learning program; and strategies to support teamwork and implementation.

Timeline

• Start date: 2014-12-15
• Primary completion: 2017-01-03
• Completion: 2017-01-03
• First posted: 2014-12-19
• Last updated: 2020-09-01
• Results posted: 2020-09-01

Locations

7 sites across 2 countries: United States, Canada