Journal article
Development and Evaluation of I-PASS-to-PICU: A Standard Electronic Template to Improve Referral Communication for Inter-facility Transfers to the Pediatric Intensive Care Unit
Joint Commission journal on quality and patient safety, Vol.50(5), pp.338-347
01/2024
DOI: 10.1016/j.jcjq.2024.01.010
PMCID: PMC12917881
PMID: 38418317
Abstract
Background
Miscommunication during interfacility handoffs to a higher level of care can harm critically ill children. Adapting evidence-based handoff interventions to interfacility referral communication may prevent adverse events. Our objective was to develop and evaluate a standard electronic referral template (I-PASS-to-PICU) to improve communication for interfacility pediatric ICU (PICU) transfers.
Methods
I-PASS-to-PICU was iteratively developed in a single PICU. A core PICU stakeholder group collaboratively designed an electronic health record (EHR)-supported clinical note template by adapting elements from I-PASS, an evidence-based handoff program, to support information exchange between referring clinicians and receiving PICU physicians. I-PASS-to-PICU is a receiver-driven tool used by PICU physicians to guide verbal communication and electronic documentation during PICU transfer calls. The template underwent three cycles of iterative evaluation and redesign informed by individual and group interviews of multidisciplinary PICU staff, usability testing using simulated and actual referral calls, and debriefing with PICU physicians.
Results
Individual and group interviews with 21 PICU staff members revealed that relevant, accurate, and concise information was needed for adequate admission preparedness. Time constraints and second-hand information transmission were identified as barriers. Usability testing with six receiving PICU physicians using simulated and actual calls revealed good usability on the validated systems usability scale (SUS), with a mean score of 78 (SD 11). Fellows indicated that most fields were relevant and that the template was feasible to use.
Conclusions
I-PASS-to-PICU was technically feasible, usable, and relevant. We plan to further evaluate its effectiveness in improving information exchange during real-time PICU practice.
Details
- Title: Subtitle
- Development and Evaluation of I-PASS-to-PICU: A Standard Electronic Template to Improve Referral Communication for Inter-facility Transfers to the Pediatric Intensive Care Unit
- Creators
- Nehal R. Parikh - University of IowaLeticia S. FranciscoShilpa C. Balikai - University of IowaMitchell A. Luangrath - University of IowaHeather R. Elmore - University of Iowa Stead Family Children’s HospitalJennifer Erdahl - University of IowaAditya Badheka - University of IowaMadhuradhar Chegondi - University of IowaChristopher P. Landrigan - Boston Children's HospitalPriyadarshini Pennathur - The University of Texas at El PasoHeather Schacht Reisinger - University of IowaChristina L. Cifra - Boston Children's Hospital
- Resource Type
- Journal article
- Publication Details
- Joint Commission journal on quality and patient safety, Vol.50(5), pp.338-347
- DOI
- 10.1016/j.jcjq.2024.01.010
- PMID
- 38418317
- PMCID
- PMC12917881
- NLM abbreviation
- Jt Comm J Qual Patient Saf
- ISSN
- 1553-7250
- eISSN
- 1938-131X
- Language
- English
- Electronic publication date
- 01/2024
- Academic Unit
- Critical Care; Stead Family Department of Pediatrics; Industrial and Systems Engineering; Nursing; Center for Social Science Innovation; Internal Medicine
- Record Identifier
- 9984555560002771
Metrics
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