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Ineffective hand-off communication is recognized as a critical patient safety problem in health care. A pre-interventions survey of pediatric urgent care providers and pediatric hospitalists demonstrated an opportunity for improvement of communication during admission handoffs.
Standardized handoffs improve communication without impeding provider workflow. We learned that subjective terms for illness severity ("stable," "watcher," and "unstable") did not translate well from urgent care to inpatient. We are planning on implementing an objective standardized tool (PEWS) to improve the communication of illness severity. We have also updated the I-PASS visual aid based on feedback.
Patient Handoff; Ambulatory Care; Hospitals, Pediatric; Quality Improvement
I-PASS; PEWS; Urgent Care
National Healthcare Quality Week
Nedved, Amanda; Berg, Kathleen; and Montalbano, Amanda, "Using a Standardized Admission Handoff (I-PASS) to Improve Communication Between Pediatric Urgent Care and Inpatient Providers" (2019). Posters. 140.