Publication Date




Download Full Text (809 KB)


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.

MeSH Keywords

Patient Handoff; Ambulatory Care; Hospitals, Pediatric; Quality Improvement


I-PASS; PEWS; Urgent Care




National Healthcare Quality Week

Using a Standardized Admission Handoff (I-PASS) to Improve Communication Between Pediatric Urgent Care and Inpatient Providers

Included in

Pediatrics Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.