Standardizing Postoperative Handoffs Using the Evidence-Based IPASS Framework Improves Handoff Communication for Postoperative Neurosurgical Patients in the Neuro-Intensive Care Unit

Aims for Improvement Within one year of initiation of the process improvement plan, we wanted to improve: Direct communication of airway and hemodynamic concerns Direct communication of operative events, complications, and perioperative management goals. Attendance at postoperative handoffs Confirmation of information by receiving teams Staff perceptions of handoff efficacy and teamwork

Improving Postoperative Handoffs in the Neuro-Intensive Care Unit

Introduction Transitions of care represent a major source of medical errors, patient morbidity/mortality, and increased healthcare waste. 2018 CLER report indicated largely unfavorable responses toward handoffs and care transitions for perioperative services and neurointensive care. Use of the IPASS handoff tool is associated with up to 30% reduction in adverse events and 23% reduction in medical errors. Implementation of IPASS for postoperative handoffs in the SICU resulted in improved organization, safety, and communication.https://jdc.jefferson.edu/patientsafetyposters/1146/thumbnail.jp