![]() The transfer of patient information between two health care providers is a vulnerable time for communication errors (Starmer et al., 2017). In fact, report or hand-off between transitions of care, including outpatient to inpatient, surgical reports, or between intensive care and continued care units, occurs frequently, and accuracy is of significant importance in the process. Nurses have always used a shift report mechanism to share communication about patients. Omission of critical information, incorrect information, interruption, and excessive work hours are some of the key factors in failed hand-offs (Starmer et al., 2017). Further, TJC also reports approximately 80% of medical errors result from failed communication (TJC, 2012). These data only reflect about 10% of events actually reported to the TJC. ![]() This included data from approximately 10,000 patients, with 53% of these incidents resulting in patient death, and communication between staff as the highest contributing factor (TJC, 2019). ![]() Despite reflecting a very small percentage of the total, The Joint Commission (TJC) (2019) reported 824 sentinel events between 20. In 2001, this same organization reported that inadequate hand-offs were the point where safety often fails (IOM, 2001). In 2000, the National Academy of Medicine, then known as the Institute of Medicine (IOM), published information indicating that as many as 98,000 people die due to medical errors in hospitals (IOM Committee on Quality of Health Care in America, 2000). The emphasis on quality in health care is related to improving outcomes for patients. Quality and safety are terms used frequently in health care and are currently linked to institutional financial support or consequences. APA style: I-PASS as a Nursing Communication Tool.I-PASS as a Nursing Communication Tool." Retrieved from MLA style: "I-PASS as a Nursing Communication Tool." The Free Library.
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