TY - JOUR
T1 - “PSYCH-PASS”
T2 - the Development, Adaptation, and Implementation of a Psychiatric Handoff
AU - Patel, Dina A.
AU - Arshed, Arslaan
AU - Woulfe, Julie
AU - Knowles, Adam
AU - Ozdoba, Ana
N1 - Publisher Copyright:
© 2019, Academic Psychiatry.
PY - 2019/10/15
Y1 - 2019/10/15
N2 - Objective: The primary purpose of the study was to develop and implement a psychiatry mnemonic PSYCH-PASS for transitions of care in residency training programs. Methods: The authors examined areas of improvement in the handoff system with residency training administration, service directors, and psychiatry residents to create PSYCH-PASS, a novel mnemonic that could be integrated in the electronic medical record (EMR). The components of PSYCH-PASS are Patient summary, Situational awareness, “whY” is the patient here, Comorbidities, Hemodynamics, Pharmacology/PRNs, Action list, Specifics, and Synthesis. The authors developed a 14 question pre- and post-survey with a 4-point Likert scale measuring five categories. Results: Pre-survey and post-surveys completed by post-graduate year 2 and 3 residents at Montefiore Medical Center (n = 24) noted increased satisfaction, handoff efficiency, handoff efficiency, accessibility, accuracy, communication, awareness, and adherence to PSYCH-PASS, along with a decrease in frequency of errors. Conclusions: With promising results across a range of metrics indicating resident-reported positive impacts on patient care, further research on the implementation of PSYCH-PASS and its integration into EMR systems is merited. Future directions include gathering objective data from Epic and expansion of the initiative to other psychiatric services and institutions.
AB - Objective: The primary purpose of the study was to develop and implement a psychiatry mnemonic PSYCH-PASS for transitions of care in residency training programs. Methods: The authors examined areas of improvement in the handoff system with residency training administration, service directors, and psychiatry residents to create PSYCH-PASS, a novel mnemonic that could be integrated in the electronic medical record (EMR). The components of PSYCH-PASS are Patient summary, Situational awareness, “whY” is the patient here, Comorbidities, Hemodynamics, Pharmacology/PRNs, Action list, Specifics, and Synthesis. The authors developed a 14 question pre- and post-survey with a 4-point Likert scale measuring five categories. Results: Pre-survey and post-surveys completed by post-graduate year 2 and 3 residents at Montefiore Medical Center (n = 24) noted increased satisfaction, handoff efficiency, handoff efficiency, accessibility, accuracy, communication, awareness, and adherence to PSYCH-PASS, along with a decrease in frequency of errors. Conclusions: With promising results across a range of metrics indicating resident-reported positive impacts on patient care, further research on the implementation of PSYCH-PASS and its integration into EMR systems is merited. Future directions include gathering objective data from Epic and expansion of the initiative to other psychiatric services and institutions.
KW - Handoff
KW - IPASS
KW - Medical errors
KW - PSYCHPASS
KW - Sign-out
KW - Transitions of care
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UR - http://www.scopus.com/inward/citedby.url?scp=85065423669&partnerID=8YFLogxK
U2 - 10.1007/s40596-019-01068-0
DO - 10.1007/s40596-019-01068-0
M3 - Article
C2 - 31044347
AN - SCOPUS:85065423669
SN - 1042-9670
VL - 43
SP - 503
EP - 506
JO - Academic Psychiatry
JF - Academic Psychiatry
IS - 5
ER -