“PSYCH-PASS”

the Development, Adaptation, and Implementation of a Psychiatric Handoff

Dina A. Patel, Arslaan Arshed, Julie M. Woulfe, Adam B. Knowles, Ana Ozdoba

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalAcademic Psychiatry
DOIs
StatePublished - Jan 1 2019

Fingerprint

Psychiatry
Electronic Health Records
resident
Internship and Residency
psychiatry
electronics
Patient Transfer
efficiency
pharmacology
comorbidity
patient care
Comorbidity
director
training program
Patient Care
Hemodynamics
Communication
graduate
Pharmacology
Education

Keywords

  • Handoff
  • IPASS
  • Medical errors
  • PSYCHPASS
  • Sign-out
  • Transitions of care

ASJC Scopus subject areas

  • Education
  • Psychiatry and Mental health

Cite this

“PSYCH-PASS” : the Development, Adaptation, and Implementation of a Psychiatric Handoff. / Patel, Dina A.; Arshed, Arslaan; Woulfe, Julie M.; Knowles, Adam B.; Ozdoba, Ana.

In: Academic Psychiatry, 01.01.2019.

Research output: Contribution to journalArticle

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