INTRODUCING I-PASS: A STRUCTURED COMMUNICATION TOOL FOR MYCHART MESSAGE MANAGEMENT.
Significance & Background: Currently, our organization's Cancer Center Clinics lack a standardized process for handling MyChart messages. Both nurses and physicians have voiced concerns about inefficiencies, including message delays and loss due to limited staffing and busy clinic schedules. Nurses...
| Publicado en: | Oncology Nursing Forum Vol. 53; no. 2; p. 243 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Oncology Nursing Society
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194211529&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194211529 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0190535X 4F0 jtl: Oncology Nursing Forum issn: 0190535X maglogo: N pubinfo: dt: Mar2026 vid: 53 iid: 2 pid: 12496 pub: Oncology Nursing Society place: Pittsburgh, Pennsylvania artinfo: ui: 194211529 10.1188/26.ONF.e26535271 194211529 ppf: 243 ppct: 0 formats: fmt: @attributes: type: P tig: atl: INTRODUCING I-PASS: A STRUCTURED COMMUNICATION TOOL FOR MYCHART MESSAGE MANAGEMENT. aug: au: Page, Sandy J. Stein, Charlene E. Freeman, Donna Phillips, Elizabeth J. Lewis, Mari Ann Wood, Calli affil: MSN, RN, OCN, UTSW, Dallas, TX sug: ab: Significance & Background: Currently, our organization's Cancer Center Clinics lack a standardized process for handling MyChart messages. Both nurses and physicians have voiced concerns about inefficiencies, including message delays and loss due to limited staffing and busy clinic schedules. Nurses often forward messages to providers without initial review, contributing to provider workload. This gave insight to the Cancer Center that nurses were not practicing to the top of their scope. Pre-implementation surveys revealed that providers view MyChart messages as a major burden and a delegable task. Nurses shared similar frustrations. These findings underscore the need for a more efficient workflow to improve job satisfaction and patient safety. A literature review supports the use of I-PASS--Illness Severity, Patient Summary, Action List, Situation Awareness, and Synthesis by Receiver--as a structured handoff tool that enhances communication and reduces errors. Before implementation, MyChart messages were the top time-consuming task for clinical staff and the most preferred task for delegation by providers. Project Purpose: This initiative aims to reduce patient safety risks by implementing a standardized handoff process between RNs and providers using the I-PASS framework. Interventions: A MyChart Taskforce was created as part of a Clinic Optimization Initiative. Members included frontline nurses, physicians, APPs, supervisors, the CCOB Director, and Patient and Family Advisory Committee representatives. The team analyzed survey data and used a fishbone diagram to identify root causes of communication breakdowns. Based on findings and supporting evidence, I-PASS was selected as the preferred handoff tool. A pilot began on June 9, 2025, in Breast Medical Oncology and Genitourinary Oncology clinics. Staff received in-per- son training, including RNs, APPs, providers, the NPD Practitioner, and EPIC Workflow Informaticist. Smart phrases were developed to facilitate I-PASS documentation in EPIC. Weekly check-ins supported real-time feedback and adjustments. Results: Implementation challenges arose due to existing workflow limitations. Despite this, both pilot clinics recognized the value of I-PASS and reported improvements in communication. The taskforce plans to revisit I-PASS integration alongside updates to triage documentation. Discussion: Although I-PASS has demonstrated benefits in reducing safety events and improving staff satisfaction, successful adoption depends on refining clinic workflows--particularly triage documentation. The next step is to reassess and reintroduce I-PASS once these foundational changes are in place. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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