1. Integrating Research, Quality Improvement, and Medical Education for Better Handoffs and Safer Care: Disseminating, Adapting, and Implementing the I-PASS Program 
Amy J. Starmer, MD, MPH, Nancy D. Spector, MD, Daniel C. West, MD, Rajendu Srivastava, MD, MPH, Theodore C. Sectish, MD, Christopher P. Landrigan, MD, MPH Christopher P. Landrigan, Nancy D. Spector, Amy J. Starmer, Theodore C. Sectish, Rajendu Srivastava, Daniel C. West, Aravind Ajakumar Menon, Arshia Ali, Brenda K. Allair, April D. Allen, Nureddin Almaddah, Claire Alminde, Wilma Alvarado-Little, Elizabeth Anson, Michele Ashland, Marisa Atsatt, Megan Aylor, Jennifer D. Baird, James F. Bale, Dorene Balmer, Aisha Barber, Kevin Barton, Kimberly Bates, Carolyn Beck, Kathleen Berchelmann, Renuka Bhan, Zia Bismilla, Rebecca L. Blankenburg, Aileen Boa-Hocbo, Talya Bordin-Wosk, Michelle Brooks, Sharon Calaman, Julie Campe, Maria Lucia Campos, Debra Chandler, Yvonne Cheung, Amanda Choudhary, Eileen Christensen, Katherine Clark, Maitreya Coffey, Sally Coghlan-McDonald, Ellen Cohen, F. Sessions Cole, Elizabeth Corless, Sharon Cray, Roxi Da Silva, Devesh Dahale, Anuj K. Dalal, Lauren A. Destino, Jonathan Doroshow, Benard Dreyer, Katharine duPont, Steven Eagle, Courtney Edgar-Zarate, Angie Etzenhouser, Jennifer L. Everhart, Angela M. Feraco, Alexandra Ferrer, Paul Galardy, Briana M. Garcia, Maria Gaspar-Oishi, Jenna Goldstein, Brian P. Good, Dionne A Graham, Amanda S. Growdon, LeAnn Gubler, Amy Guiot, Charin Hanlon, Mona Hanna-Attisha, Roben Harris, Helen Haskell, Melvyn Hecht, Rebecca S Hehn, Justin Held, Jennifer H. Hepps, Debra Hillier, Mark Hiraoka, Eric Howell, Christine Hrach, Helen Hughes, Charles Huskins, Scott Kaatz, Vishnu Kanala, Michael Kantrowitz, Peter Kaplan, Deanne Kashiwagi, Rajat Kaul, Carol A. Keohane, Jeremy Kern, Alisa Khan, Nazia Naz S. Khan, Barry Kitch, Irene Kocolas, Lara Kothari, Elizabeth Kruvand, Nicholas Kuzma, Mary Lacy, Michele Lane, Kate Langrish, Christy J.W. Ledford, Laura LeRoux, Kheyandra Lewis, Stuart Lipsitz, Katherine P. Litterer, Joseph O. Lopreiato, Aimee Lyons, Avram Mack, Meghan Mallouk, Christopher G. Maloney, Amanda Mangan, Keith Mann, Peggy Markle, Christine Marrese, David Marseille, Greg Maynard, Bijal Mehta, Fernando Mendoza, Alexandra N. Mercer, Dale Micalizzi, Lisa Mims, Vineeta Mittal, Stephanie Mueller, Thuy L. Ngo, Ann Nolan, Christopher Nyenpan, Maria Obermeyer, Katherine O'Donnell, Jennifer K. O'Toole, Mary Ottolini, Mobola Owolabi, Aarti Patel, Rajesh Patel, Shilpa J. Patel, Catherine Perron, Rita Pickler, Alina Popa, Patrick Reppert, Robert Riss, Justin Roesch, Jayne E. Rogers, Glenn Rosenbluth, Jeffrey M. Rothschild, Lee Sanders, Kimberly Sauder, Jeff Schnipper, Kumiko O Schnock, Amy Scholtz, Barry Seltz, Theresa Serra, Janet Serwint, Samir Shah, Meesha Sharma, Kathleen Sheppard, Arabella Simpkin, Karin A Sloan, Lauren G. Solan, Michael W Southgate, Jaime Blank Spackman, Scott M. Stevens, Adam Stevenson, Windy Stevenson, Anupama Subramony, William Surkis, Sudhagar Thangarasu, E. Douglas Thompson, Cheryl Toole, Laura Trueman, Tanner Trujillo, Lisa Tse, Michael P. Turmelle, Vishwas Vaniawala, Tamara Wagner, Cindy Warnick, John Webster, Mary Webster, Adina Weinerman, Chelsea Welch, Andrew J. White, Matthew F. Wien, Ariel S. Winn, Stephanie Wintch, H. Shonna Yin, Catherine S. Yoon, Clifton E. Yu, Dominick Zampino, Katherine R. Zigmont Amy J. Starmer, MD, MPH, Nancy D. Spector, MD, Daniel C. West, MD, Rajendu Srivastava, MD, MPH, Theodore C. Sectish, MD, Christopher P. Landrigan, MD, MPH Christopher P. Landrigan, Nancy D. Spector, Amy J. Starmer, Theodore C. Sectish, Rajendu Srivastava, Daniel C. West, Aravind Ajakumar Menon, Arshia Ali, Brenda K. Allair, April D. Allen, Nureddin Almaddah, Claire Alminde, Wilma Alvarado-Little, Elizabeth Anson, Michele Ashland, Marisa Atsatt, Megan Aylor, Jennifer D. Baird, James F. Bale, Dorene Balmer, Aisha Barber, Kevin Barton, Kimberly Bates, Carolyn Beck, Kathleen Berchelmann, Renuka Bhan, Zia Bismilla, Rebecca L. Blankenburg, Aileen Boa-Hocbo, Talya Bordin-Wosk, Michelle Brooks, Sharon Calaman, Julie Campe, Maria Lucia Campos, Debra Chandler, Yvonne Cheung, Amanda Choudhary, Eileen Christensen, Katherine Clark, Maitreya Coffey, Sally Coghlan-McDonald, Ellen Cohen, F. Sessions Cole, Elizabeth Corless, Sharon Cray, Roxi Da Silva, Devesh Dahale, Anuj K. Dalal, Lauren A. Destino, Jonathan Doroshow, Benard Dreyer, Katharine duPont, Steven Eagle, Courtney Edgar-Zarate, Angie Etzenhouser, Jennifer L. Everhart, Angela M. Feraco, Alexandra Ferrer, Paul Galardy, Briana M. Garcia, Maria Gaspar-Oishi, Jenna Goldstein, Brian P. Good, Dionne A Graham, Amanda S. Growdon, LeAnn Gubler, Amy Guiot, Charin Hanlon, Mona Hanna-Attisha, Roben Harris, Helen Haskell, Melvyn Hecht, Rebecca S Hehn, Justin Held, Jennifer H. Hepps, Debra Hillier, Mark Hiraoka, Eric Howell, Christine Hrach, Helen Hughes, Charles Huskins, Scott Kaatz, Vishnu Kanala, Michael Kantrowitz, Peter Kaplan, Deanne Kashiwagi, Rajat Kaul, Carol A. Keohane, Jeremy Kern, Alisa Khan, Nazia Naz S. Khan, Barry Kitch, Irene Kocolas, Lara Kothari, Elizabeth Kruvand, Nicholas Kuzma, Mary Lacy, Michele Lane, Kate Langrish, Christy J.W. Ledford, Laura LeRoux, Kheyandra Lewis, Stuart Lipsitz, Katherine P. Litterer, Joseph O. Lopreiato, Aimee Lyons, Avram Mack, Meghan Mallouk, Christopher G. Maloney, Amanda Mangan, Keith Mann, Peggy Markle, Christine Marrese, David Marseille, Greg Maynard, Bijal Mehta, Fernando Mendoza, Alexandra N. Mercer, Dale Micalizzi, Lisa Mims, Vineeta Mittal, Stephanie Mueller, Thuy L. Ngo, Ann Nolan, Christopher Nyenpan, Maria Obermeyer, Katherine O'Donnell, Jennifer K. O'Toole, Mary Ottolini, Mobola Owolabi, Aarti Patel, Rajesh Patel, Shilpa J. Patel, Catherine Perron, Rita Pickler, Alina Popa, Patrick Reppert, Robert Riss, Justin Roesch, Jayne E. Rogers, Glenn Rosenbluth, Jeffrey M. Rothschild, Lee Sanders, Kimberly Sauder, Jeff Schnipper, Kumiko O Schnock, Amy Scholtz, Barry Seltz, Theresa Serra, Janet Serwint, Samir Shah, Meesha Sharma, Kathleen Sheppard, Arabella Simpkin, Karin A Sloan, Lauren G. Solan, Michael W Southgate, Jaime Blank Spackman, Scott M. Stevens, Adam Stevenson, Windy Stevenson, Anupama Subramony, William Surkis, Sudhagar Thangarasu, E. Douglas Thompson, Cheryl Toole, Laura Trueman, Tanner Trujillo, Lisa Tse, Michael P. Turmelle, Vishwas Vaniawala, Tamara Wagner, Cindy Warnick, John Webster, Mary Webster, Adina Weinerman, Chelsea Welch, Andrew J. White, Matthew F. Wien, Ariel S. Winn, Stephanie Wintch, H. Shonna Yin, Catherine S. Yoon, Clifton E. Yu, Dominick Zampino, Katherine R. Zigmont 
Joint Commission Journal on Quality and Patient Safety 
Volume 43, Issue 7, Pages (July 2017)
DOI: /j.jcjq
Copyright © 2017 The Joint Commission Terms and Conditions

2. Figure 1
This figure depicts the main components of the intervention developed for the 2010–2013 multicenter I-PASS Handoff Study of resident physician end-of-shift handoffs.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2017 The Joint Commission Terms and Conditions

3. Figure 2
Since the launch of the website in April 2011, I-PASS curriculum downloads totaled 2,831 in the 50 states in the United States (a) and 643 in 57 other countries (b)—representing more than 500 unique institutions [non-inclusive of study sites].
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2017 The Joint Commission Terms and Conditions

4. Figure 3
The individuals whose downloads are represented in Figure 2 indicated they intended to implement I-PASS across a range of (a) providers: physicians, 51%; nurses, 21%; medical students, 8%; and (b) settings: pediatrics, 18%; internal medicine, 17%; emergency medicine, 8%; surgery, 7%; and several others.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2017 The Joint Commission Terms and Conditions

5. Figure 4
This figure depicts the organizational chart used for the Patient and Family Centered I-PASS Study. The project was overseen by a Coordinating Council, responsible for the oversight of the Scientific Oversight Committee (responsible for refinement of data collection methodologies and analyses), the Education Executive Committee (responsible for oversight of intervention development and implementation), and a team of champions from each participating institution. Each committee was supported by several subcommittees, each subcommittee addressing different measurement components and/or educational/implementation strategies. Patient/family representatives and nurses were integrated into all councils, committees, site teams, and subcommittees. In addition, multiple advisory groups offered content-specific expertise as needed throughout study execution. QI, quality improvement.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2017 The Joint Commission Terms and Conditions

6. Figure 5
This figure depicts a sample organizational chart used for local I-PASS institutional implementation. The chart serves as a tool to faciliate organization of team members and delegation of leadership roles to ensure adequate oversight and implementation of all I-PASS Handoff Bundle components. CMO, chief medical officer; CMIO, chief medical information officer; DIO, Designated Institutional Official; IT, information technology; EHR, electronic health record; MOC, maintenance of certification.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2017 The Joint Commission Terms and Conditions

7. Members of the I-PASS Study Group Executive Council include from left to right: Rajendu Srivastava, MD, MPH; Nancy D. Spector, MD; Christopher P. Landrigan, MD, MPH; Amy J. Starmer, MD, MPH; Theodore C. Sectish, MD; and Daniel C. West, MD.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2017 The Joint Commission Terms and Conditions