Table 1.
Theme | Count | % | Sample Comment |
---|---|---|---|
Reinforcing | |||
Complete I-PASS mnemonic format* | 37 | 28 | “Good summary for both a ‘simple’ and ‘complex’ case. Used the I-PASS acronym tool well to ensure all components used.” |
Concise handoff* | 32 | 24 | “Very concise patient summaries and plans.” |
Clear handoff* | 29 | 22 | “Clear summary of patients’ [sic] underlying problem and acute issues provided receiver with understanding that allowed development of clear plan.” |
Good synthesis† | 23 | 17 | “Consistent thorough receiver synthesis.” |
Other‡ | 44 | 33 | “Good discussion of plan.” |
Corrective | |||
Omission of mnemonic elements‡ | 38 | 34 | “Illness severity should consistently be stated at the beginning of the sign-out.” |
Lack of clarity in mnemonic components* | 29 | 26 | “Contingency plan should be more specific.” |
None‡ | 20 | 18 | “No corrections needed.” |
Lack of conciseness* | 11 | 10 | “Could consider even more succinct summary.” |
Other‡ | 16 | 14 | “Handoff conducted in loud workroom, which may contribute to miscommunications.” |
Some comments included more than one theme. “Other” refers to 10 reinforcing and 4 corrective themes each representing <10% of comments.
*Giver-related theme.
†Receiver-related theme.
‡Both.