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Developing a Patient-Centered ISHAPED Handoff With Patient/Family and Parent Advisory Councils

Friesen, Mary Ann PhD, RN, CPHQ; Herbst, Anna MSN, RN; Turner, Jeanine Warisse PhD; Speroni, Karen Gabel PhD, RN; Robinson, James PhD

doi: 10.1097/NCQ.0b013e31828b8c9c

Our hospital system used Lean strategies to develop a new process for the change-of-shift bedside handoff titled ISHAPED (I = Introduce, S = Story, H = History, A = Assessment, P = Plan, E = Error Prevention, and D = Dialogue). Several teams collaborated with a Parent Advisory Council and a Patient/Family Advisory Council to design a study to explore patient perceptions of the handoff. The findings from the study along with recommendations from the councils were used to develop education modules on implementing patient-centered handoffs.

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Inova Falls Church, Virginia (Drs Friesen and Speroni and Ms Herbst); Georgetown University, Washington, District of Columbia (Dr Turner); and University of Dayton, Dayton, Ohio (Dr Robinson).

Correspondence: Mary Ann Friesen, PhD, RN, CPHQ, Inova, System Office, 8110 Gatehouse Rd, Falls Church, VA 22042 (

This study is funded in part by the Picker Institute Always Events® Challenge Program.

The authors thank Maureen Swick, Senior Vice President/Chief Nurse Executive, Inova, and Angela Servidio, Barbara Slivers, Sigrid Butler, Karen Hicks, Cynthia Earley, Jackie Wavelet, Colleen Brooks, Elizabeth Samuel, and Asher Beckwitt.

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: February 1, 2013

Published online before print: March 22, 2013

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins