Assessing clinical handover between paramedics and the trauma team

Evans, Sue; Murray, Angela; Patrick, Ian; Fitzgerald, Mark; Smith, S.; Andrianopoulos, Nick; Cameron, Peter

doi:10.1016/j.injury.2009.07.065

Cited by 61 publications

(54 citation statements)

References 13 publications

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“…Previous research has shown that EMS handoffs are variable in both content and structure, and EMS handoffs often result in the transfer of information many steps removed from the clinical decisionmakers. 17,18,27 Although health systems have begun to implement some policies, such as standardization of data elements to be used in the handoff, most policy recommendations have stopped short of addressing the structural, cultural, and professional contexts in which the patient handoff occurs.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research on EMS-ED transitions has focused on the handover from the receiving clinicians' perspective [12][13][14][15][16] or has used direct observational and simulation methods to assess the content of information (data elements) communicated during EMS-to-ED transitions. [17][18][19][20][21][22] Editor's Capsule Summary…”

Section: Introduction Backgroundmentioning

confidence: 99%

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Optimizing the Patient Handoff Between Emergency Medical Services and the Emergency Department

Meisel

Shea

Peacock

et al. 2015

Annals of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Introduction Backgroundmentioning

confidence: 99%

Optimizing the Patient Handoff Between Emergency Medical Services and the Emergency Department

Meisel

Shea

Peacock

et al. 2015

Annals of Emergency Medicine

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“…HELiCS was designed to provide feedback and if utilised may lead to the development of a clinical handover procedure that is relevant and more effective than is currently practiced in EDs. Previous research has also suggested there may be discordance between what the paramedics document and what is verbally handed over (Evans et al, 2010). One solution to prevent this occurring may be for the ambulance personnel to write pertinent information on a whiteboard prior to or immediately after giving verbal handover.…”

Section: Recommendations For Practice and Researchmentioning

confidence: 99%

“…Miscommunication during clinical handover is acknowledged as a contributing factor to adverse events (Australian Commission on Safety and Quality in Health Care, 2008;Australian Medical Association, 2006) and has subsequently been targeted to improve patient safety in the general hospital setting (Arora et al, 2008;Catchpole et al, 2007;Chaboyer et al, 2008) and in the emergency department (ED) (Evans et al, 2010;Owen et al, 2009;Yong et al, 2008). EDs are chaotic and complex environments which can result in inaccurate or lost information during the handover process (Owen et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Clinical handover of patients arriving by ambulance to a hospital emergency department: A qualitative study

Bost

Crilly

Patterson

et al. 2012

International Emergency Nursing

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“…It has been demonstrated that this is a high risk activity and that important information is lost in the exchange between EMS providers and ED staff. [1][2][3][4][5] Effective transfer of information from paramedics to ED staff may be impeded by multiple factors. It is difficult for paramedics to accurately report all pertinent patient information via a brief verbal handover.…”

Section: Introductionmentioning

confidence: 99%

A prospective evaluation of the availability and utility of the Ambulance Call Record in the emergency department

Cram

McLeod

Lewell

et al. 2016

CJEM

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Objective: To determine how often the Ambulance Call Record (ACR) was available to emergency department (ED) physicians and whether it contained information that changed the ED management of patients. Methods: This was a prospective cohort study of adult patients transported to one of two tertiary care centre EDs. Physicians completed a data collection form for each patient regarding ACR availability and the perceived value of the ACR. This study began shortly after the implementation of a new electronic ACR (eACR) handover process (Round 1). To control for any confounding factors related to this new eACR handover process, the study was repeated 6 months after its implementation (Round 2). Results: Total of 869 forms were collected: 545 in Round 1, and 324 in Round 2. The ACR was available at first physician assessment for 82 (15.7%) patients in Round 1, and 76 (24.4%) patients in Round 2 (Δ8.7%, 95% CI: 3.1%, 14.5%). The ACR was available at some point during patients' ED stay for 154 (28.9%) patients in Round 1, compared to 111 (34.5%) patients in Round 2 (Δ5.6%, 95% CI: 0.0%, 12.1%). When the ACR was available for a patient (n = 265), physicians believed that information in the ACR changed their treatment plan in 76 (28.8%) cases. Conclusion: Physicians who review the ACR believe that the ACR contains relevant information that may influence patient management; however, physicians commonly manage patients without reviewing the ACR. RÉSUMÉObjectifs: L'étude visait à déterminer dans quelle mesure les enregistreurs d'appels d'ambulance (EAA) étaient à la disposition des médecins et si les renseignements fournis influaient sur le traitement des patients au service des urgences (SU). Méthode: Il s'agit d'une étude de cohorte prospective, composée d'adultes transportés à l'un des deux SU de soins tertiaires. Les médecins ont rempli, pour chacun des malades, un formulaire de collecte de données relativement à la présence ou non d'un EAA et à la perception de la valeur de ce type d'appareil. L'étude a commencé peu de temps après la mise en oeuvre d'un processus de transfert de soins à l'aide d'un nouvel EAA électronique (1 re étape). Six mois après la mise en oeuvre du processus de transfert de soins (2 e étape), l'étude a été reprise afin que soit éliminé tout facteur parasite lié à l'utilisation du nouvel EAA électronique.Résultats: Au total, 869 formulaires ont été recueillis : 545 au cours de la 1 re étape et 324 au cours de la 2 e étape. Un EAA était disponible à la première évaluation médicale de 82 (15,7 %) patients au cours de la 1 re étape et de 76 (24,4 %) patients au cours de la 2 e étape (écart [Δ] 8,7 %; IC à 95 % : 3,1 %-14,5 %).Par ailleurs, les médecins avaient la possibilité d'écouter l'EAA à tout moment durant le séjour des patients au SU dans 154 (28,9 %) cas au cours de la 1 re étape et dans 111 (34,5 %) cas au cours de la 2 e étape (Δ 5,6 %; IC à 95 % : 0,0 %-12,1 %). Enfin, les médecins étaient d'avis que, lorsqu'il était possible d'écouter les EAA (n = 265), les renseignements fournis av...

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Assessing clinical handover between paramedics and the trauma team

Cited by 61 publications

References 13 publications

Optimizing the Patient Handoff Between Emergency Medical Services and the Emergency Department

Optimizing the Patient Handoff Between Emergency Medical Services and the Emergency Department

Clinical handover of patients arriving by ambulance to a hospital emergency department: A qualitative study

A prospective evaluation of the availability and utility of the Ambulance Call Record in the emergency department

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