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

Bost, Nerolie; Crilly, Julia; Patterson, Elizabeth; Chaboyer, Wendy

doi:10.1016/j.ienj.2011.10.002

Cited by 82 publications

(117 citation statements)

References 18 publications

(24 reference statements)

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“…A subsequent ethnographic study found that the quality of handover between ACs and ED nurses appeared to be dependent on staff expectations, prior experience, workload and working relationships. 61 Similar results were found by studies that investigated the transfer of patients from ED to the hospital. In a survey of ED and internal medicine physicians, around 30% of respondents reported that one of their patients had experienced an adverse event or a near-miss following transfer from ED.…”

Section: Handover Across Boundaries Is Of Particular Importance In Emsupporting

confidence: 75%

“…Suggestions for improvement of handover include the adoption of structured communication protocols, 20,51,60,61,63,64 the creation of opportunities for interdisciplinary, interdepartmental and interorganisational collaboration, 60,61 the introduction of IT across departmental and organisational boundaries, 60 and the teaching of appropriate communication skills 20 including shared training programmes across organisations. 61 …”

Section: Improving Handover In Emergency Carementioning

confidence: 99%

“…20,[59][60][61] Studies that have considered handover across a departmental or an organisational boundary found that there are increased co-ordination costs between individuals from different specialties, 60 and that the different information expectations and cultural backgrounds could lead to information ambiguity and situations of unclear allocation of responsibility, 20 putting patients at risk of 'falling between the cracks'. 60 Gobel et al 48 suggest that these are risks created by 'a fragmented health-care system in which there are many people involved each with ambiguously defined responsibilities'.…”

Section: Capacity and Patient Flow Across Boundariesmentioning

confidence: 99%

See 2 more Smart Citations

Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research

Sujan

Spurgeon

Inada-Kim

et al. 2014

Health Services and Delivery Research

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Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work by researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available. Copies of full items can be used for personal research or study, educational, or not-forprofit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). PublisherEditorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: www.netscc.ac.uk/hsdr/ This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its proceeding programmes as project number 10/1007/26. The contractual start date was in April 2011. The final report began editorial review in January 2013 and was accepted for publication in May 2013. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, th...

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Section: Handover Across Boundaries Is Of Particular Importance In Emsupporting

confidence: 75%

Section: Improving Handover In Emergency Carementioning

confidence: 99%

Section: Capacity and Patient Flow Across Boundariesmentioning

confidence: 99%

See 1 more Smart Citation

Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research

Sujan

Spurgeon

Inada-Kim

et al. 2014

Health Services and Delivery Research

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“…27,31 These differing reactions and perspectives can create communication gaps that may accrue throughout the care process with potentially serious impact upon patient safety or treatment appropriateness. 29,32 That said, although we observed that the use of the ePRF could and F o r P e e r R e v i e w 24 sometimes did create additional stress, many paramedics did prefer using it, as against the PRF, while at the same time still wishing to see improvements.…”

Section: Discussionmentioning

confidence: 99%

“…27,28,29,30 Even with more accurate information transfer, there appears to be no path for integrating the information from an ePRF into other hospital records, not least because only a limited number of ED staff have access rights. This leads to fragmentation of patient information.…”

mentioning

confidence: 99%

Factors impeding the effective utilisation of an electronic patient report form during handover from an ambulance to an emergency department

Altuwaijri¹,

Budgen

Maxwell

2018

Health Informatics J

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We investigated the reasons why the transition from paper to electronically formatted records during patient handover between ambulance crews and emergency department staff in a North East England Emergency Department has not always been viewed positively. Interviews with seven paramedics and three emergency department staff were conducted in addition to observations of 74 ambulance staff during 37 handovers in the emergency department. In just over half of the handovers (20), paramedics found it necessary to provide written information to aid emergency department staff, in addition to that recorded electronically. There were a number of issues that impeded the ready utilisation of electronic records in this context. The major factors identified as contributing to this were the choice of system architecture, the design of user interfaces, and the procurement process used by the National Health Service. We have made some suggestions about how the system could evolve from one focused on providing management information to one that also supports operational needs.

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Neurocritical Care: An Overview

Rabelo

Welling

Figueiredo

2021

Neurocritical Care for Neurosurgeons

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

Cited by 82 publications

References 18 publications

Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research

Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research

Factors impeding the effective utilisation of an electronic patient report form during handover from an ambulance to an emergency department

Neurocritical Care: An Overview

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