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

Meisel, Zachary F.; Shea, Judy A.; Peacock, Nicholas; Dickinson, Edward T.; Paciotti, Breah; Bhatia, Roma; Buharin, Egor; Cannuscio, Carolyn C.

doi:10.1016/j.annemergmed.2014.07.003

Cited by 68 publications

(44 citation statements)

References 23 publications

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“…Previous research has reported the desire among EMS personnel for patient-related feedback, 32 which reinforces for them the importance of the care they provide. Our research supports this finding and also identifies the power of negative feedback in discouraging EMS providers and thereby suppressing reporting.…”

Section: Discussionmentioning

confidence: 98%

“…31 We found that EMS providers see themselves as advocates for vulnerable patients, as has been previously reported. 32 This suggests that EMS providers would willingly take on additional responsibility for elder mistreatment assessment and reporting.…”

Section: Discussionmentioning

confidence: 99%

“…32,35 For elder mistreatment victims, the consequences of this information loss may be grave, as ED providers are unlikely to identify elder mistreatment themselves during their brief medical evaluation. This may result in discharge of these vulnerable older adults back into an unsafe environment or into the care of the abuser.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Emergency Medical Services Perspectives on Identifying and Reporting Victims of Elder Abuse, Neglect, and Self-Neglect

Rosen

Lien

Stern

et al. 2017

The Journal of Emergency Medicine

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Background Emergency Medical Services (EMS) providers, who perform initial assessments of ill and injured patients, often in a patient’s home, are uniquely positioned to identify potential victims of elder abuse, neglect, or self-neglect. Despite this, few organized programs exist to ensure EMS concerns are communicated to or further investigated by other health care providers, social workers, or the authorities. Objective To explore attitudes and self-reported practices of EMS providers surrounding identification and reporting of elder mistreatment Methods Five semi-structured focus groups with 27 EMS providers Results Participants reported believing they frequently encountered and were able to identify potential elder mistreatment victims. Many reported infrequently discussing their concerns with other health care providers or social workers and not reporting them to the authorities due to barriers: (1) lack of EMS protocols or training specific to vulnerable elders, (2) challenges in communication with emergency department providers, including social workers, who are often unavailable or not receptive, (3) time limitations, and (4) lack of follow-up when EMS providers do report concerns. Many participants reported interest in adopting protocols to assist in elder protection. Additional strategies included photographically documenting the home environment, additional training, improved direct communication with social workers, a dedicated location on existing forms or new form to document concerns, a reporting hotline, a system to provide feedback to EMS, and community paramedicine. Conclusions EMS providers frequently identify potential victims of elder abuse, neglect, and self-neglect, but significant barriers to reporting exist. Strategies to empower EMS providers and improve reporting were identified.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Emergency Medical Services Perspectives on Identifying and Reporting Victims of Elder Abuse, Neglect, and Self-Neglect

Rosen

Lien

Stern

et al. 2017

The Journal of Emergency Medicine

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show abstract

“…Most studies have focused on handover communication challenges;[10111213141516171819202122] other studies have also stated the importance of coordination between the incoming and outgoing nurses. [232425] Another research showed the importance of using a checklist in handover process and suggested that applying checklist could improve intrahospital transport of intensive care patient to other floors.…”

Section: Discussionmentioning

confidence: 99%

Challenges of patient handover process in healthcare services: A systematic review

Raeisi

Rarani

Soltani

2019

J Edu Health Promot

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“…Vulnerable areas are being specifically targeted for intervention, including standardization of communication during shift handoffs (9,10), and displaying prominently patient's room number on electronic medical records to prevent writing orders and charting on the wrong patient (11).…”

Section: Introductionmentioning

confidence: 99%

Can emergent treatments result in more severe errors?: An analysis of a large institutional near-miss incident reporting database

Gao

Nyflot

Novak

et al. 2015

Practical Radiation Oncology

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

Cited by 68 publications

References 23 publications

Emergency Medical Services Perspectives on Identifying and Reporting Victims of Elder Abuse, Neglect, and Self-Neglect

Emergency Medical Services Perspectives on Identifying and Reporting Victims of Elder Abuse, Neglect, and Self-Neglect

Challenges of patient handover process in healthcare services: A systematic review

Can emergent treatments result in more severe errors?: An analysis of a large institutional near-miss incident reporting database

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