The satisfaction regarding handovers between ambulance and emergency department nurses: an observational study Handover of Patients From Prehospital Emergency Services to Emergency Departments(15)
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2018 Netherlands |
Quantitative prospective observational study |
Further research to target the quality of transfers can focus on the use of a standardized protocol. |
The satisfaction of ambulance nurses is mainly affected by the waiting time and the presence of a doctor, while the satisfaction of nurses in the Emergency Department is mainly affected by the use of delivery instruments. |
2 |
Handover of Patients From Prehospital Emergency Services to Emergency Departments: a qualitative analysis based on experiences of nurses(16)
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2018 Spain |
Qualitative descriptive / 12 nurses |
To perform proper patient transfer, the professional must identify himself to the patient's receiving nurse and pass on patient information in the following order: patient identification, reason for referral, past medical history and baseline, if they know each other, procedures performed before arrival and patient response to treatment. The emergency nurse must confirm the correct receipt of all information, repeating it or asking questions and asking for clarification as needed. Verbal communication should always be copied with written material provided by the nurse in the pre-hospital emergency medical service. |
The essential information to be included in patient transfers is: the reason for referral; previous history, including any information relevant to the case; allergies to medications and procedures performed with an emphasis on medication administration; and response to treatment. |
4 |
Perspectives of Patient Handover among Paramedics and Emergency Department Members; a Qualitative Study(17)
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2017 Iran |
Descriptive exploratory / 25 professionals from pre-hospital and in-hospital emergency services, including paramedics and nurses |
Patient transfer is a skill that requires education and practice; therefore, in this sense, in-service education is a priority. |
Designing an appropriate environment, recruiting appropriate labor, providing adequate equipment and clarifying expectations are some strategies to improve patient delivery between pre-hospital and in-hospital services. |
4 |
A review of enhanced paramedic roles during and after hospital handover of stroke, myocardial infarction and trauma patients(18)
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2017 United Kingdom |
Systematic review / no article responded to the objective. 36 studies in the full text phase were selected for narrative review. |
Due to the nature of the studies identified, no strong recommendations can be made about changing the transfer or post admission functions of ambulance paramedics to the hospital for patients with critical time conditions. |
A "new wave" of paramedical research is needed to inform the design of transfer and feedback processes with cost effective and health impact resulting from improved communication and interprofessional sharing of clinical skills. |
4 |
A national research agenda for pre-hospital emergency medical services in the Netherlands: a Delphi-study(19)
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2016 Netherlands |
Survey/ 62 specialists in the field of pre-hospital emergency services |
Qualitative data collection is recommended for researchers when they want to define a research agenda. |
Nine topics were defined as priorities in the research agenda of pre-hospital emergency services: Non-transportation to the hospital (highest ranked); Performance measures for quality of care; Delivery / registration / exchange of patient data; Care and replacement of tasks; Screening; Assessment of acute neurological signs and symptoms; Protocols and adherence to the protocol; Immobilization; and Open / protect by air. |
6 |
Emergency Care Handover (ECHO study) across care boundaries: the need for joint decision making and consideration of psychosocial history(20)
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2015 United Kingdom |
Descriptive exploratory / n = 203 case transfer conversations |
The standardization of transfer needs to accommodate collaborative aspects and must incorporate the communication of information relevant to the patient's social and psychological needs, in order to establish appropriate care arrangements at the first opportunity. |
The transfer of a case can involve both descriptive conversations aimed at transferring information and collaborative conversations aimed at joint decision-making. |
4 |
Managing competing organizational priorities in clinical handover across organizational boundaries(21)
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2015 United Kingdom |
Descriptive exploratory / 39 professionals working in pre-hospital and in-hospital emergency medical services |
Organizations and regulators may consider determining and implementing quality indicators to monitor the effectiveness of interorganizational collaboration. These quality indicators can include patient-focused outcome measures that reflect the entire path, as well as specific process measures across borders. |
The transfer problems that professionals experience in their daily clinical practice are often associated with organizational factors, such as managing patient flows and time-related performance goals. |
4 |
Barriers to implementation of a redesign of information transfer and feedback in acute care: results from a multiple case study(22)
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2014 Netherlands |
Multiple case study / 6 cases |
Future efforts to redesign information and feedback must begin with the establishment of a sense of urgency, and the "unlearning" of a routine should receive the same effort as learning a new one. |
In general, the results of the study show a series of perceived barriers to the implementation of a redesign of information transfer and feedback in acute care. Most barriers were related to organizational routines and lack of a sense of urgency to change the practice. |
4 |
Usage of documented pre-hospital observations in secondary care: a questionnaire study and retrospective comparison of records(23)
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2013 Norway |
Cross-sectional questionnaire and retrospective study / n = 29 professionals of the in-hospital emergency services and n = 501 records |
Several issues must be investigated: for example, the clinical consequences of omitting information and the flow of verbal information and its use in clinical decisions. |
Professional registrars in the Emergency Department prefer verbal case transfer and handwritten prehospital reports based on clinical information; and hardly ever use digitized report forms. They also perceive other doctors' clinical information as more important than information from ambulance teams. Less than half of the potentially important information documented in the available pre-hospital notes is transferred to hospital records. |
4 |
Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members(24)
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2010 Australia |
Descriptive exploratory / 27 professionals among paramedics and members of the emergency team |
Provide frontline doctors with tools and techniques to improve their ability to collect information with minimal burden and deliver it with seamless integration between services in order to improve results. |
Respondents stated that an effective patient transfer was performed in a succinct and structured manner and contained only vital data necessary to direct immediate treatment. |
4 |