Patient handover: Time for a change?

Jenkin, Annie; Abelson-Mitchell, Nadine; Cooper, Simon

doi:10.1016/j.aaen.2007.04.004

Cited by 74 publications

(85 citation statements)

References 5 publications

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“…It is believed that the ACR may provide ED physicians with valuable patient information because, oftentimes, physicians do not receive handover directly from paramedics or do not retain the information provided by paramedics. 7,8 The ACR may also serve as a reliable reference in the case that information was omitted by paramedics, or forgotten by physicians or nursing staff during 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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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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“…[8] 1.3 Handover in the emergency department In the emergency department, verbal reports from the paramedics to the emergency staff are frequently recurring. [2] However, the quality of reporting between the paramedics and hospital staff varies, depending on the language and choice of words used, the method used for the transmission and the reporting of the patient, and the level of knowledge and experience of those involved. [12] Since each handover situation increases the risk of patient injury a patient is exposed to potential patient safety risks, [11] and for an over-reporting to be safe there are many factors involved, such as how to communicate with each other in a way that important information will be acknowledged, which structure is used, what kind of information the structure supports, how work situations are experienced and individual feelings of responsibility for ones' actions.…”

Section: Communicationmentioning

confidence: 99%

“…[1] Since 2002, WHO's member states work together to improve patient safety and in 2004 a program called WHO Patient Safety was launched to increase patient safety worldwide. US based Institute for Healthcare Improvement [2] has worked more than 25 years to solve problems in health care globally. Australia also has patient safety on the agenda.…”

Section: Patient Safetymentioning

confidence: 99%

“…[11] Lack of structure and guidelines on how the reporting should be done also affect the quality negatively. [10,13] Since information is the cornerstone of continuity and structure, [2] structured communication tools are used to effectively communicate about a patient between health team members in an understandable and correct way. [14] For example, communication tool SBAR, (Situation Background Acute Recommendation) originated in the US Navy and the Crew Resource Management tool from the airline industry, are used in health care settings.…”

Section: Communicationmentioning

confidence: 99%

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The non-verbal communication in handover situations are the spice between the lines, to understand the severity of the patient’s condition

Engstrand

Mattsson²

2016

JNEP

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This is the published version of a paper published in journal of nurse education and practice.Citation for the original published paper (version of record): Mattsson, J. [Year unknown!]The non-verbal communication in handover situationsare the spice between the lines, to understand theseverity of the patient's condition. journal of nurse education and practiceAccess to the published version may require subscription. ABSTRACT Aim: The aim of this study was to investigate emergency nurses' experiences of verbal handover from emergency medical services and through these experiences uncover patient safety issues in the handover situation. Methods: Design: The design is qualitative inductive and aims to deepen the understanding of the handover situation and to uncover the nurses' experiences in such a situation. Methods: A qualitative research process which takes its departure in patient safety theory. Nine informants were interviewed and a content analysis was applied. Results:The results show that a lack of structure, lack of seeing the non-verbal communication, the nurses' own requirement for full control and the lack of active listening involves patient safety risks. Emergency nurses want a handover that is personal and provides a comprehensive picture of the patient to support, deepen or contradict the verbal handover given. Practical implications: The non-verbal communication in the handover situation is key to understand the severity of the situation and give the nurses profane knowledge how to prepare the continuing nursing care. To further support the understanding of the situation, information should be presented in chronological order.

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“…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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Patient handover: Time for a change?

Cited by 74 publications

References 5 publications

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

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

The non-verbal communication in handover situations are the spice between the lines, to understand the severity of the patient’s condition

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

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