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Patient handover: time for a change?

Annie Jenkin1, Nadine Abelson-Mitchell, Simon Cooper

  • 1Faculty of Health and Social Work, University of Plymouth, Portland Square Building, Plymouth PL4 8AA, United Kingdom. a.jenkin@plymouth.ac.uk

Accident and Emergency Nursing
|July 10, 2007
PubMed
Summary
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Effective patient handover between ambulance and emergency department staff requires active listening and a two-phase approach for critical cases. Improving handover communication is key to better patient care.

Area of Science:

  • Emergency Medicine
  • Healthcare Communication
  • Patient Safety

Background:

  • Patient handover between ambulance and emergency department (ED) staff is a frequent and critical process.
  • Despite its importance, the handover process has been under-investigated.

Purpose of the Study:

  • To investigate the current process of patient handover between ambulance paramedics and ED staff.
  • To identify areas for improvement in handover communication.

Main Methods:

  • A quantitative, descriptive, cross-sectional survey was conducted in four UK emergency departments and one ambulance service.
  • Questionnaires were distributed to a convenience sample of 101 ambulance paramedics and ED nurses and doctors, with 80 participants (68%) contributing.
  • Data analysis utilized SPSS version 11.5, incorporating both closed and open-ended questions.

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Main Results:

  • A lack of active listening by ED staff can cause frustration for ambulance personnel.
  • Ambulance staff should anticipate repeating handovers, particularly in resuscitation areas.
  • Handovers for critically ill patients benefit from a two-phase approach: immediate essential information followed by further details after initial treatment.

Conclusions:

  • Developing national guidelines for patient handover is recommended.
  • Incorporating handover training into emergency department education curricula is suggested to enhance communication and patient care.