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Assessing North Texas Regional Trauma Handoffs: A Multicenter Mixed-Methods Needs Assessment.

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Summary
This summary is machine-generated.

Emergency Medical Services (EMS) handoffs have frequent issues like interruptions. This study found providers desire standardized handoffs, highlighting needs in education and protocol enforcement for better patient care.

Keywords:
Emergency medical services handoffNeeds assessmentNontechnical skillsRegionalizationTrauma resuscitationTrauma video review

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Area of Science:

  • Emergency Medicine
  • Trauma Care
  • Healthcare Communication

Background:

  • Trauma video reviews reveal frequent problems in Emergency Medical Services (EMS) handoffs, including interruptions and incomplete information transfer.
  • Effective patient handoffs are critical for ensuring continuity of care and patient safety in trauma settings.

Purpose of the Study:

  • To conduct a regional needs assessment of EMS handoff perceptions and expectations.
  • To identify key areas for improving EMS handoff processes and guide future standardization efforts.

Main Methods:

  • A multidisciplinary team developed an anonymous survey distributed to trauma providers across multiple institutions.
  • Qualitative data were analyzed using content analysis, and quantitative data were summarized using descriptive statistics.

Main Results:

  • A total of 249 responses were received from nurses, EMS personnel, and physicians.
  • Overall handoff quality was rated well (median 4/5), but significant variability existed between institutions.
  • Key information for handoffs included mechanism, vital signs, Glasgow Coma Scale, and injury location.
  • Most receiving providers (78%) interrupted handoffs, and 66% of EMS clinicians found this disruptive.
  • Top improvement areas identified were environment, communication, information relayed, team dynamics, and care flow.

Conclusions:

  • Despite general satisfaction, 84% of EMS clinicians reported significant variability in handoffs across institutions.
  • Identified gaps in standardization include exposure, education, and enforcement of handoff protocols.
  • Standardizing EMS handoffs is crucial to improve information transfer and patient outcomes.