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Communication in Sudden-Onset Major Incidents: Patterns and Challenges-Scoping Review
Peter Martin Hansen1,2,3, Søren Mikkelsen4,3,5, Marius Rehn5,6,7,8
1The Mobile Emergency Care Unit, Department of Anesthesiology and Intensive Care, Odense University Hospital Svendborg, Svendborg, Denmark.
Objective:
To identify and describe patterns and challenges in communication in sudden-onset major incidents.
Methods:
Systematic scoping review according to Joanna Briggs Institute and PRISMA-ScR guidelines. Data sources included Cochrane Library, EMBASE, PubMed/MEDLINE, Scopus, SweMed+, Web of Science, and Google Scholar. Non-indexed literature was searched as well. The included literature went through data extraction and quality appraisal as per pre-registered protocol.
Results:
The scoping review comprised 32 papers from different sources. Communication breakdown was reported in 25 (78.1%) of the included papers. Inter-authority communication challenges were reported in 18 (56.3%) of the papers. System overload and incompatibility was described in 9 papers (28.1%). Study design was clearly described in 30 papers (93.8%).
Conclusions:
The pattern in major incident communication is reflected by frequent breakdowns with potential and actual consequences for patient survival and outcome. The challenges in communication are predominantly inter-authority communication, system overload and incompatibility, and insufficient pre-incident planning and guidelines.
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