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Quality of the handover of patient care: a comparison of pre-hospital and emergency department notes

Quality of the handover of patient care: a comparison of pre-hospital and emergency department notes
Quality of the handover of patient care: a comparison of pre-hospital and emergency department notes
Aim
The aim of this audit was to evaluate the accuracy of patient information transfer from pre-hospital reports to Emergency Department (ED) documentation.

Methods
The records of 100 patients seen in the ED resuscitation room of a UK hospital were compared using a pro-forma designed by the research team. Sections of the ambulance service patient report form and the ED documentation were compared for differences. The history of the event leading to the 999 call, the patient’s previous medical history, prescribed medications, allergies and any treatment carried out by the ambulance crew were analysed.

Results
Of the 100 records, 26 had at least one instance where information recorded by the ambulance crew was either omitted or altered during transfer. These fell into various categories including the previous medical history of the patient, the timings of the event bringing them to hospital, frequency of the event occurring, allergies and medications.

Conclusion
This audit quantifies the number of patient encounters where written information changes or is lost when care is passed from pre-hospital to hospital staff in the resuscitation room. We have not investigated other parts of the ED or the verbal transfer of information. Further work investigating the causes of these changes in information, any impact on patient care and whether this occurs in other parts of an ED is suggested.
handover, patient care, emergency care, ambulances
1755-599X
24-27
Murray, Stephen L.
c63cd430-c2f2-4d31-aa2f-2dd85824ecae
Crouch, Robert
7f98a42e-ee34-4520-ab33-83cd3acf05b7
Ainsworth-Smith, Mark
768b81d5-a442-4007-9dba-3d284f778c02
Murray, Stephen L.
c63cd430-c2f2-4d31-aa2f-2dd85824ecae
Crouch, Robert
7f98a42e-ee34-4520-ab33-83cd3acf05b7
Ainsworth-Smith, Mark
768b81d5-a442-4007-9dba-3d284f778c02

Murray, Stephen L., Crouch, Robert and Ainsworth-Smith, Mark (2012) Quality of the handover of patient care: a comparison of pre-hospital and emergency department notes. International Emergency Nursing, 20 (1), 24-27. (doi:10.1016/j.ienj.2010.09.004). (PMID:22243714)

Record type: Article

Abstract

Aim
The aim of this audit was to evaluate the accuracy of patient information transfer from pre-hospital reports to Emergency Department (ED) documentation.

Methods
The records of 100 patients seen in the ED resuscitation room of a UK hospital were compared using a pro-forma designed by the research team. Sections of the ambulance service patient report form and the ED documentation were compared for differences. The history of the event leading to the 999 call, the patient’s previous medical history, prescribed medications, allergies and any treatment carried out by the ambulance crew were analysed.

Results
Of the 100 records, 26 had at least one instance where information recorded by the ambulance crew was either omitted or altered during transfer. These fell into various categories including the previous medical history of the patient, the timings of the event bringing them to hospital, frequency of the event occurring, allergies and medications.

Conclusion
This audit quantifies the number of patient encounters where written information changes or is lost when care is passed from pre-hospital to hospital staff in the resuscitation room. We have not investigated other parts of the ED or the verbal transfer of information. Further work investigating the causes of these changes in information, any impact on patient care and whether this occurs in other parts of an ED is suggested.

Full text not available from this repository.

More information

e-pub ahead of print date: 28 December 2010
Published date: January 2012
Keywords: handover, patient care, emergency care, ambulances
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 366238
URI: http://eprints.soton.ac.uk/id/eprint/366238
ISSN: 1755-599X
PURE UUID: 51670f8a-8118-4262-9a88-4a6bcd0c98ba

Catalogue record

Date deposited: 30 Jun 2014 10:21
Last modified: 16 Jul 2019 21:02

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