Lost in translation: maximizing handover effectiveness between paramedics and receiving staff in the emergency department.
Emergency medicine Australasia · 2009-04-01 · Qualitative study
Abstract
OBJECTIVE: The purpose of the present study is to investigate perceptions by paramedics and hospital receiving staff about what enables and constrains handover in the ED. METHODS: This is a qualitative study of interviews with 19 paramedics, 15 nurses and 16 doctors (n = 50) from ambulance services and ED in two states of Australia. RESULTS: Three main themes emerged that were evident at both sites and in the three professional groups. These were: difficulties in creating a shared cognitive picture, tensions between 'doing' and 'listening' and fragmenting communication. CONCLUSION: Recommendations arising from the present study as to how handover could be improved are the need for a common language between paramedics and staff in the ED, for shared experiences and understanding between the members of the team and for the development of a standardized approach to handover from paramedics to ED receiving staff.
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Tags
Clinician perspective · Communication & handover · Paramedics & EMTs · Teamwork & human factors
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