Handover methods between local emergency medical services and Accident and Emergency: is there a gold standard? a scoping review.

Guasconi, Massimo, Bonacaro, Antonio, Tamagnini, Emanuele, Biiral, Silvia, Brigliadori, Linda, Borioni, Sabrina, Collura, Daniele, Fontana, Sara, Ingallina, Giulia, Bassi, Maria Chiara, Lucenti, Enrico and Artioli, Giovanna (2022) Handover methods between local emergency medical services and Accident and Emergency: is there a gold standard? a scoping review. ACTA Biomedica Health Professions, 93 (4). pp. 1-11. ISSN 0392-4203

abm-13515.pdf - Published Version
Available under License Creative Commons Attribution.

Download (551kB) | Preview


Background: Pre-hospital emergency medical systems do not appear to work totally coordinated with Accident and Emergency (A&E).Often, patient admission to A&E is marked by scarce attention to the handover between the respective healthcare professionals. This phenomenon is potentially dangerous because it exposes patients to the risk of errors in a context where the patients’ critical or progressing conditions must not be worsened by avoidable errors of communication between professionals. Objectives: to describe the evidence concerning handover between local emergency medical services and A&E. Eligibility criteria: pre- hospital emergency medical and A&E professionals, setting defined as within A&E, articles on pre-hospital to A&E handover. Sources of evidence: PubMed and CINAHL Complete databases. Grey literature. Charting Methods: the results are displayed in tables according to ‘Title’, ‘Design’, ‘Country’, ‘Population’, ‘Concept’, ‘Context’ and ‘Results’. Results: 10 studies were included. The following themes emerged: communication and interpersonal issues, secondary risks, need for staff training, the use of structured methods, information tech- nology support. Conclusions: There is a gap in the literature. Issues regarding communication, differing ideas of what should be considered as priority, interpersonal relationships and trust between staff working for different services emerge. Connected with this there are structural problems such as shortage of suitable spaces and lack of staff training. The use of structured mnemonic methods, including computerized ones, seems to improve the quality of handovers, but to date it has not been possible to establish which method would be better than another. Further studies are recommended.

Item Type: Article
Uncontrolled Keywords: prehospital, handoff, handover, methods, accident, emergency
Subjects: R Medicine > RT Nursing
R Medicine > RZ Other systems of medicine
Divisions: Faculty of Health & Science > Department of Nursing Studies
Depositing User: Antonio Bonacaro
Date Deposited: 02 Sep 2022 10:00
Last Modified: 02 Sep 2022 10:00
URI: https://oars.uos.ac.uk/id/eprint/2676

Actions (login required)

View Item View Item


Downloads per month over past year