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      Clinical handover of patients arriving by ambulance to the emergency department – A literature review

      , , ,   ,
      International Emergency Nursing
      Elsevier BV

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          Abstract

          To provide a critical review of research on clinical handover between the ambulance service and emergency department (ED) in hospitals. Data base and hand searches were conducted using the keywords ambulance, handover, handoff, emergency department, emergency room, ER, communication, and clinical handover. Data were extracted, summarised and critically assessed to provide evidence of current clinical handover processes. From 252 documents, eight studies fitted the inclusion criteria of clinical handover and the ambulance to ED patient transfer. Three themes were identified in the review: (1) important information may be missed during clinical handover; (2) structured handovers that include both written and verbal components may improve information exchange; (3) multidisciplinary education about the clinical handover process may encourage teamwork, a shared common language and a framework for minimum patient information to be transferred from the ambulance service to the hospital ED. Knowledge gaps exist concerning handover information, consequences of poor handover, transfer of responsibility, staff perception of handovers, staff training and evaluation of recommended strategies to improve clinical handover. Evidence of strategies being implemented and further research is required to examine the ongoing effects of implementing the strategies. Copyright © 2009 Elsevier Ltd. All rights reserved.

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          Author and article information

          Journal
          International Emergency Nursing
          International Emergency Nursing
          Elsevier BV
          1755599X
          October 2010
          October 2010
          : 18
          : 4
          : 210-220
          Article
          10.1016/j.ienj.2009.11.006
          20869662
          45cce4a3-fe6a-439c-8e95-eb75e3ec1a60
          © 2010

          https://www.elsevier.com/tdm/userlicense/1.0/

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