Journal
EMERGENCY MEDICINE AUSTRALASIA
Volume 21, Issue 2, Pages 102-107Publisher
WILEY
DOI: 10.1111/j.1742-6723.2009.01168.x
Keywords
handover; paramedic to emergency department interaction; patient safety; qualitative research
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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. 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. 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. 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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