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Lost in Translation: Maximising handover effectiveness between paramedics and receiving staff in the emergency department
Owen, C and Hemmings, L and Brown, T (2009) Lost in Translation: Maximising handover effectiveness between paramedics and receiving staff in the emergency department. Emergency Medicine Australasia, 21 (2). ISSN 1742-6731
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Objective: The purpose of this study is to investigate perceptions by paramedics and hospital receiving staff about what enables and constrains handover in the emergency department.
Methods: This is a qualitative study of interviews with 19 paramedics, 15 nurses and 16 doctors (n=50) from ambulance services and emergency departments in 2 states of Australia.
Results: Three main themes emerged that were evident at both sites and in the 3 professional groups. These were: difficulties in creating a shared cognitive picture, tensions between ‘doing’ and ‘listening’, and fragmenting communication.
Conclusion: Recommendations arising from this 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 standardised approach to handover from paramedics to ED receiving staff
|Keywords:||handover, paramedic to emergency department interaction, patient safety, qualitative research|
|Journal or Publication Title:||Emergency Medicine Australasia|
|Identification Number - DOI:||10.1111/j.1742-6723.2009.01168.x|
The definitive version is available at www.blackwell-synergy.com
|Date Deposited:||20 Nov 2008 22:41|
|Last Modified:||18 Nov 2014 03:52|
|Item Statistics:||View statistics for this item|
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