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Lost in Translation: Maximising handover effectiveness between paramedics and receiving staff in the emergency department

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Owen, C, Hemmings, L and Brown, T 2009 , 'Lost in Translation: Maximising handover effectiveness between paramedics and receiving staff in the emergency department' , Emergency Medicine Australasia, vol. 21, no. 2 , doi: 10.1111/j.1742-6723.2009.01168.x.

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Abstract

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

Item Type: Article
Authors/Creators:Owen, C and Hemmings, L and Brown, T
Keywords: handover, paramedic to emergency department interaction, patient safety, qualitative research
Journal or Publication Title: Emergency Medicine Australasia
ISSN: 1742-6731
DOI / ID Number: 10.1111/j.1742-6723.2009.01168.x
Additional Information:

The definitive version is available at www.blackwell-synergy.com

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