ArticleEmergency medicine journal : EMJ2015
Emergency Care Handover (ECHO study) across care boundaries: the need for joint decision making and consideration of psychosocial history.
Article in Emergency medicine journal : EMJ, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed.
- Eight human factors and ergonomics principles for healthcare artificial intelligence.BMJ health & care informatics · 2022Article
- An Incomplete Medical Record: Transfer of Care From Emergency Medical Services to the Emergency Department.Cureus · 2022Article
- Assessing the quality of patient handovers between ambulance services and emergency department - development and validation of the emergency department human factors in handover tool.BMC emergency medicine · 2022Article
- Understanding the Effect of Electronic Prehospital Medical Records in Ambulances: A Qualitative Observational Study in a Prehospital Setting.International journal of environmental research and public health · 2021Observational
- Human factors challenges for the safe use of artificial intelligence in patient care.BMJ health & care informatics · 2019Article
- Implementing standardized, inter-unit communication in an international setting: handoff of patients from emergency medicine to internal medicine.Internal and emergency medicine · 2018Article
- Prevalence and predictors of hospital prealerting in acute stroke: a mixed methods study.Emergency medicine journal : EMJ · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundInadequate handover in emergency care is a threat to patient safety. Handover across care boundaries poses particular problems due to different professional, organisational and cultural backgrounds. While there have been many suggestions for standardisation of handover content, relatively little is known about the verbal behaviours that shape handover conversations. This paper explores both what is communicated (content) and how this is communicated (verbal behaviours) during different types of handover conversations across care boundaries in emergency care.
methodsThree types of interorganisational (ambulance service to emergency department (ED) in 'resuscitation' and 'majors' areas) and interdepartmental handover conversations (referrals to acute medicine) were audio recorded in three National Health Service EDs. Handover conversations were segmented into utterances. Frequency counts for content and language forms were derived for each type of handover using Discourse Analysis. Verbal behaviours were identified using Conversation Analysis.
results203 handover conversations were analysed. Handover conversations involving ambulance services were predominantly descriptive (60%-65% of utterances), unidirectional and focused on patient presentation (75%-80%). Referrals entailed more collaborative talk focused on the decision to admit and immediate care needs. Across all types of handover, only 1.5%-5% of handover conversation content related to the patient's social and psychological needs.
conclusionsHandover may entail both descriptive talk aimed at information transfer and collaborative talk aimed at joint decision-making. Standardisation of handover needs to accommodate collaborative aspects and should incorporate communication of information relevant to the patient's social and psychological needs to establish appropriate care arrangements at the earliest opportunity.
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Registered trials
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