Evidence map›Paper›PMID 40340978›Full record

ArticleBMJ open quality2025

Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department?

Christopher L Gross, Corey D Cowgill, Brent A Selph, Jessica M Cowgill, Ziad Saqr, Brandon R Allen, Frederick S Southwick, Charles W Hwang

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Christopher L GrossUniversity of Florida College of Medicine, Gainesville, Florida, USA christopher.lee.gross@gmail.com.ORCID http://orcid.org/0000-0002-4493-576X
Corey D CowgillSchool of Physician Assistant Studies, University of Florida College of Medicine, Gainesville, Florida, USA.
Brent A SelphSchool of Physician Assistant Studies, University of Florida College of Medicine, Gainesville, Florida, USA.
Jessica M CowgillEmergency Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Ziad SaqrUniversity of Florida College of Medicine, Gainesville, Florida, USA.
Brandon R AllenEmergency Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Frederick S SouthwickUniversity of Florida College of Medicine, Gainesville, Florida, USA.ORCID http://orcid.org/0000-0003-4941-8240
Charles W HwangUniversity of Florida College of Medicine, Gainesville, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interdisciplinary communication is a critical component of quality patient care. On emergency medical services (EMS) arrival to the emergency department (ED), the pre-existing opportunity-based reporting (OBR) handoff paradigm may result in disjointed, repetitive and incomplete transition of patient care to the ED, adversely impacting patient care. This quality improvement study was conducted at a tertiary care, academic university hospital ED and evaluated the impact of team-based reporting (TBR) during EMS patient handoff in the ED on several markers of clinical efficiency (CE). The standard OBR handoff protocol was compared with the TBR protocol, which brings the patient's ED care team to bedside shortly after patient arrival, allowing EMS to give a single, synchronous handoff. The use of TBR during prehospital-ED handoffs was associated with statistically and clinically significant improvement across multiple CE quality indicators. A team-based handoff strategy is a low-cost policy intervention that provides meaningful improvements related to CE and quality care.

Indexed as

Efficiency, OrganizationalEmergency Medical ServicesEmergency Service, HospitalPatient Care TeamPatient HandoffAdultFemaleHumansMaleMiddle AgedQuality ImprovementEmergency departmentHand-offPDSAPrehospital careQuality improvement

Identifiers

PMID40340978
PMCPMC12060894

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.