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Table 2 Handover problems identified in the chain of emergency care

From: A tailored e-learning program to improve handover in the chain of emergency care: a pre-test post-test study

Focus group interview Determinants
Non-usage of the DeMIST model Knowledge, skills and motivation on:
Incorrect sequence of the DeMIST model How to use the DeMIST for all types of patients (trauma and non-trauma)
Difficulties with applying the DeMIST model to trauma and non-trauma patients
The correct sequence of DeMIST
Handover of subjective information/interpretation of information (“patient is stable) instead of objective parameters Usage of objective information
The timing of the handover
Ambulance crew has the impression that the digital notification is only used for retrieval of patient information and not for monitoring the patient The documentation of handover
The advantages of using the DeMIST model in the chain of emergency care
Unclear for ambulance crew who is the receiver of the handover at the ED
Pre-test
77.9% of the handovers were structured with the DeMIST model
69.9% of the DeMIST handovers had the correct sequence
73.1% of the handovers took place after patient transfer
49% of the handovers were interrupted by questions from ED-staff
26.9% of the handovers were documented