Skip to main content

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

â—Ź Non-usage of the DeMIST model

Knowledge, skills and motivation on:

Incorrect sequence of the DeMIST model

â—Ź How to use the DeMIST for all types of patients (trauma and non-trauma)

â—Ź Difficulties with applying the DeMIST model to trauma and non-trauma patients

â—Ź The correct sequence of DeMIST

● Handover of subjective information/interpretation of information (“patient is stable) instead of objective parameters

â—Ź Usage of objective information

â—Ź The timing of the handover

â—Ź Ambulance crew has the impression that the digital notification is only used for retrieval of patient information and not for monitoring the patient

â—Ź The documentation of handover

â—Ź The advantages of using the DeMIST model in the chain of emergency care

â—Ź Unclear for ambulance crew who is the receiver of the handover at the ED

Pre-test

â—Ź 77.9% of the handovers were structured with the DeMIST model

â—Ź 69.9% of the DeMIST handovers had the correct sequence

â—Ź 73.1% of the handovers took place after patient transfer

â—Ź 49% of the handovers were interrupted by questions from ED-staff

â—Ź 26.9% of the handovers were documented