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 | ● 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 |