Variable | Pre-test (n = 145) | Post-test (n = 167) | p-value X2-test |
---|---|---|---|
n (%) | n (%) | ||
Characteristics | Â | Â | Â |
Patient gender | Â | Â | .797 |
Male | 75 (51.7) | 83 (49.7) | Â |
Female | 70 (48.3) | 73 (43.7) | Â |
Missing* | Â | 10 (6.0) | Â |
Medical specialty | Â | Â | .106 |
Trauma | 32 (22.1) | 25 (15.0) | Â |
Non-trauma | 113 (77.9) | 142 (85.0) | Â |
Urgency | Â | Â | Â |
A1 (within 15Â minutes) | 49 (33.8) | 44 (26.3) | .152 |
A2 (within 30Â minutes) | 81 (55.9) | 93 (55.7) | .975 |
B (low urgency/planned) | 15 (10.3) | 30 (18.0) | .056 |
Primary outcomes | Â | Â | Â |
Handover model used | Â | Â | Â |
DeMIST | 113 (77.9) | 122 (73.1) | .319 |
ABCD | 0 (0.0) | 2 (1.2) | - |
AMPLE | 0 (0.0) | 1 (0.6) | - |
No method/not recognizable | 32 (22.1) | 42 (25.1) | .523 |
Correct sequence of the DeMIST | Â | Â | Â |
Yes | 79 (69.9) | 86 (70.5) | .159 |
No | 34 (30.1) | 24 (19.7) | Â |
No sequence recognizable within DeMIST | - | 12 (9.8) | Â |
Secondary outcomes | Â | Â | Â |
Receiving team composition at start handover | Â | Â | Â |
Physician and nurse | 62 (42.8) | 68 (40.7) | .715 |
Physician later than start | 64 (44.1) | 90 (53.9) | .035** |
Nurse later than start | 18 (12.4) | 9 (5.4) | .055 |
Physician and nurse too late | 1 (0.7) | - | - |
Receivers recognizability | Â | Â | Â |
Optic | 33 (22.8) | 39 (23.4) | .901 |
Verbal | 29 (20.0) | 49 (29.3) | .057 |
Not recognizable | 83 (57,2) | 79 (47.3) | .080 |
Handover given by | Â | Â | Â |
Ambulance nurse | 143 (98.6) | 157 (94.0) | .035** |
Ambulance nurse + ambulance driver | 2 (1.4) | 10 (6.0) |  |
Receiver handover | Â | Â | Â |
ED physician | 19 (13.1) | 26 (15.6) | .553 |
ED nurse | 64 (44.1) | 89 (53.3) | .120 |
ED team(minimum: ED nurse + ED physician) | 61 (42.1) | 52 (31.1) | .040** |
Missing | 1 (0.7) | - | - |
Handover moment | Â | Â | Â |
Before patient transfer | 28 (19.3) | 40 (24.0) | .322 |
During patient transfer | 3 (2.1) | 9 (5.4) | .128 |
After patient transfer | 106 (73.1) | 110 (65.9) | .167 |
Different (patient is to toilet or is in different room) | 8 (5.5) | 8 (4.8) | .772 |
Number of handovers with repetitions | 17 (11.8) | 21 (12.6) | .819 |
Number of handovers with questions | 71 (49.0) | 115 (68.9) | .000** |
Number of handovers with interruptions | 22 (15.2) | 88 (52.7) | .000** |
Number of handover were verification was asked | 22 (15.2) | 19 (11.4) | .322 |
Handover documented | 39 (26.9) | 49 (29.3) | .632 |
Whiteboard | 0 (0.0) | 2 (4.1) | - |
DeMIST form | 1 (2.6) | 3 (6.1) | - |
Patient file | 0 (0.0) | 1 (2.0) | - |
Different*** | 38 (97.4) | 43 (87.8) | .095 |