Skip to main content

Table 5 Handover from ambulance to ED (O1)

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

Variable

Pre-test (n = 145)

Post-test (n = 167)

p-value X2-test

n (%)

n (%)

Characteristics

   

Patient gender

  

.797

Male

75 (51.7)

83 (49.7)

 

Female

70 (48.3)

73 (43.7)

 

Missing*

 

10 (6.0)

 

Medical specialty

  

.106

Trauma

32 (22.1)

25 (15.0)

 

Non-trauma

113 (77.9)

142 (85.0)

 

Urgency

   

A1 (within 15 minutes)

49 (33.8)

44 (26.3)

.152

A2 (within 30 minutes)

81 (55.9)

93 (55.7)

.975

B (low urgency/planned)

15 (10.3)

30 (18.0)

.056

Primary outcomes

   

Handover model used

   

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

   

Yes

79 (69.9)

86 (70.5)

.159

No

34 (30.1)

24 (19.7)

 

No sequence recognizable within DeMIST

-

12 (9.8)

 

Secondary outcomes

   

Receiving team composition at start handover

   

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

   

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

   

Ambulance nurse

143 (98.6)

157 (94.0)

.035**

Ambulance nurse + ambulance driver

2 (1.4)

10 (6.0)

 

Receiver handover

   

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

   

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

  1. *The gender was not registered for 10 patients, this could not be retrieved.
  2. **Significant difference.
  3. ***Glove, napkin, sheet, paper.