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Table 3 Perceived barriers to prehospital handover

From: Critcomms: a national cross-sectional questionnaire based study to investigate prehospital handover practices between ambulance clinicians and specialist prehospital teams in Scotland

Variable measured (listed in order of frequency) All Mean (Standard Deviation) Road Crews (Standard Deviation) Specialist Teams All Median (IQR) Road Crews (n = 116) Median (IQR) Specialist Teams Median (IQR) Difference between Groups p value (U)
Interruptions 3.26 (.813) 3.21 (.818) 3.35 (.801) 3.00 (2–3) 3 (2–3) 3 (3–4) .224
Variability in handover mnemonic 3.09 (.953) 2.97 (.950) 3.28 (.929) 3.00 (2–4) 3 (2–4) 3 (3–4) .034*
Lack of co-ordination between responders 3.09 (.761) 3.04 (.773) 3.16 (.741) 3.00 (3–4) 3 (3–4) 3 (3–4) .222
Lack of structured process 3.07 (.879) 2.95 (.863) 3.26 (.877) 3.00 (2–4) 3 (2–4) 3 (3–4) .022*
Lack of clear professional lead 3.01 (.813) 2.94 (.816) 3.11 (.804) 3.00 (2–4) 3 (2–3) 3 (3–4) .141
Poor verbal communication 2.97 (.856) 2.90 (.882) 3.08 (.807) 3.00 (2–3) 3 (2–3) 3 (3–4) .090
Absence of written clinical information 2.96 (.844) 2.91 (.875) 3.05 (.792) 3.00 (2–4) 3 (2–3) 3 (2.75–4) .228
Hazards relating to the TYPE of incident 2.75 (.860) 2.66 (.814) 2.89 (.915) 3.00 (2–4) 3 (2–3) 3 (2–4) .064
Environmental hazards 2.74 (.791) 2.62 (.798) 2.93 (.746) 3.00 (2–3) 3 (2–3) 3 (2–3) .004*
Multi-agency involvement: too many 2.74 (.853) 2.71 (.856) 2.77 (.853) 3.00 (2–3) 3 (2–3) 3 (2–3) .943
Difficulties in triage priorities during multi-casualty incident 2.67 (.795) 2.59 (.807) 2.79 (.763) 3.00 (2–3) 3 (2–3) 3 (2–3) .204
Inappropriate location of handover 2.54 (.784) 2.46 (.832) 2.67 (.853) 3.00 (2–3) 3 (2–3) 3 (2–3) .106
Lack of professionalism 2.54 (.872) 2.58 (.886) 2.49 (.852) 2.00 (2–3) 2 (2–3) 2 (2–3) .673
Handover timing too early 2.48 (.762) 2.43 (.829) 2.54 (.645) 2.00 (2–3) 2 (2–3) 3 (2–3) .354
Handover timing too late 2.40 (.783) 2.33 (.814) 2.50 (.726) 2.00 (2–3) 2 (2–3) 2.5 (2–3) .117
  1. p value obtained with Mann-Whitney U test; * donates a significant difference between RBAC and SPHT