Table 3 Perceived barriers to prehospital handover
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 |