Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/27501
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dc.contributor.authorFitzpatrick, Daviden_UK
dc.contributor.authorMaxwell, Douglasen_UK
dc.contributor.authorCraigie, Alanen_UK
dc.date.accessioned2018-07-18T11:56:17Z-
dc.date.available2018-07-18T11:56:17Z-
dc.date.issued2018-06-25en_UK
dc.identifier.other16en_UK
dc.identifier.urihttp://hdl.handle.net/1893/27501-
dc.description.abstractBackground Poor communication during patient handover is recognised internationally as a root cause of a significant proportion of preventable deaths. Data used in handover is not always easily recorded using ambulance based tablets, particularly in time-critical cases. Paramedics have therefore developed pragmatic workarounds (writing on gloves or scrap paper) to record these data. However, such practices can conflict with policy, data recorded can be variable, easily lost and negatively impact on handover quality. Methods This study aimed to measure the feasibility and acceptability of a novel, low tech intervention, designed to support clinical information recording and delivery during pre-alert and handover within the pre-hospital and ED setting. A simple pre and post-test design was used with a historical control. Eligible participants included all ambulance clinicians based at one large city Ambulance Station (n = 69) and all nursing and physician staff (n = 99) based in a city Emergency Department. Results Twenty five (36%) ambulance clinicians responded to the follow-up survey. Most felt both the pre-alert and handover components of the card were either 'useful-very useful' (n = 23 (92%); and n = 18 (72%) respectively. Nineteen (76%) used the card to record clinical information and almost all (n = 23 (92%) felt it 'useful' to 'very useful' in supporting pre-alert. Similarly, 65% (n = 16) stated they 'often' or 'always' used the card to support handover. For pre-alert information there were improvements in the provision of 8/11 (72.7%) clinical variables. ​ Results from the post-test survey measuring ED staff (n = 37) perceptions of handover demonstrated small (p < 0.05) improvements in handover in 3/5 domains measured. Conclusion This novel low-tech intervention was highly acceptable to ambulance clinician participants, improving their data recording and information exchange processes. However, further well conducted studies are required to test the impact of this intervention on information exchange during pre-alert and handover.en_UK
dc.language.isoenen_UK
dc.publisherSpringer Natureen_UK
dc.relationFitzpatrick D, Maxwell D & Craigie A (2018) The feasibility, acceptability and preliminary testing of a novel, low-tech intervention to improve pre-hospital data recording for pre-alert and handover to the Emergency Department. BMC Emergency Medicine, 18 (1), Art. No.: 16. https://doi.org/10.1186/s12873-018-0168-3en_UK
dc.rights© The Author(s). 2018 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectParamedicen_UK
dc.subjectAmbulanceen_UK
dc.subjectEmergency departmenten_UK
dc.subjectHandoveren_UK
dc.subjectPre-alerten_UK
dc.subjectInterventionen_UK
dc.subjectFeasibilityen_UK
dc.titleThe feasibility, acceptability and preliminary testing of a novel, low-tech intervention to improve pre-hospital data recording for pre-alert and handover to the Emergency Departmenten_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12873-018-0168-3en_UK
dc.identifier.pmid29940885en_UK
dc.citation.jtitleBMC Emergency Medicineen_UK
dc.citation.issn1471-227Xen_UK
dc.citation.volume18en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderScottish Ambulance Serviceen_UK
dc.citation.date25/06/2018en_UK
dc.contributor.affiliationHealth Sciences Stirlingen_UK
dc.contributor.affiliationRoyal Alexandra Hospital (NHS Greater Glasgow & Clyde)en_UK
dc.contributor.affiliationScottish Ambulance Serviceen_UK
dc.identifier.isiWOS:000436601100001en_UK
dc.identifier.scopusid2-s2.0-85049084660en_UK
dc.identifier.wtid931940en_UK
dc.contributor.orcid0000-0003-0653-8445en_UK
dc.date.accepted2018-06-11en_UK
dcterms.dateAccepted2018-06-11en_UK
dc.date.filedepositdate2018-07-18en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorFitzpatrick, David|0000-0003-0653-8445en_UK
local.rioxx.authorMaxwell, Douglas|en_UK
local.rioxx.authorCraigie, Alan|en_UK
local.rioxx.projectProject ID unknown|Scottish Ambulance Service|en_UK
local.rioxx.freetoreaddate2018-07-18en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2018-07-18|en_UK
local.rioxx.filenames12873-018-0168-3.pdfen_UK
local.rioxx.filecount1en_UK
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