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Goldberg SA, Porat A, Strother CG, et al. Prehosp Emerg Care. 2017;21:14-17.
Handoffs between prehospital emergency medical services (EMS) providers and hospital emergency departments (EDs) are known to be suboptimal. This record review of 90 EMS-to-ED handoffs at a single academic medical center found that essential information was often omitted. The authors suggest that further training is needed to enhance the quality of these handoffs.
Gillman L, Leslie G, Williams T, et al. Emerg Med J. 2006;23:858-61.
This study evaluated nearly 300 adverse events that occurred during intrahospital transport, noting that equipment problems and hypothermia were the most common. Investigators combined 6 months of prospective observation with retrospective chart review to characterize the type and nature of events recorded for patients admitted to the intensive care unit from the emergency department. While the overall rates were lower than reported in past research, the authors advocate for using their findings as benchmarks: an adverse event rate of 22 of 100 transfers and 38 of 100 delays in transfer. A case commentary on Agency for Healthcare Research and Quality (AHRQ) WebM&M discusses the issue of intrahospital transport with suggestions for improving the safety of this poorly studied process.