Information loss in emergency medical services handover of trauma patients.

Alix J E Carter; Kimberly A. Davis; Leigh Evans V; David C. Cone

Study

Information loss in emergency medical services handover of trauma patients.

September 23, 2009

Carter AJE, Davis KA, Evans L, et al. Prehosp Emerg Care. 2009;13(3):280-5.

View more articles from the same authors.

This study analyzed the quality of communication between paramedics and physicians caring for trauma patients and found significant deficits in the transfer of important clinical information.

PubMed citation

Available at

Related Resources From the Same Author(s)

Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients.

November 8, 2017

Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice.

October 23, 2019

Evaluation of contextual influences on the medication administration practice of paediatric nurses.

May 13, 2009

Can residents detect errors in technique while observing central line insertions?

September 27, 2017

"To err is human" but disclosure must be taught: a simulation-based assessment study.

February 28, 2018

Clinical faculty: taking the lead in teaching quality improvement and patient safety.

October 8, 2014

Identification of patient safety threats in a post-intensive care clinic.

May 31, 2023

A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events.

March 4, 2020

Handoff practices in undergraduate medical education.

March 12, 2014

Falling through the cracks: the invisible hospital cleaning workforce.

October 26, 2022

Medication room madness: calming the chaos.

November 4, 2009

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

August 11, 2010

Characteristics of quality and patient safety curricula in major teaching hospitals.

July 21, 2010

Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice.

November 20, 2013

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

July 29, 2009

Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption.

July 23, 2014

Medication reconciliation in the emergency department: opportunities for workflow redesign.

December 15, 2010

VHA's movement for change: implementing high-reliability principles and practices.

May 31, 2023

Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimants.

September 6, 2006

Out-of-hospital medication errors: a 6-year analysis of the national poison data system.

September 2, 2009

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay.

January 10, 2018

Patient involvement in patient safety: how willing are patients to participate?

March 2, 2011

How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study.

April 16, 2008

Psychological safety in intensive care unit rounding teams.

July 21, 2021

Measuring adverse events in hospitalized patients: an administrative method for measuring harm.

September 7, 2016

A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.

July 18, 2012

To err is human: quality and safety issues in spine care.

May 30, 2007

Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.

June 7, 2023

How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool.

January 17, 2024

Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.

June 10, 2015

Should health care providers be forced to apologise after things go wrong?

January 28, 2015

Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety?

November 18, 2009

A multihospital safety improvement effort and the dissemination of new knowledge.

March 6, 2005

Accident analysis of large-scale technological disasters applied to an anaesthetic complication.

March 6, 2005

Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor.

August 31, 2016

Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow.

January 20, 2021

Inpatient EHR user experience and hospital EHR safety performance.

October 4, 2023

Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge.

January 7, 2015

Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.

January 28, 2009

Making communication and resolution programmes mission critical in healthcare organisations.

November 11, 2020

Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists.

July 25, 2018

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.

March 27, 2005

Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene.

February 11, 2015

Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies.

September 2, 2009

Internet of things in healthcare for patient safety: an empirical study.

March 16, 2022

The effect of drug concentration expression on epinephrine dosing errors: a randomized trial.

January 16, 2008

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.

May 8, 2019

Effect of emergency medicine pharmacists on medication-error reporting in an emergency department.

November 17, 2010

Computerized surveillance of adverse drug events in hospital patients.

March 27, 2005

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services.

August 14, 2019

A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics.

June 13, 2007

High-reliability and the I-PASS communication tool.

April 5, 2017

Promoting patient safety: one company's example.

December 13, 2006

National trends in safety performance of electronic health record systems in children's hospitals.

October 12, 2016

We want to know: patient comfort speaking up about breakdowns in care and patient experience.

October 17, 2018

Patient involvement in patient safety: the health-care professional's perspective.

November 7, 2012

Patient and physician experience with interhospital transfer: a qualitative study.

May 29, 2019

Reason's accident causation model: application to adverse events in acute care.

February 13, 2013

Factors associated with post-intensive care unit adverse events: a clinical validation study.

October 29, 2014

The SQUIRE Guidelines: an evaluation from the field, 5 years post release.

December 2, 2015

Practical challenges of introducing WHO surgical checklist: UK pilot experience.

January 27, 2010

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

March 27, 2013

Impact of including readmissions for qualifying events in the Patient Safety Indicators.

April 22, 2015

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.

December 2, 2020

Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study.

December 17, 2014

Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings.

July 1, 2015

Improving measurement in clinical handover.

August 19, 2009

Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative.

February 22, 2017

Time out: an analysis.

September 24, 2008

Reducing prescribing errors in hospitalized children on the ketogenic diet.

February 24, 2021

We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care.

May 20, 2020

Perceptions of rounding checklists in the intensive care unit: a qualitative study.

May 9, 2018

Good Catch Campaign: improving the perioperative culture of safety.

July 18, 2018

Health information exchange and patient safety.

November 7, 2007

Harms from discharge to primary care: mixed methods analysis of incident reports.

December 16, 2015

Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training.

June 7, 2017

Resident perceptions of the impact of work hour limitations.

May 16, 2007

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

May 6, 2009

Pharmacist linkage in care transitions: from academic medical center to community.

October 30, 2019

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

April 26, 2006

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.

March 27, 2005

To err is human: patient misinterpretations of prescription drug label instructions.

November 7, 2007

Literacy and misunderstanding prescription drug labels.

December 13, 2006

Policy and the future of adverse event detection using information technology.

March 6, 2005

Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards.

September 12, 2018

SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.

November 19, 2008

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.

April 17, 2013

An examination of opportunities for the active patient in improving patient safety.

February 22, 2012

Patient involvement in patient safety: what factors influence patient participation and engagement?

August 22, 2007

Communication patterns in a UK emergency department.

October 10, 2007

Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.

October 29, 2014

Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods.

January 21, 2015

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review.

July 14, 2021

The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study.

February 7, 2018

Should all duty hours be the same? Results of a national survey of surgical trainees.

July 29, 2009

Dispensing errors and counseling quality in 100 pharmacies.

July 15, 2009

Alterations in Spanish language interpretation during pediatric critical care family meetings.

December 6, 2017

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

March 16, 2011

Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing.

November 13, 2013

Surgical adverse events: a systematic review.

June 26, 2013

Related Resources

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being.

August 23, 2023

Improving emergency medicine clinician awareness of prehospital-administered medications.

August 9, 2023

WebM&M Cases

Failure to adhere to dietary restrictions leading to complications and poor follow-up.

July 31, 2023

WebM&M Cases

Misconnection Leading to Arterial Thrombosis

June 28, 2023

WebM&M Cases

The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.

June 14, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

WebM&M Cases

The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.

April 26, 2023

Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.

March 22, 2023

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.

December 7, 2022

Patient Safety Innovations

Journal Article

Study

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

November 16, 2022

Improving discharge safety in a pediatric emergency department.

October 26, 2022

Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.

August 17, 2022

WebM&M Cases

Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.

July 8, 2022

Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.

December 15, 2021

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.

February 17, 2021

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other?

September 2, 2020

WebM&M Cases

The NSTEMI Curbside Consultation

July 29, 2020

Implementing receiver-driven handoffs to the emergency department to reduce miscommunication.

June 3, 2020

Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.

May 6, 2020

Beyond 'find and fix': improving quality and safety through resilient healthcare systems.

April 15, 2020

Awareness of diagnosis and follow up care after discharge from the emergency department

December 11, 2019

WebM&M Cases

Missing ECG and Missed Diagnosis Lead to Dangerous Delay

March 1, 2018

Medication errors in injured patients.

September 27, 2017

Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.

June 21, 2017

The potential of collective intelligence in emergency medicine.

May 24, 2017

WebM&M Cases

Hazards of Loading Doses

January 1, 2017

Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures.

November 30, 2016

See More About The Topic

Emergency Departments

Health Care Providers

Quality and Safety Professionals

Emergency Medicine

Discontinuities, Gaps, and Hand-Off Problems

Information loss in emergency medical services handover of trauma patients.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Information loss in emergency medical services handover of trauma patients.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site