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Trauma Hand-Offs: Moving Patients Through Multiple Phases and Locations of Care

  • Anesthesia for Trauma (JW Simmons, Section Editor)
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Abstract

Hand-off reports in hospitals have recently gained attention as a potential safety issue regarding overall patient care. This has been a particular concern in the acutely injured patient. There is a paucity of research regarding patient care hand-offs in a trauma center environment and as a result, little has been done to change this global problem. Hand-offs of trauma patients begin in the emergency department between pre-hospital providers and trauma center staff, and continue to the operating room, ICU, as well as other locations. As a result, patient assessment and critical information get lost along the way. After reviewing the literature, we have identified some important references and recommendations to improve trauma patient hand-offs.

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References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012;45(2):240–54.

    Article  Google Scholar 

  2. Solet D, Norvell J, Rutan G, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient hand-offs. Acad Med. 2005;80(12):1094–9.

    Article  Google Scholar 

  3. Koenig G, Galvagno S. Effective communication between providers & physicians improves patient hand-offs. http://www.jems.com/articles/2012/04/effective-communication-between-provider.html (2012). Accessed 16 Dec 2015.

  4. Talbot R, Bleetman A. Retention of information by emergency department staff at ambulance handover: do standardized approaches work? Emerg Med J. 2007;24(8):539–42.

    Article  Google Scholar 

  5. Bhabra G, Mackeith S, Monteiro P, et al. An experimental comparison of handover methods. Ann R Coll Surg Engl. 2007;89(3):298–300.

    Article  Google Scholar 

  6. Pothier D, Monteiro P, Mooktiar M, et al. Pilot study to show the loss of important data in nursing handover. Br J Nurs. 2005;14(20):1090–3.

    Article  Google Scholar 

  7. •• Bigham BL, Buick JE, Brooks SC, et al. Patient safety in emergency medical services: a systematic review of the literature. Prehosp Emerg Care. 2012;16:20–35. Bigham et al. performed a 12 year literature review in order to identify EMS related threats to patient safety. Multiple factors negatively impacting patient safety included adverse events and medication errors, clinical judgment, communication, ground vehicle safety, aircraft safety, interfacility transport, and intubation. The authors suggest that interventions to modify behavior and provide closed-loop communication training reduced misunderstandings and encouraged staff to communicate concerns more readily.

  8. •• Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310–7. Meisel et al. conducted 7 nationally oriented focus group (at 3 national and regional conferences) of EMS providers in order to determine their perspective on ways to improve handoffs. 4 potential ways to improve handoffs were determined, including 1) direct communication from EMS to the ED provider, 2) increased feedback and transparency, 3) handoff standardization and 4) use technology to close communication gaps.

  9. Carter AJ, Davis KA, Evans LV, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13:280–5.

    Article  Google Scholar 

  10. Evans SM, Murray A, Patrick I, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41:460–4.

    Article  Google Scholar 

  11. Fairbanks RJ, Bisantz AM, Sunm M. Emergency department communication links and patterns. Ann Emerg Med. 2007;50:396–406.

    Article  Google Scholar 

  12. Sarcevic A, Burd R. Information handover in time-critical work. In: Group’09 proceedings of the ACM 2009 international conference on supporting group work. New York: Association for Computing Machinery; 2009. p. 301–10.

  13. •• Evans AS, Yee M, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687–9. Evans et al. submits a letter to the editor discussing OR to ICU handoffs and the particular opportunities for improvement by presenting examples and discussing successful systems for this process. Additionally, barriers to optimizing such handoffs are reviewed in general.

  14. Segall N, Bonifacio AS, Schroeder RA, et al. Durham VA patient safety center of inquiry. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115:102–15.

    Article  Google Scholar 

  15. Lane-Fall M, Gutsche JT, Augoustides JG. Are intraoperative anesthesia handovers associated with harm? Getting to the heart of the matter in cardiac surgery: the search for the hat-trick of quality, safety, and continuous improvement. J Cardiothorac Vasc Anesth. 2015;29(1):8–10.

    Article  Google Scholar 

  16. McCrory MC, Aboumatar H, Custer JW, Yang CP, Hunt EA. “ABC-SBAR” training improves simulated critical patient hand-off by pediatric interns. Pediatr Emerg Care. 2012;28(6):538–43.

    Article  Google Scholar 

  17. •• Lane-Fall MB, Brooks AK, Wilkins SA, Davis JJ, Riesenberg LA. Addressing the mandate for hand-off education: a focused review and recommendations for anesthesia resident curriculum development and evaluation. Anesthesiology. 2014;120(1):218–29. Lane-Fall et al. discussed handoffs role in health care quality and the Accreditation Council for Graduate Medical Education’s (ACGME) interest in facilitating handoff education in order to prepare residents for practice in the emerging healthcare environment. Definitions of handoffs, elements of a successful handoff, a general history of handoff curricula and assessment techniques are reviewed.

  18. Agarwala AV, Firth PG, Albrecht MA, Warren L, Musch G. An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. Anesth Analg. 2015;120(1):96–104.

    Article  Google Scholar 

  19. Filichia L, Halan S, Blackwelder E, Rossen B, Lok B, Korndorffer J, Cendan J. Description of web-enhanced virtual character simulation system to standardize patient hand-offs. J Surg Res. 2011;166(2):176–81.

    Article  Google Scholar 

  20. Shields J, Overstreet M, Krau SD. Nurse knowledge of intrahospital transport. Nurs Clin N Am. 2015;50(2):293–314.

    Article  Google Scholar 

  21. Black-Schaffer RM. Communication among levels of care for stroke patients. Top Stroke Rehabil. 2002;9(3):26–38.

    Article  Google Scholar 

  22. Abraham J, Kannampallil TG, Almoosa KF, Patel B, Patel VL. Comparative evaluation of the content and structure of communication using two handoff tools: implications for patient safety. J Crit Care. 2014;29(2):311.e1–7.

    Article  Google Scholar 

  23. Collins SA, Stein DM, Vawdrey DK, Stetson PD, Bakken S. Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. J Biomed Inform. 2011;44(4):704–12.

    Article  Google Scholar 

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Authors and Affiliations

  1. University of Texas Medical School at Houston, 6431 Fannin Street, MSB Suite 5.020, Houston, TX, 77030, USA

    George W. Williams II, Christopher T. Stephens & Carin Hagberg

Authors
  1. George W. Williams II
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  2. Christopher T. Stephens
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  3. Carin Hagberg
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Correspondence to George W. Williams II.

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This article is part of the Topical Collection on Anesthesia for Trauma.

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Williams, G.W., Stephens, C.T. & Hagberg, C. Trauma Hand-Offs: Moving Patients Through Multiple Phases and Locations of Care. Curr Anesthesiol Rep 6, 65–71 (2016). https://doi.org/10.1007/s40140-016-0142-0

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