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EMS-ED handoff: Can team-based reporting improve markers of clinical efficiency.
JAAPA
December 2023
Christopher Gross is a medical student at the University of Florida College of Medicine (UFCOM) in Gainesville, Fla. Corey Cowgill and Brent Selph are students in the PA program at UFCOM. Jessica Cowgill is an ED nurse and Ziad Saqr is a resident physician at UF-Health Shands adult ED. Fred Southwick is a professor of infectious disease and patient safety expert at UFCOM. Charles Hwang is an assistant professor and emergency medical service director at UF-Health Shands adult ED. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Optimizing handover in patients with stroke symptoms utilizing an organized protocol between emergency department providers and emergency medical personnel.
Int Emerg Nurs
March 2022
Central Michigan University, College of Medicine, Mt. Pleasant, MI, United States; St. Mary Mercy Hospital, Livonia, MI, United States. Electronic address:
Introduction: Stroke care is time sensitive. Providers in the emergency department (ED) depend on advanced notification from emergency medical services (EMS) transporting patients with stroke signs and symptoms. Barriers to EMS-ED information transfer can delay patient arrival preparation that may impact decisions, diagnosis, and time-sensitive transfer to next site of care.
View Article and Find Full Text PDFThe Impact of Professionalism on Transfer of Care to the Emergency Department.
J Emerg Med
July 2015
Department of Emergency Medicine, University of Arizona, Tucson, Arizona.
Background: Patient care transfer from Emergency Medical Services (EMS) to the emergency department (ED) providers is a transition point where there are high rates of information degradation and variability in perceptions of handoff quality.
Objective: To evaluate EMS and ED provider perceptions of information transfer compared to an external observer's objective assessment.
Methods: This evaluation is a review of a quality-improvement database at an academic trauma center.
Optimizing the patient handoff between emergency medical services and the emergency department.
Ann Emerg Med
March 2015
Department of Family Medicine and Community Health, Perelman School of Medicine, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
Study Objective: Patient handoffs are known as high-risk events for medical error but little is known about the professional, structural, and interpersonal factors that can affect the patient transition from emergency medical services (EMS) care to the emergency department (ED). We study EMS providers' perspectives to generate hypotheses to inform and improve this handoff.
Methods: We conducted focus groups with EMS providers recruited at 3 national and regional conferences from January to March 2011 until theme saturation was reached; 7 focus groups were conducted with 48 EMS providers.
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