Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department?
Interdisciplinary communication is a critical component of quality patient care. On emergency medical services (EMS) arrival to the emergency department (ED), the pre-existing opportunity-based reporting (OBR) handoff paradigm may result in disjointed, repetitive and incomplete transition of patient...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-05-01
|
| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/14/2/e002948.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849312995134406656 |
|---|---|
| author | Charles W Hwang Frederick S Southwick Brandon R Allen Christopher L Gross Corey D Cowgill Brent A Selph Jessica M Cowgill Ziad Saqr |
| author_facet | Charles W Hwang Frederick S Southwick Brandon R Allen Christopher L Gross Corey D Cowgill Brent A Selph Jessica M Cowgill Ziad Saqr |
| author_sort | Charles W Hwang |
| collection | DOAJ |
| description | Interdisciplinary communication is a critical component of quality patient care. On emergency medical services (EMS) arrival to the emergency department (ED), the pre-existing opportunity-based reporting (OBR) handoff paradigm may result in disjointed, repetitive and incomplete transition of patient care to the ED, adversely impacting patient care. This quality improvement study was conducted at a tertiary care, academic university hospital ED and evaluated the impact of team-based reporting (TBR) during EMS patient handoff in the ED on several markers of clinical efficiency (CE). The standard OBR handoff protocol was compared with the TBR protocol, which brings the patient’s ED care team to bedside shortly after patient arrival, allowing EMS to give a single, synchronous handoff. The use of TBR during prehospital-ED handoffs was associated with statistically and clinically significant improvement across multiple CE quality indicators. A team-based handoff strategy is a low-cost policy intervention that provides meaningful improvements related to CE and quality care. |
| format | Article |
| id | doaj-art-e5db1931bdb1481d9c4d593c62b863e4 |
| institution | Kabale University |
| issn | 2399-6641 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-e5db1931bdb1481d9c4d593c62b863e42025-08-20T03:52:52ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-05-0114210.1136/bmjoq-2024-002948Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department?Charles W Hwang0Frederick S Southwick1Brandon R Allen2Christopher L Gross3Corey D Cowgill4Brent A Selph5Jessica M Cowgill6Ziad Saqr7University of Florida College of Medicine, Gainesville, Florida, USAUniversity of Florida College of Medicine, Gainesville, Florida, USAEmergency Medicine, University of Florida College of Medicine, Gainesville, Florida, USAUniversity of Florida College of Medicine, Gainesville, Florida, USASchool of Physician Assistant Studies, University of Florida College of Medicine, Gainesville, Florida, USASchool of Physician Assistant Studies, University of Florida College of Medicine, Gainesville, Florida, USAEmergency Medicine, University of Florida College of Medicine, Gainesville, Florida, USAUniversity of Florida College of Medicine, Gainesville, Florida, USAInterdisciplinary communication is a critical component of quality patient care. On emergency medical services (EMS) arrival to the emergency department (ED), the pre-existing opportunity-based reporting (OBR) handoff paradigm may result in disjointed, repetitive and incomplete transition of patient care to the ED, adversely impacting patient care. This quality improvement study was conducted at a tertiary care, academic university hospital ED and evaluated the impact of team-based reporting (TBR) during EMS patient handoff in the ED on several markers of clinical efficiency (CE). The standard OBR handoff protocol was compared with the TBR protocol, which brings the patient’s ED care team to bedside shortly after patient arrival, allowing EMS to give a single, synchronous handoff. The use of TBR during prehospital-ED handoffs was associated with statistically and clinically significant improvement across multiple CE quality indicators. A team-based handoff strategy is a low-cost policy intervention that provides meaningful improvements related to CE and quality care.https://bmjopenquality.bmj.com/content/14/2/e002948.full |
| spellingShingle | Charles W Hwang Frederick S Southwick Brandon R Allen Christopher L Gross Corey D Cowgill Brent A Selph Jessica M Cowgill Ziad Saqr Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department? BMJ Open Quality |
| title | Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department? |
| title_full | Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department? |
| title_fullStr | Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department? |
| title_full_unstemmed | Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department? |
| title_short | Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department? |
| title_sort | prehospital to emergency department handoff can team based reporting improve markers of clinical efficiency in an adult emergency department |
| url | https://bmjopenquality.bmj.com/content/14/2/e002948.full |
| work_keys_str_mv | AT charleswhwang prehospitaltoemergencydepartmenthandoffcanteambasedreportingimprovemarkersofclinicalefficiencyinanadultemergencydepartment AT frederickssouthwick prehospitaltoemergencydepartmenthandoffcanteambasedreportingimprovemarkersofclinicalefficiencyinanadultemergencydepartment AT brandonrallen prehospitaltoemergencydepartmenthandoffcanteambasedreportingimprovemarkersofclinicalefficiencyinanadultemergencydepartment AT christopherlgross prehospitaltoemergencydepartmenthandoffcanteambasedreportingimprovemarkersofclinicalefficiencyinanadultemergencydepartment AT coreydcowgill prehospitaltoemergencydepartmenthandoffcanteambasedreportingimprovemarkersofclinicalefficiencyinanadultemergencydepartment AT brentaselph prehospitaltoemergencydepartmenthandoffcanteambasedreportingimprovemarkersofclinicalefficiencyinanadultemergencydepartment AT jessicamcowgill prehospitaltoemergencydepartmenthandoffcanteambasedreportingimprovemarkersofclinicalefficiencyinanadultemergencydepartment AT ziadsaqr prehospitaltoemergencydepartmenthandoffcanteambasedreportingimprovemarkersofclinicalefficiencyinanadultemergencydepartment |