Emergency handover of critical patients. A systematic review

Int Emerg Nurs. 2021 May:56:100997. doi: 10.1016/j.ienj.2021.100997. Epub 2021 Apr 19.

Abstract

Background: Emergency handover of critical patients is used to describe the moment of union between prehospital and hospital health team. However, the literature shows several definitions leading to great heterogeneity.

Purpose: To study the emergency handover of critical patients between two critical-emergency care wards performed by emergency nurses worldwide and to identify the features of these processes.

Methods: We conducted an integrative review in eleven databases published from 2010 to 2019. Quality criteria and PRISMA checklist were applied. The protocol is registered with PROSPERO (CRD42020182335).

Results: A total of 22 studies included and the following factors were identified: variability vs standardization, identification, professionals' behavior, localization, environmental factors, patient participation, clinical records, education/training, responsability, and communication.

Conclusions: The actual emergency handover occurs under conditions quite contrary to those recommended by experts so that it is neither safe nor effective, leading a serious problem for patient safety and quality care.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Communication
  • Emergency Medical Services*
  • Emergency Service, Hospital
  • Humans
  • Patient Handoff*
  • Patient Safety