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Emerg Med Australas. 2009 Apr;21(2):102-7. doi: 10.1111/j.1742-6723.2009.01168.x.

Lost in translation: maximizing handover effectiveness between paramedics and receiving staff in the emergency department.

Author information

1
Faculty of Education, University of Tasmania, Tasmania, Australia. christine.owen@utas.edu.au

Abstract

OBJECTIVE:

The purpose of the present study is to investigate perceptions by paramedics and hospital receiving staff about what enables and constrains handover in the ED.

METHODS:

This is a qualitative study of interviews with 19 paramedics, 15 nurses and 16 doctors (n = 50) from ambulance services and ED in two states of Australia.

RESULTS:

Three main themes emerged that were evident at both sites and in the three professional groups. These were: difficulties in creating a shared cognitive picture, tensions between 'doing' and 'listening' and fragmenting communication.

CONCLUSION:

Recommendations arising from the present study as to how handover could be improved are the need for a common language between paramedics and staff in the ED, for shared experiences and understanding between the members of the team and for the development of a standardized approach to handover from paramedics to ED receiving staff.

[Indexed for MEDLINE]

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