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Hans FP, Krehl J, Kühn M, Fuchs MW, Weiser G, Busch HJ, Benning L. [Handover protocols in the emergency department]. Med Klin Intensivmed Notfmed 2024; 119:71-81. [PMID: 37989878 DOI: 10.1007/s00063-023-01079-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 09/26/2023] [Accepted: 10/08/2023] [Indexed: 11/23/2023]
Abstract
Patient handovers are a vital juncture in the flow of medical information, and regardless of the mode of handover-oral, written, or combined-it often poses a risk of information loss. This could potentially jeopardize patient safety and influences subsequent treatment. The exchange of information in emergency care settings between paramedics and emergency personnel is particularly prone to errors due to situational specifics such as high ambient noise, the involvement of multiple disciplines, and the need for urgent decision-making in life-threatening situations. As handover training is not yet universally incorporated into education and ongoing training programs, there is a high degree of variability in how it is carried out in practice. However, strategies aimed at enhancing the handover process carry substantial potential for improving staff satisfaction, process quality, and possibly even having a positive prognostic impact.
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Affiliation(s)
- Felix Patricius Hans
- Zentrum für Notfall und Rettungsmedizin, Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland.
| | - Julian Krehl
- Zentrum für Notfall und Rettungsmedizin, Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland
| | - Matthias Kühn
- Zentrum für Notfall und Rettungsmedizin, Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland
| | - Matthias Wilhelm Fuchs
- Zentrum für Notfall und Rettungsmedizin, Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland
| | - Gerda Weiser
- Zentrum für Notfall und Rettungsmedizin, Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland
| | - Hans-Jörg Busch
- Zentrum für Notfall und Rettungsmedizin, Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland
| | - Leo Benning
- Zentrum für Notfall und Rettungsmedizin, Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland
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[Care of critically ill nontrauma patients in the resuscitation room]. Notf Rett Med 2022; 25:1-14. [PMID: 35431645 PMCID: PMC9006203 DOI: 10.1007/s10049-022-00997-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2022] [Indexed: 11/14/2022]
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Kulessa PWJ, Raschke MJ, Sobota A, Hartensuer R, Blätzinger M, Juhra C. [Telemedicine in the emergency room-An extension with potential? : Results of a recent survey]. Unfallchirurg 2021; 125:249-256. [PMID: 34918190 DOI: 10.1007/s00113-021-01120-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/12/2021] [Indexed: 11/30/2022]
Abstract
Critically injured patients pose great challenges for medical personnel in emergency room treatment. How can such a high workload due to a lack of personnel be reduced? Telemedicine can offer solutions here. With the help of external medical expertise, diagnoses and treatment processes are already significantly accelerated and optimized in other specialist areas. This possibility should now also be introduced into the care of critical trauma surgery patients. In this article, current emergency room treatment is reflected, problems are shown and future-oriented solutions are suggested.
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Affiliation(s)
- Peter W J Kulessa
- Stabsstelle für Telemedizin, Universitätsklinikum Münster, Hüfferstr. 73-79, 48149, Münster, Deutschland.
| | - Michael J Raschke
- Klinik für Unfall‑, Hand- u. Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland
| | - Anja Sobota
- Stabsstelle für Telemedizin, Universitätsklinikum Münster, Hüfferstr. 73-79, 48149, Münster, Deutschland
| | - René Hartensuer
- Klinik für Unfall‑, Hand- u. Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland
| | | | - Christian Juhra
- Stabsstelle für Telemedizin, Universitätsklinikum Münster, Hüfferstr. 73-79, 48149, Münster, Deutschland
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