University of Parma, Department of Medicine and Surgery, Parma, Italy; "Azienda Unità Sanitaria Locale" (Local Health Service) of Piacenza, Piacenza, Italy .
University of Suffolk, School of Health and Sports Sciences, Ipswich, UK.
Acta Biomed. 2022 Aug 31;93(4):e2022288. doi: 10.23750/abm.v93i4.13515.
Pre-hospital emergency medical systems do not appear to work totally coordinated with Accident and Emergency (A&E). Often, patient admission to A&E is marked by scarce attention to the handover between the respective healthcare professionals. This phenomenon is potentially dangerous because it exposes patients to the risk of errors in a context where the patients' critical or progressing conditions must not be worsened by avoidable errors of communication between professionals.
to describe the evidence concerning handover between local emergency medical services and A&E.
pre-hospital emergency medical and A&E professionals, setting defined as within A&E, articles on pre-hospital to A&E handover.
PubMed and CINAHL Complete databases. Grey literature.
the results are displayed in tables according to 'Title', 'Design', 'Country', 'Population', 'Concept', 'Context' and 'Results'.
10 studies were included. The following themes emerged: communication and interpersonal issues, secondary risks, need for staff training, the use of structured methods, information technology support.
There is a gap in the literature. Issues regarding communication, differing ideas of what should be considered as priority, interpersonal relationships and trust between staff working for different services emerge. Connected with this there are structural problems such as shortage of suitable spaces and lack of staff training. The use of structured mnemonic methods, including computerized ones, seems to improve the quality of handovers, but to date it has not been possible to establish which method would be better than another. Further studies are recommended.
院前急救医疗系统似乎与急症科（A&E）没有完全协调运作。通常，患者被送往 A&E 时，各医疗专业人员之间的交接往往没有得到足够的重视。这种现象可能存在危险，因为在患者病情危急或恶化的情况下，这会使患者面临因专业人员之间沟通失误而导致的错误风险。
描述有关当地急救医疗服务与 A&E 之间交接的证据。
院前急救医疗和 A&E 专业人员，设定范围为 A&E 内，涉及院前至 A&E 交接的文章。
PubMed 和 CINAHL Complete 数据库。灰色文献。
结果根据“标题”、“设计”、“国家”、“人群”、“概念”、“背景”和“结果”展示在表格中。
纳入了 10 项研究。出现了以下主题：沟通和人际问题、次要风险、员工培训需求、使用结构化方法、信息技术支持。
文献中存在空白。出现了一些沟通问题，不同的服务对什么应该被视为优先事项有不同的看法，工作人员之间的人际关系和信任也存在问题。与之相关的还有结构性问题，例如缺乏合适的空间和员工培训不足。使用结构化的记忆辅助方法，包括计算机化方法，似乎可以提高交接质量，但迄今为止，还无法确定哪种方法比其他方法更好。建议开展进一步的研究。
