Title: ED handoff of pediatric patients by EMS<br/>Author: Jenny Guyther<br/><a href='http://umem.org/profiles/faculty/314/'>[Click to email author]</a><hr/><div style="font-family: Arial, Helvetica, sans-serif; font-size: small;">
<font color="#212121" face="BlinkMacSystemFont, -apple-system, Segoe UI, Roboto, Oxygen, Ubuntu, Cantarell, Fira Sans, Droid Sans, Helvetica Neue, sans-serif"><span style="font-size: 16px;">Ineffective handoff communications have been shown to occur in up to 80% of medical errors. Previous studies have shown that up to 1/3 of pertinent information is lost during the handoff of trauma patients. Interruptions, lack of listening and ED team preoccupation with their own patient assessment have been associated with adverse outcomes.</span></font></div>
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<font color="#212121" face="BlinkMacSystemFont, -apple-system, Segoe UI, Roboto, Oxygen, Ubuntu, Cantarell, Fira Sans, Droid Sans, Helvetica Neue, sans-serif"><span style="font-size: 16px;">This study reviewed videotaped footage of pediatric critical care resuscitations and the handoff between the ED and EMS. Inefficient communication occurred in 87% of handoffs, including 51% of cases with interruptions by staff, 40% with questions from the ED leader about information that had already been given and 65% requesting information that had not yet been communicated.</span></font></div>
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<font color="#212121" face="BlinkMacSystemFont, -apple-system, Segoe UI, Roboto, Oxygen, Ubuntu, Cantarell, Fira Sans, Droid Sans, Helvetica Neue, sans-serif"><span style="font-size: 16px;"><strong>Bottom line:</strong> Allow for an uninterrupted hand off from EMS followed by closed loop communication and asking any additional questions.</span></font></div>
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<span style="color: rgb(33, 33, 33); font-family: BlinkMacSystemFont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", sans-serif; font-size: 16px;">Sumner BD, Grimsley EA, Cochrane NH, et al. Videographic Assessment of the Quality of EMS to ED Handoff Communication During Pediatric Resuscitations. </span><i style="box-sizing: inherit; color: rgb(33, 33, 33); font-family: BlinkMacSystemFont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", sans-serif; font-size: 16px;">Prehosp Emerg Care</i><span style="color: rgb(33, 33, 33); font-family: BlinkMacSystemFont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", sans-serif; font-size: 16px;">. 2019;23(1):15-21. doi:10.1080/10903127.2018.<wbr />1481475</span></p>
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