KMID : 0385920240350010016
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Journal of the Korean Society of Emergency Medicine 2024 Volume.35 No. 1 p.16 ~ p.22
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Effect of a new handover system for 119 transfer patients in a single emergency medical center
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Kim Yong-Joon
Song Kyoung-Jun Kim Tae-Han Lee Gyung-Won Stephen Shin Jong-Hwan Jung Jin-Hee Park Chang-Je Jang Seung-Yeun
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Abstract
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Objective: This study evaluated the efficacy and effectiveness of a new patient handover system developed for better handover in a metropolitan emergency department (ED).
Methods: A retrospective observational study was designed to evaluate the appropriateness and satisfaction level of the new ED handover system. The participants were pre-hospital emergency medical service (EMS) providers with patient transport experience before and after the pilot of the new handover system.
Results: A questionnaire was completed by 37 pre-hospital EMS providers who transported patients to the emergency department. Based on the results, pre-hospital EMS providers felt an increased level of kindness from the ED healthcare professionals during patient handover (P<0.001), from 3.19¡¾1.05 points before the introduction of the system to 3.97¡¾ 0.96 points after its introduction, and the activeness of ED healthcare professionals also increased, from 3.35¡¾1.03 to 4.14¡¾0.86 points (P<0.001). The sufficiency of contents of patient handover information to explain a patient¡¯s condition increased from 3.59¡¾0.76 to 4.08¡¾0.72 points (P<0.003). The score for overall satisfaction felt by the EMS providers during patient handover increased from 3.46¡¾0.96 to 3.76¡¾0.86 points, which was not statistically significant (P=0.020).
Conclusion: Our findings suggest that the introduction of a new patient handover system between EMS providers and the ED staff is effective for both pre-hospital EMS providers and ED staff.
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KEYWORD
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Emergency medical services, Patient handoff, Patient handover, Effectiveness
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