PP14?The feasibility and acceptability of a novel low tech intervention to improve pre-hospital data recording for pre-alert and handover to the emergency department

摘要

Poor communication during patient handover is recognised internationally as a root cause of a significant proportion of preventable deaths. Data used in handover is not always easily recorded using ambulance based tablets, particularly in time-critical cases. Paramedics have therefore developed pragmatic workarounds (writing on gloves or scrap paper) to record these data. However, such practices can conflict with policy, data recorded can be variable, easily lost and negatively impact on handover quality.To measure the feasibility and acceptability of a novel, low-tech intervention introduced to support clinical information recording and delivery during pre-alert and handover. The intervention consisted of a reusable card with pre-alert/handover mnemonic and corresponding text boxes for data entry via pen.A pre and post-test design was used. Paramedics (n=69) based at one city ambulance Station received the intervention. Pre-and post-test measures (12 weeks post-introduction) focussed on paramedic acceptability and utility of intervention, ED staff (n=99) perceptions of handover quality, and proportions of clinical variables documented by ED staff during pre-alert.Twenty-five (36%) paramedics responded to an intervention acceptability questionnaire. Most felt both the pre-alert (n=23 [92%]) and handover (n=18 [72%]) components of the card were ‘This novel low-tech intervention was highly acceptable to paramedic participants, improving their data recording and information exchange processes. Further, well conducted studies are required to test the impact of this intervention on information exchange processes.