Official journal of the Slovak Society of Cardiology,
Slovak Society of Hypertension and Slovak Association for Cardiac Arrhythmias

Cardiology Letters 2019, 28(2):99-108

Clinical handover of patients for specialized centre care from pre-hospital to in-hospital care - a narrative review

Peran D1,2, Pekara J1,3, Cmorej PCh4,5, Kohlova A5, Marx D2
1 Prague Emergency Medical Services
2 Divisions of Public Health, 3rd Faculty of Medicine, Charles University in Prague
3 Medical College, Prague
4 Emergency Medical Services of Usti nad Labem region and
5 Faculty of Health Studies, Jan Evangelista Purkyne University, Usti nad Labem, Czech Republic

Introduction: During the last few years the role of non-technical skills including communication and cognitive aids is becoming more important and also influences pre-hospital care. This narrative review aims to summarize published articles on the information handover from pre-hospital to in-hospital care which is dominantly used in critically ill patients who need centre care (acute coronary syndromes, post resuscitation etc.). Literature search strategy: We undertook a literature search in the Scopus, Cinahl, Ovid and Medline databases, with inclusion and exclusion criteria, to find all articles about clinical handover from pre-hospital to in-hospital care. We found 27 articles which match the inclusion criteria.

Results: We identified 12 different acronyms for information handover. The results were grouped into four main themes - the acronym used for handover, the shape of handover, complications during handover and training in handover.

Conclusion: The shape of handover varies but all these articles support the need for structured handover which might improve the safety of provided care by reducing the information loss. A few authors even encourage having a national guideline or standard for both givers and receivers of the handover. None of the articles tested the pre-notification phase of information handover which is also important in the cases of pre-hospital cardiac arrests or patients with acute coronary syndrome. Fig. 1, Annex 1, Tab. 2, Ref. 36, on-line full text (Free, PDF) www.cardiologyletters.sk

Keywords: handover; standardisation; ambulance; pre-notification; handoff; review

Published: February 1, 2019  Show citation

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Peran D, Pekara J, PCh C, Kohlova A, Marx D. Clinical handover of patients for specialized centre care from pre-hospital to in-hospital care - a narrative review. Cardiology Letters. 2019;28(2-3):99-108.
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