 | Paul Scott This phenomenon was put to the test locally with 2 simulation teams performing a similar trauma scenario but with group 1 performing "hands on" handover and group 2 performing "eyes on, hands off" handover. Both groups were observed and blinded from the study hypothesis. |
Information recall was dramatically better in group 2 with key observations including:
This suggest task fixation likely reduces our ability to process handover information.
- 87% vs 31% of key handover information was retained by group 2 vs group 1
- 80% vs 48% of volunteered observers were aware of key handover information by group 2 vs group 1 scenarios
This suggest task fixation likely reduces our ability to process handover information.
IMIST AMBO: The Ambulance's ISBAR |
Information exchange during handover between paramedics and emergency staff improves with the use of a handover system (eg isobar, IMIST AMBO). Eyes on (the ambo) and hands off (the patient) by receiving staff shortens duration of handover and improves information retained by the receiving team.
Further Reading
- NSW ambulance/emergency department handover project
- Owen C et al. Lost in translation: maximizing handover effectiveness between paramedics and receiving staff in the emergency department. EMA 2009(2):102-7.
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