The Trauma Handover with Andrew Pearce

In this session I am speaking with Andrew Pearce on the concept
of the trauma handover. We examine the definition of the
handover, the commonly expected barriers to effective handover,
and the recall of handover information. We will also examine
where the handover occurs, standards and recommendations, tools
and templates, how we can measure effectiveness, and finally
whether it works in practice. We will also dig into some of the
empirical literature to examine some of the evidence behind the
handover.


Andrew Pearce is an Emergency Physician and pre-hospital
retrieval medicine specialist. He is currently the Clinical
Director and a Medical Retrieval Consultant coordinator at
MedSTAR Emergency Medical Retrieval Service based in Adelaide,
Australia. In the episode we examine:


1.  Definition of the clinical handover.


2.  Commonly expected barriers to information handover.


3.  Recall of information and some of the errors in
recall. 


4.  Empirical findings on handover from the
literature. 


5.  Where the handover occurs and bias attached to handover
information.


6.  Current standards & recommendations (Standard 6,
ACSQHC)


7.  Templates and Tools used and advocated. 


8.  Measuring effectiveness/quality assurance of handover.


9.  Summary from Andrew. 





Some of the empirical papers and standards mentioned in this
episode can be found here:





Clinical handover in the trauma setting: a qualitative
study of paramedics and trauma team members


https://pubmed.ncbi.nlm.nih.gov/20702445/


Expectations differ between senders and receivers of
patients in transition - Joint commission centre for Transforming
Healthcare 2017


https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sea_58_hand_off_comms_9_6_17_final_(1).pdf?db=web&hash=5642D63C1A5017BD214701514DA00139&hash=5642D63C1A5017BD214701514DA00139


Clinical handovers between prehospital and hospital
staff: literature review


https://emj.bmj.com/content/32/7/577.short


Australian Commission on safety and quality in
healthcare: Standard 6: Clinical Handover 


https://www.safetyandquality.gov.au/sites/default/files/migrated/Standard6_Oct_2012_WEB.pdf





My thanks to Andrew for an engaging and insightful
interview.