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Factors impeding the effective utilisation of an electronic patient report form during handover from an ambulance to an emergency department

Altuwaijri, Eman; Budgen, David; Maxwell, Sharyn

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Authors

Eman Altuwaijri

Sharyn Maxwell



Abstract

We investigated the reasons why the transition from paper to electronically formatted records during patient handover between ambulance crews and emergency department staff in a North East England Emergency Department has not always been viewed positively. Interviews with seven paramedics and three emergency department staff were conducted in addition to observations of 74 ambulance staff during 37 handovers in the emergency department. In just over half of the handovers (20), paramedics found it necessary to provide written information to aid emergency department staff, in addition to that recorded electronically. There were a number of issues that impeded the ready utilisation of electronic records in this context. The major factors identified as contributing to this were the choice of system architecture, the design of user interfaces, and the procurement process used by the National Health Service. We have made some suggestions about how the system could evolve from one focused on providing management information to one that also supports operational needs.

Citation

Altuwaijri, E., Budgen, D., & Maxwell, S. (2019). Factors impeding the effective utilisation of an electronic patient report form during handover from an ambulance to an emergency department. Health Informatics Journal, 25(4), 1705-1721. https://doi.org/10.1177/1460458218797984

Journal Article Type Article
Acceptance Date Jul 14, 2018
Online Publication Date Sep 17, 2018
Publication Date Dec 1, 2019
Deposit Date Aug 2, 2018
Publicly Available Date Mar 29, 2024
Journal Health Informatics Journal
Print ISSN 1460-4582
Electronic ISSN 1460-4582
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 25
Issue 4
Pages 1705-1721
DOI https://doi.org/10.1177/1460458218797984

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Copyright Statement
Altuwaijri, Eman, Budgen, David & Maxwell, Sharyn (2019). Factors impeding the effective utilisation of an electronic patient report form during handover from an ambulance to an emergency department. Health Informatics Journal 25(4): 1705-1721. (First Published September 17, 2018). Copyright © 2018 The Author(s). Reprinted by permission of SAGE Publications.




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