Hospital to EMS Handoff Project Overview
This project aims to improve patient safety during EMS transfers through effective handoff communication between hospitals and EMS providers. It focuses on establishing clear protocols and tools for a standardized handoff process.
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Presentation Transcript
Hospital to EMS Handoff Project AGENDA June 14 Education Session Introduction to project, todays objectives, and committee Objectives Share overview of the project using the presentation slides from June 2 STAC Share the Education tool Discuss what regional adoption of the IFT and handoff process looks like Discuss follow up and auditing Roll call of hospitals and EMS agencies in attendance. Q & A
SAFE PATIENT HANDOFF HOSPITAL TO EMS A REGION 6 RPSRO PI PROJECT TO PROMOTE SAFE HANDOFFS TO EMS FOR PATIENT TRANSFERS TO A HIGHER LEVEL OF CARE Prepared by Helen Berghoef, DNP, RN Presenters: Wayne Vanderkolk, M.D., Amy Koestner, MSN, RN, Kraig Dodge, BBA, Paramedic, IC, Helen Berghoef, DNP, RN.
Problem Identification Several cases reviewed at the regional trauma and MCA peer review BACKGROUND Findings/Gaps Identified and Hospital to EMS handoff is not standard practice GAPs No regional standard for handoff Lack of handoff resulted in harm or potential for harm
Regional PI project established in 2022 Stakeholders identified: LI IV trauma centers EMS Medical control/physicians RTN Workgroup established Multidisciplinary team created: TPM, TMD s, EMS medical director, EMS staff, Hospital mission control (patient movement and bed control), Regional TPC, Physician group quality coordinator, ED manager
Improve patient safety during EMS transfer of trauma patients to a higher level of care by Workgroup s Purpose Statement provision of clear medical direction as communicated by effective handoff communication between the hospital and EMS using written and verbal reports.
Written report EMS Interfacility transfer form revisions Develop Communication Tools and Processes Need to knows Orders Verbal report Form to serve as the template for verbal handoff Lean hospital transfer processes
Provides a CONSISTENT format Provides clear medical direction for the duration of the transport Physician orders The Interfacility Transfer Form (written report) Serves as a template for hospital staff verbal communication to EMS Several revisions with a multidisciplinary team before and after trials Need to Knows on one page Located on the WMRMCC website trauma page
EMS scans it in as part of the EMS patient record Form Archival Each hospital must decide on inclusion in the hospital EMR
Use the Transfer Form as template for what needs to be communicated Verbal Report The form is not intended to replace verbal communication
ED to higher level of care transfers 2 Trials Level III and IV hospitals Audits & Feedback Trial 1: Feedback from audits and interviews showed staff resistance, redundancies in documentation, lack of buyin Revisited education (workgroup created an education tool), form revisions Changes & Education Trial 2: Better compliance, positive feedback from staff, physicians and EMS, good (not perfect) form completeness. RTAC/RTN voted support regional implementation RTAC education
Start date: July 1, 2023 Rollout education at June RTAC education session Regional Implementation Regional RTC (Helen) will follow up with each hospital and EMS as needed Will provide each hospital with: Education Tool a one pager of information on the project Suggestions for education and follow-up method Resources IFT and Education Committee, RTC
Audit 2 separate weeks within the 6-month window to coincide with the RTN Inventory: Jan- June and July-Dec. Auditing # of transfers to higher level of care # of IFT forms completed Sample audits for completeness Interview 10 staff, physicians, EMS Are any unapproved or old forms being used?
Report on the bi-annual Inventory Report - this is reviewed by the RPSRO Accountability Report on the Regional Quarterly Report Report at the RPSRO and RTAC
Closing Remarks Q&A
