Variables required for the audit of quality completion of patient report forms by EMS—A scoping review

Introduction: This review aimed to compile a list of essential variables from the patient assessment, care provided out-of-hospital and the patient handover over process that should be recorded on a Patient Report Form (PRF). A scoping review was conducted to identify articles concerning the recordi...

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Main Authors: McKenzie R, R Pap, TC Hardcastle
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:African Journal of Emergency Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X22000751
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author McKenzie R
R Pap
TC Hardcastle
author_facet McKenzie R
R Pap
TC Hardcastle
author_sort McKenzie R
collection DOAJ
description Introduction: This review aimed to compile a list of essential variables from the patient assessment, care provided out-of-hospital and the patient handover over process that should be recorded on a Patient Report Form (PRF). A scoping review was conducted to identify articles concerning the recording of medical information on the PRF in the prehospital environment. Methods: A three-step search strategy was used to systemically search published literature. A Boolean method using synonymous phrases related to patient handover variables required for PRF competition was developed based on an initial online search of key phrases. Using the Boolean phrase, a scoping review (guided by a protocol developed a priori) was conducted. The search was conducted using PubMed, CINAHL, Summon and Scopus. A PCC framework was used to guide the inclusion criteria of identified articles. Results: The database search yielded 2461 results. Duplicates (n = 736), articles published prior to the year 2000 (n = 260), and non-English results (n = 30) were removed. The remaining 1435 articles underwent title and abstract screening to determine the relevance to the study topic. This resulted in articles apparently relevant to the study (n = 47) and these underwent full-text review. Following full-text review 25 articles were included in the study. Patient related information and variables detailing the condition of the patient, including, patient demographics, vital signs, patient assessment and treatment initiated and the manner in which this information is transferred during the patient handover are factors that are important during patient hand over. Conclusion: The information on the PRF prevents potential loss of critical patient information and details of the patient's condition and treatment from the prehospital field. The development of an appropriate checklist to quality assure PRF's by ensuring that all vital information is captured on the PRF is proposed.
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spelling doaj.art-616b3b438dcf415bb659f278d2f072502022-12-22T02:42:56ZengElsevierAfrican Journal of Emergency Medicine2211-419X2022-12-01124438444Variables required for the audit of quality completion of patient report forms by EMS—A scoping reviewMcKenzie R0R Pap1TC Hardcastle2Dept of Emergency Medical Care, Durban University of Technology, Durban, South Africa; Corresponding author.School of Health Sciences, Western Sydney University, Sydney, New South Wales, AustraliaDept of Emergency Medical Care, Durban University of Technology, Durban, South Africa; Dept of Surgery, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa and Faculty of Health Sciences, Durban University of Technology, Durban, South Africa; Trauma Centre and Burns Unit, Inkhosi Albert Luthuli Central Hospital, Cato Manor, Durban, Kwazulu Natal, South AfricaIntroduction: This review aimed to compile a list of essential variables from the patient assessment, care provided out-of-hospital and the patient handover over process that should be recorded on a Patient Report Form (PRF). A scoping review was conducted to identify articles concerning the recording of medical information on the PRF in the prehospital environment. Methods: A three-step search strategy was used to systemically search published literature. A Boolean method using synonymous phrases related to patient handover variables required for PRF competition was developed based on an initial online search of key phrases. Using the Boolean phrase, a scoping review (guided by a protocol developed a priori) was conducted. The search was conducted using PubMed, CINAHL, Summon and Scopus. A PCC framework was used to guide the inclusion criteria of identified articles. Results: The database search yielded 2461 results. Duplicates (n = 736), articles published prior to the year 2000 (n = 260), and non-English results (n = 30) were removed. The remaining 1435 articles underwent title and abstract screening to determine the relevance to the study topic. This resulted in articles apparently relevant to the study (n = 47) and these underwent full-text review. Following full-text review 25 articles were included in the study. Patient related information and variables detailing the condition of the patient, including, patient demographics, vital signs, patient assessment and treatment initiated and the manner in which this information is transferred during the patient handover are factors that are important during patient hand over. Conclusion: The information on the PRF prevents potential loss of critical patient information and details of the patient's condition and treatment from the prehospital field. The development of an appropriate checklist to quality assure PRF's by ensuring that all vital information is captured on the PRF is proposed.http://www.sciencedirect.com/science/article/pii/S2211419X22000751Patient report formMedical recordsPatient handoverScoping review
spellingShingle McKenzie R
R Pap
TC Hardcastle
Variables required for the audit of quality completion of patient report forms by EMS—A scoping review
African Journal of Emergency Medicine
Patient report form
Medical records
Patient handover
Scoping review
title Variables required for the audit of quality completion of patient report forms by EMS—A scoping review
title_full Variables required for the audit of quality completion of patient report forms by EMS—A scoping review
title_fullStr Variables required for the audit of quality completion of patient report forms by EMS—A scoping review
title_full_unstemmed Variables required for the audit of quality completion of patient report forms by EMS—A scoping review
title_short Variables required for the audit of quality completion of patient report forms by EMS—A scoping review
title_sort variables required for the audit of quality completion of patient report forms by ems a scoping review
topic Patient report form
Medical records
Patient handover
Scoping review
url http://www.sciencedirect.com/science/article/pii/S2211419X22000751
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