Skip to main content
Top
Published in: BMC Emergency Medicine 1/2023

Open Access 01-12-2023 | Research

Facilitators and barriers to collaboration between pre-hospital emergency and emergency department in traffic accidents: a qualitative study

Authors: Hasan Jamshidi, Reza Khani Jazani, Ali Khani Jeihooni, Ahmad Alibabaei, Shahram Alamdari, Majid Najafi Kalyani

Published in: BMC Emergency Medicine | Issue 1/2023

Login to get access

Abstract

Background

Death caused by traffic accidents is one of the major problems of health systems in low- and middle-income countries. Rapid handover of the traffic accident victims and proper collaboration between the pre-hospital and emergency departments (EDs) play a critical role in improving the treatment process and decreasing the number of accidental deaths. Considering the importance of the collaboration between pre-hospital and emergency departments, this study was designed to investigate the facilitators and barriers of collaboration between pre-hospital and emergency departments in traffic accidents.

Method

This research is a qualitative study using content analysis. In order to collect data, semi-structured interviews were used. Seventeen subjects (including pre-hospital and emergency department personnel, emergency medicine specialists, and hospital managers) were selected through purposive sampling and were interviewed. After transcribing and reviewing interviews, data analysis was performed with the qualitative content analysis approach.

Results

The participants consisted of 17 individuals (15 persons in pre-hospital and emergency departments with at least three years of work experience, one emergency medicine specialist and one hospital manager) who were selected by purposive sampling. The interviews were analyzed and three main categories and seven sub-categories were extracted. The main categories included “individual capabilities”, “development of mutual understanding”, and “infrastructures and processes”.

Discussion

Proper and practical planning and policymaking to strengthen facilitators and eliminate barriers to collaborate between pre-hospital and emergency departments are key points in promoting collaboration between these two important sectors of health system and reducing the traffic accident casualties in Iran.
Literature
1.
go back to reference WHO. The World Health Report 2001: Mental Health-New understanding, New Hope. Geneva: World Health Organization; 2001. WHO. The World Health Report 2001: Mental Health-New understanding, New Hope. Geneva: World Health Organization; 2001.
2.
go back to reference Bahadori M. Prioritization of determinants influencing preparedness of iranian pre-hospital emergency services. J Crit Care Nurs. 2011;4(2):73–8. Bahadori M. Prioritization of determinants influencing preparedness of iranian pre-hospital emergency services. J Crit Care Nurs. 2011;4(2):73–8.
3.
go back to reference Khorasani-Zavareh D, et al. Post-crash management of road traffic injury victims in Iran. Stakeholders’ views on current barriers and potential facilitators. BMC Emerg Med. 2009;9(1):8.CrossRefPubMedPubMedCentral Khorasani-Zavareh D, et al. Post-crash management of road traffic injury victims in Iran. Stakeholders’ views on current barriers and potential facilitators. BMC Emerg Med. 2009;9(1):8.CrossRefPubMedPubMedCentral
4.
go back to reference Peden M, et al. World report on road traffic injury prevention. World Health Organization Geneva; 2004. Peden M, et al. World report on road traffic injury prevention. World Health Organization Geneva; 2004.
5.
6.
go back to reference AMIRI H, et al. Emergency medicine physicians can manage all emergent procedures in the emergency department. Turkish J Emerg Med. 2009;9(3):101–4. AMIRI H, et al. Emergency medicine physicians can manage all emergent procedures in the emergency department. Turkish J Emerg Med. 2009;9(3):101–4.
7.
go back to reference Vaismoradi M, et al. Facilitating safe care: a qualitative study of iranian nurse leaders. J Nurs Adm Manag. 2014;22(1):106–16.CrossRef Vaismoradi M, et al. Facilitating safe care: a qualitative study of iranian nurse leaders. J Nurs Adm Manag. 2014;22(1):106–16.CrossRef
8.
go back to reference Auf der Heide E. Disaster response: principles of preparation and coordination, in Disaster response: principles of preparation and coordination. Canadá. CV Mosby Company; 1989. Auf der Heide E. Disaster response: principles of preparation and coordination, in Disaster response: principles of preparation and coordination. Canadá. CV Mosby Company; 1989.
9.
go back to reference Dawson S, King L, Grantham H. Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Emerg Med Australasia. 2013;25(5):393–405.CrossRef Dawson S, King L, Grantham H. Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Emerg Med Australasia. 2013;25(5):393–405.CrossRef
10.
go back to reference Haghparast-Bidgoli H, et al. Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach. BMC Emerg Med. 2010;10(1):20.CrossRefPubMedPubMedCentral Haghparast-Bidgoli H, et al. Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach. BMC Emerg Med. 2010;10(1):20.CrossRefPubMedPubMedCentral
11.
go back to reference Mock C, Arreola-Risa C, Quansah R. Strengthening care for injured persons in less developed countries: a case study of Ghana and Mexico. Injury control and safety promotion. 2003;10(1–2):45–51.CrossRefPubMed Mock C, Arreola-Risa C, Quansah R. Strengthening care for injured persons in less developed countries: a case study of Ghana and Mexico. Injury control and safety promotion. 2003;10(1–2):45–51.CrossRefPubMed
12.
go back to reference Mock C, et al. Strengthening the prevention and care of injuries worldwide. The Lancet. 2004;363(9427):2172–9.CrossRef Mock C, et al. Strengthening the prevention and care of injuries worldwide. The Lancet. 2004;363(9427):2172–9.CrossRef
13.
go back to reference Sethi D, et al. Injury care in low-and middle-income countries: identifying potential for change. Injury Control and Safety Promotion. 2000;7(3):153–64.CrossRef Sethi D, et al. Injury care in low-and middle-income countries: identifying potential for change. Injury Control and Safety Promotion. 2000;7(3):153–64.CrossRef
14.
go back to reference Owen C, Hemmings L, Brown T. Lost in translation: maximizing handover effectiveness between paramedics and receiving staff in the emergency department. Emerg Med Australasia. 2009;21(2):102–7. Owen C, Hemmings L, Brown T. Lost in translation: maximizing handover effectiveness between paramedics and receiving staff in the emergency department. Emerg Med Australasia. 2009;21(2):102–7.
15.
go back to reference Jenkin A, Abelson-Mitchell N, Cooper S. Patient handover: time for a change? Accid Emerg Nurs. 2007;15(3):141–7.CrossRefPubMed Jenkin A, Abelson-Mitchell N, Cooper S. Patient handover: time for a change? Accid Emerg Nurs. 2007;15(3):141–7.CrossRefPubMed
16.
go back to reference Scheeres H et al. Communicating in hospital emergency departments. 2008. Scheeres H et al. Communicating in hospital emergency departments. 2008.
17.
go back to reference Zohoor AR, Pilevar Zadeh M. Study of speed of offering services in emergency department at Kerman Bahonar hospital in 2000. Razi J Med Sci. 2003;10(35):413–9. Zohoor AR, Pilevar Zadeh M. Study of speed of offering services in emergency department at Kerman Bahonar hospital in 2000. Razi J Med Sci. 2003;10(35):413–9.
18.
go back to reference Eri M, et al. Concept and challenges of delivering preventive and care services in prehospital emergency medical service: a qualitative study. J Mazandaran Univ Med Sci. 2015;25(126):42–57. Eri M, et al. Concept and challenges of delivering preventive and care services in prehospital emergency medical service: a qualitative study. J Mazandaran Univ Med Sci. 2015;25(126):42–57.
19.
go back to reference Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.CrossRefPubMed Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.CrossRefPubMed
20.
go back to reference Jamshidi H, Jazani RK, Alibabaei A, Alamdari S, Kalyani MN. Challenges of Cooperation between the pre-hospital and In-hospital emergency services in the handover of victims of road traffic accidents: a qualitative study. Invest Educ Enferm. 2019 Feb;37(1):e08. https://doi.org/10.17533/udea.iee.v37n1e08. Jamshidi H, Jazani RK, Alibabaei A, Alamdari S, Kalyani MN. Challenges of Cooperation between the pre-hospital and In-hospital emergency services in the handover of victims of road traffic accidents: a qualitative study. Invest Educ Enferm. 2019 Feb;37(1):e08. https://​doi.​org/​10.​17533/​udea.​iee.​v37n1e08.
21.
22.
go back to reference Bost N, et al. Clinical handover of patients arriving by ambulance to the emergency department–a literature review. Int Emerg Nurs. 2010;18(4):210–20.CrossRefPubMed Bost N, et al. Clinical handover of patients arriving by ambulance to the emergency department–a literature review. Int Emerg Nurs. 2010;18(4):210–20.CrossRefPubMed
23.
go back to reference Aase K, Soeyland E, Hansen BS. A standardized patient handover process: perceptions and functioning. Saf Sci Monit. 2011;15(2):1–9. Aase K, Soeyland E, Hansen BS. A standardized patient handover process: perceptions and functioning. Saf Sci Monit. 2011;15(2):1–9.
24.
go back to reference Apker J, Mallak LA, Gibson SC. Communicating in the “gray zone”: perceptions about emergency physician–hospitalist handoffs and patient safety. Acad Emerg Med. 2007;14(10):884–94.PubMed Apker J, Mallak LA, Gibson SC. Communicating in the “gray zone”: perceptions about emergency physician–hospitalist handoffs and patient safety. Acad Emerg Med. 2007;14(10):884–94.PubMed
25.
go back to reference Jensen S, Lippert A, Østergaard D. Handover of patients: a topical review of ambulance crew to emergency department handover. Acta Anaesthesiol Scand. 2013;57(8):964–70.CrossRefPubMed Jensen S, Lippert A, Østergaard D. Handover of patients: a topical review of ambulance crew to emergency department handover. Acta Anaesthesiol Scand. 2013;57(8):964–70.CrossRefPubMed
26.
go back to reference Bruce K, Suserud BO. The handover process and triage of ambulance-borne patients: the experiences of emergency nurses. Nurs Crit Care. 2005;10(4):201–9.CrossRefPubMed Bruce K, Suserud BO. The handover process and triage of ambulance-borne patients: the experiences of emergency nurses. Nurs Crit Care. 2005;10(4):201–9.CrossRefPubMed
27.
go back to reference Behnia O, HosseinPour M, Zare K. The analysis of the Team Working facilitating factors among nurses working in Training Centers affiliated with the University of Jondi SHapour in Ahvaz. Sci J Hamadan Nurs Midwifery Fac. 2016;24(4):247–55.CrossRef Behnia O, HosseinPour M, Zare K. The analysis of the Team Working facilitating factors among nurses working in Training Centers affiliated with the University of Jondi SHapour in Ahvaz. Sci J Hamadan Nurs Midwifery Fac. 2016;24(4):247–55.CrossRef
28.
go back to reference Das TK, Teng B-S. Trust, control, and risk in strategic alliances: an integrated framework. Organ Stud. 2001;22(2):251–83.CrossRef Das TK, Teng B-S. Trust, control, and risk in strategic alliances: an integrated framework. Organ Stud. 2001;22(2):251–83.CrossRef
29.
go back to reference Lui SS, Ngo H-y. The role of trust and contractual safeguards on cooperation in non-equity alliances. J Manag. 2004;30(4):471–85. Lui SS, Ngo H-y. The role of trust and contractual safeguards on cooperation in non-equity alliances. J Manag. 2004;30(4):471–85.
30.
31.
go back to reference Murray SL, Crouch R, Ainsworth-Smith M. Quality of the handover of patient care: a comparison of Pre-Hospital and Emergency Department notes. Int Emerg Nurs. 2012;20(1):24–7.CrossRefPubMed Murray SL, Crouch R, Ainsworth-Smith M. Quality of the handover of patient care: a comparison of Pre-Hospital and Emergency Department notes. Int Emerg Nurs. 2012;20(1):24–7.CrossRefPubMed
32.
33.
go back to reference Pozner CN, et al. International EMS systems: the United States: past, present, and future. Resuscitation. 2004;60(3):239–44.CrossRefPubMed Pozner CN, et al. International EMS systems: the United States: past, present, and future. Resuscitation. 2004;60(3):239–44.CrossRefPubMed
34.
35.
go back to reference Siddiqui A, Zafar H, Bashir S. An audit of head trauma care and mortality. J Coll Physicians Surgeons–Pakistan: JCPSP. 2004;14(3):173–7. Siddiqui A, Zafar H, Bashir S. An audit of head trauma care and mortality. J Coll Physicians Surgeons–Pakistan: JCPSP. 2004;14(3):173–7.
36.
go back to reference VanRooyen MJ, Thomas TL, Clem KJ. International emergency medical services: assessment of developing prehospital systems abroad. J Emerg Med. 1999;17(4):691–6.CrossRefPubMed VanRooyen MJ, Thomas TL, Clem KJ. International emergency medical services: assessment of developing prehospital systems abroad. J Emerg Med. 1999;17(4):691–6.CrossRefPubMed
38.
go back to reference Bahadori M et al. Coordination in disaster: a narrative review. Int J Med Reviews, 2015. 2(2). Bahadori M et al. Coordination in disaster: a narrative review. Int J Med Reviews, 2015. 2(2).
39.
go back to reference Meisel ZF, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310–7. e1.CrossRefPubMed Meisel ZF, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310–7. e1.CrossRefPubMed
Metadata
Title
Facilitators and barriers to collaboration between pre-hospital emergency and emergency department in traffic accidents: a qualitative study
Authors
Hasan Jamshidi
Reza Khani Jazani
Ali Khani Jeihooni
Ahmad Alibabaei
Shahram Alamdari
Majid Najafi Kalyani
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Emergency Medicine / Issue 1/2023
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/s12873-023-00828-4

Other articles of this Issue 1/2023

BMC Emergency Medicine 1/2023 Go to the issue