Survey Responses on Information Transmission and Perceived Safety and Quality Outcomes From Posttransfer Hospital Providers, Presented According to the Provider’s Role

CharacteristicTransport Command Physician (n = 218)Frontline Provider (n = 217)
Provider characteristics
 Provider title
  Nurse practitioner or physician assistant031.4
Verbal information transmission
 Verbal handoff componentsa
  Reason for transfer20694.518685.7
  Examination findings20091.711050.7
  Illness severity17379.412457.1
  Patient summary15671.615872.8
  Action list9342.77936.4
  Situation awareness6328.94118.9
  Synthesis by receiver11854.15123.5
  None of the above83.7198.8
 Receive in-person handoff from the transport team
Written information transmissionb
 Pertinent images12576.2
 Pertinent laboratories and studies16280.2
 Pertinent reports10673.1
 Medication list13873.0
 Summary document12965.2
Perceived safety and quality outcomes
 Appropriateness of transfer
  Transfer was indicated20795.019288.5
  Transfer was not indicated115.02511.5
 Perceived errors in care
  Any perceived error in care146.43415.7
  Adverse event or near miss052.3
  Delay in patient care73.2198.8
  Repeat laboratory or study31.4136.0
  Early unplanned intervention41.862.8
  • P values to compare characteristics between provider roles were not performed because the reported variables do not provide the opportunity for direct comparisons. Data were not collected from the transport command physician for the following variables: Receive in-person handoff from the transport team, Written information transmission. NA, not applicable.

  • a Verbal handoff components included a reason for transfer, examination findings, illness severity assessment, patient summary (summary statement, events leading up to admission, hospital course, ongoing assessment, and active plans), action list (list of “to-do” items or a statement of “nothing to do”), contingency plans (what to do if adverse contingencies occur or an indication that no adverse contingencies were anticipated), and synthesis or read-back by the receiver.

  • b The denominator for the calculation of percent excluded the patient transfers perceived by the providers to be NA for the specified type of written information transmission. For example, providers would select “NA” for pertinent images if a patient had no images performed. As result, the denominator for each written information type was as follows: images, N = 164; laboratory tests and studies, N = 202; reports, N = 145; medication list, N = 189; and summary document, N = 198.