Background <p>Ineffective handovers in emergency departments (EDs) are associated with an increased risk of error and should therefore be standardised with help of a&#xa0;mnemonic. This study is the first to examine the practical application of the ‘SINNHAFT’ handover mnemonic.</p> Materials and methods <p>In a&#xa0;prospective online-based application study with a&#xa0;mixed methods approach, the use of SINNHAFT was simulated in six different case vignettes. The individual handovers were analysed anonymously using case-related (after each handover) and cross-case (after completion of the simulation) questionnaires. The correct execution of each handover was checked using a&#xa0;case-related checklist. Semi-structured interviews were used for further qualitative data collection to evaluate the memory aid.</p> Results <p>In all, 48&#xa0;handovers were carried out within 16&#xa0;simulations, 12 of which involved doctors and 36 between paramedics and nurses. Both paramedics and nurses rated SINNHAFT as a&#xa0;suitable handover mnemonic. Both parties also rated the handover mnemonic as a&#xa0;tool for ensuring handover quality. The majority of participants agreed with the statement that the use of the SINNHAFT reminder leads to a&#xa0;reduction in the loss of information. In addition to unanimous agreement that the SINNHAFT reminder with its sequence and structure is a&#xa0;suitable mnemonic for handover in the ED, most participants would also welcome the nationwide integration of the mnemonic.</p> Conclusion <p>The use of SINNHAFT in the handover of traumatological and nontraumatological cases is rated positively in the online-based setting. The present study allows the conclusion that SINNHAFT is suitable for standardising handover.</p>

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Die Übergabemerkhilfe „SINNHAFT“: Ergebnisse einer onlinebasierten Mixed-methods-Anwendungsstudie

  • I. Gräff,
  • A. Zhelyazkova,
  • J. Tempfli,
  • N. Hoffjan,
  • B. Urban,
  • S. Prückner,
  • P. Ehlers

摘要

Background

Ineffective handovers in emergency departments (EDs) are associated with an increased risk of error and should therefore be standardised with help of a mnemonic. This study is the first to examine the practical application of the ‘SINNHAFT’ handover mnemonic.

Materials and methods

In a prospective online-based application study with a mixed methods approach, the use of SINNHAFT was simulated in six different case vignettes. The individual handovers were analysed anonymously using case-related (after each handover) and cross-case (after completion of the simulation) questionnaires. The correct execution of each handover was checked using a case-related checklist. Semi-structured interviews were used for further qualitative data collection to evaluate the memory aid.

Results

In all, 48 handovers were carried out within 16 simulations, 12 of which involved doctors and 36 between paramedics and nurses. Both paramedics and nurses rated SINNHAFT as a suitable handover mnemonic. Both parties also rated the handover mnemonic as a tool for ensuring handover quality. The majority of participants agreed with the statement that the use of the SINNHAFT reminder leads to a reduction in the loss of information. In addition to unanimous agreement that the SINNHAFT reminder with its sequence and structure is a suitable mnemonic for handover in the ED, most participants would also welcome the nationwide integration of the mnemonic.

Conclusion

The use of SINNHAFT in the handover of traumatological and nontraumatological cases is rated positively in the online-based setting. The present study allows the conclusion that SINNHAFT is suitable for standardising handover.