Introduction:

Emergency Nursing Hand off ensures the transmission of critical information and continuity of care and treatment of patients. Incidents or deficiencies in Hand off can cause problems in patient safety so it is necessary to investigate and develop strategies to reduce them.

Objective:

To identify the content and deficiencies in the Emergency Nursing Hand off.

Methods:

Prospective descriptive study in Emergency Service, Hospital Clínic of Barcelona during 2nd quarter 2016 over 95265 annual transfers of nursing made. Calculated convenience sample n = 384. Emergency Nursing Teams Hand off were reviewed by 24-item model created by researchers evidence based.

Results:

About 24 items reference Hand off model, were transmitted average 7.61 (95 % CI 7.41 7.81), 31.7 % of the total. The items were not reported average 16.38 (95 % 16.18 16.58), 68.3 %. Significant differences (p <0.001) were obtained according to the Emergency Department assessed (differentiated profile of patients and care). Items not reported mean = 16.24 (95 % CI 15.97 16.52) in Observation Medicine; mean = 16.85 (95 % CI 16.37 17.34) in Level 3 Emergency Room; mean = 16.74 (95 % CI 16.16 17.32) in Observation Surgery / Trauma; mean = 15.72 (95 % CI 15,20 16,25) in Level 2 Emergency Room; mean = 17.23 (95 % CI 17.69 to 16.77) in Traumatology Emergency Room.

Conclusions:

Emergency Nursing Hand Off showed deficiencies in its content, with differences by healthcare area. Hand off standardization in Emergency Nursing Teams could improve their quality, efficiency and get greater impact on patient safety.

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