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dc.contributor.authorGraham, B
dc.contributor.authorZhu, Chengyong
dc.contributor.authorEnki, Doyo Gragn
dc.date.accessioned2016-06-15T09:26:46Z
dc.date.issued2016-06
dc.identifier.issn0969-9546
dc.identifier.issn1473-5695
dc.identifier.urihttp://hdl.handle.net/10026.1/4902
dc.description.abstract

<jats:sec> <jats:title>Introduction</jats:title> <jats:p>Identifying weaknesses in emergency department (ED) communication may highlight areas where quality improvement may be beneficial. This study explores whether the Communication Assessment Tool-Team (CAT-T) survey can identify communication strengths and weaknesses in a UK setting.</jats:p> </jats:sec> <jats:sec> <jats:title>Objectives</jats:title> <jats:p>This study aimed to determine the frequency of patient responses for each item on the CAT-T survey and to compare the proportion of responses according to patient and operational characteristics.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>Adults presenting to the minors area of a semi-urban ED between April and May 2015 were included. Those lacking capacity or in custody were excluded. Multivariate analysis identified associations between responses and demographic/operational characteristics.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>A total of 407/526 eligible patients responded (77.3%). Respondents were mostly White British (93.9%), with a median age of 45 years. Most responses were obtained during daytime hours (84.2% between 08 : 00 and 18 : 00). The median reported times to triage, assessment and disposition were 15, 35 and 90 min, respectively. Items most frequently rated as ‘very good’/‘excellent’ (strengths) were ‘ambulance staff treated me with respect’ (86.7%), ED staff ‘let me talk without interruptions’ (85%) and ‘paid attention to me’ (83.7%). Items most frequently rated as ‘poor’/‘fair’ (weaknesses) were ‘encouraged me to ask questions’, ‘reception treated me with respect’ (10.4%) and ‘staff showed an interest in my health’ (6.8%). Arrival time, analgesia at triage and time to assessment were associated with significantly increased odds of positive perception of team communication for a range of items.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>The CAT-T survey may be used within a UK setting to identify discrete strengths and weaknesses in ED team communication.</jats:p> </jats:sec>

dc.format.extente1-e5
dc.format.mediumPrint
dc.languageen
dc.language.isoen
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.subjectemergency department
dc.subjectemergency department management
dc.subjectemergency department operations
dc.subjectmanagement
dc.subjectquality assurance
dc.titleStrengths and weaknesses in team communication processes in a UK emergency department setting: findings using the Communication Assessment Tool-Team
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000423265400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue6
plymouth.volume24
plymouth.publication-statusAccepted
plymouth.journalEuropean Journal of Emergency Medicine
dc.identifier.doi10.1097/mej.0000000000000395
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CBBB
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2016-03-07
dc.rights.embargodate2017-3-7
dc.identifier.eissn1473-5695
dc.rights.embargoperiod12 months
rioxxterms.versionofrecord10.1097/mej.0000000000000395
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved
rioxxterms.licenseref.startdate2016-06
rioxxterms.typeJournal Article/Review


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