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Table 1 Final panel scores

From: Developing an emergency medicine handoff tool: an electronic Delphi approach

Domain

Element

Round 2

Round 3

Round 4

Mean

SD

Mean

SD

Mean

SD

Nonclinical patient information

Patient identification (combination of name, age, and medical record number)

9.12

1.39

9.24

1.27

9.4

0.87

Location

8.72

2.11

8.52

1.58

8.4

1.58

Eligibility for treatment or insurance status

5.72

3.09

4.92

2.63

4.7

2.56

Clinical patient information

Ambulatory or chair/bed bound

6.20

2.75

5.60

2.10

5.3

1.82

Code status

8.40

2.45

7.56

2.45

7.5

2.33

Chief complaint history

9.68

0.75

9.80

0.50

9.8

0.50

Relevant past history

8.92

1.75

8.60

1.19

8.6

1.23

Home medications

6.64

2.66

6.00

2.42

5.8

2.30

Allergies

8.60

2.45

7.80

2.87

7.8

2.46

Vital signs

8.80

1.87

8.20

1.78

8.0

1.88

Physical exam findings

8.76

1.56

8.24

1.42

8.2

1.33

Working diagnosis

9.56

0.96

9.24

1.20

9.2

1.20

Clinical stability (e.g., stable, borderline, or unstable)

9.64

0.76

9.40

0.96

9.2

0.97

Emergency department course

Summary of the results of investigations

9.28

1.90

8.52

2.18

8.4

2.16

Investigations ordered but pending

8.72

2.28

8.00

2.24

8.0

2.09

Treatments given

9.40

1.15

9.04

1.40

9.0

1.29

Changes in condition in the ED

9.36

1.52

8.72

1.81

8.4

2.06

Consulting services involved

9.44

0.92

9.48

0.77

9.4

0.77

Likely disposition plan (home, admission or consultation)

8.76

1.67

8.44

1.64

8.5

1.48

Alternate plan (when changes in condition, the results or discussion with consultants are likely to alter the original plan)

7.44

2.35

6.80

2.14

6.8

2.06

Identify parts of the plan that need to be completed by the incoming team

8.60

1.94

7.80

1.89

8.0

1.58

What has been discussed with the patient or their family?

7.56

2.75

7.12

2.09

7.0

1.93

Identify patients who is being handed over but need to be seen as a new patient (e.g., incomplete assessment or challenging presentation)

9.44

1.08

9.24

1.30

9.2

1.35

Emergency department status

Identify high-risk patients who may have been referred to other services or are still waiting to be seen

9.08

1.78

8.64

1.93

8.8

1.61

Identify patients who require isolation

8.88

1.99

8.52

2.14

8.5

2.14

Conflicts with patients or families

7.64

2.53

6.68

2.32

6.6

2.24

Conflicts or delays with consulting services

8.52

2.08

7.88

2.05

7.8

1.55

Waiting status (number of patients, waiting time and acuity)

6.84

2.79

6.68

2.29

7.0

1.99

Beds status (e.g., boarding, isolation, and critical care beds)

7.68

2.51

7.44

2.18

7.4

1.80

Patients expected to arrive via ambulances or referred from clinics or other facilities

7.88

2.33

7.00

2.10

7.0

1.86

Shortages in medications, equipment, or supplies

7.44

3.25

6.80

3.07

6.7

2.88

Shortages in staffing

7.84

2.87

7.56

2.52

7.4

2.48

  1. SD standard deviation