Table 5Clinical evidence summary: Emergency Department

OutcomesNo of Participants (studies) Follow upQuality of the evidence (GRADE)Relative effect (95% CI)Anticipated absolute effects
Risk with Routine handoverRisk difference with Electronic handover (95% CI)
Staff satisfaction

1136

(1 study)

⊕⊝⊝⊝

VERY LOWa

due to risk of bias

--

The mean staff satisfaction in the intervention groups was

0.17 higher (0.33 lower to 0.67 higher)

Avoidable adverse events

(medications administered as prescribed)

279

(1 study)

⊕⊝⊝⊝

VERY LOWa

due to risk of bias

RR 1.01 (0.98 to 1.04)Moderate
977 per 1000

10 more per 1000

(from 20 fewer to 39 more)

a

All non-randomised studies automatically downgraded due to selection bias. Studies may be further downgraded by 1 increment if other factors suggest additional high risk of bias, or 2 increments if other factors suggest additional very high risk of bias

From: Chapter 32, Structured patient handovers

Cover of Emergency and acute medical care in over 16s: service delivery and organisation
Emergency and acute medical care in over 16s: service delivery and organisation.
NICE Guideline, No. 94.
National Guideline Centre (UK).
Copyright © NICE 2018.

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