BETWEEN THE CANON AND INNOVATION: RECONFIGURING INTERDISCIPLINARY CARE IN OUT-OF-HOSPITAL EMERGENCY TRANSPORT
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https://doi.org/10.63330/aurumpub.070-008Palabras clave:
Communication, Emergency, Interdisciplinarity, Patient safety, Patient transportResumen
Out-of-hospital emergency transport is a strategic stage of healthcare, characterized by the need for rapid decision-making, continuous monitoring, and coordination among different professionals. This study aimed to analyze the reconfiguration of interdisciplinary care in this context, considering aspects related to innovation, communication, safety, and continuity of care. This integrative literature review was conducted using the PubMed, SciELO, Diadorim, and Latindex databases and encompassed publications available between 2021 and 2026 in Portuguese and English. Studies addressing prehospital care, emergency transport, interdisciplinary collaboration, team communication, patient safety, and care transitions were considered. The findings showed that contemporary care requires the integration of clinical, communication, and organizational competencies, particularly in situations involving trauma, stroke, cardiac arrest, and critically ill patients. Structured communication, transport planning, clear allocation of responsibilities, continuous monitoring, and professional training were identified as relevant elements for reducing fragmentation and strengthening continuity of care. The findings also showed that innovation extends beyond the incorporation of technology to encompass the reorganization of work processes and the strengthening of interprofessional collaboration. It is concluded that interdisciplinarity is an essential component of improving emergency transport, promoting greater safety, integration, and patient-centeredness. Further multicenter studies are recommended to assess the impacts of these models on clinical and care indicators.
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ALSHOGAIH, M. H. Y. et al. Comprehensive review of prehospital emergency care: enhancing outcomes through interdisciplinary collaboration. Journal of Ecohumanism, 2024.
ARIF, S. et al. Clinical safety during intrahospital transport of unstable emergency patients for diagnostic imaging: interdisciplinary roles of nurses, radiology staff, health assistants, and emergency teams. International Journal of Computational and Experimental Science and Engineering, 2024.
BHATTARAI, H. et al. Prehospital emergency care in low- and middle-income countries: a systematic review. Prehospital and Disaster Medicine, v. 38, p. 495–512, 2023.
BÖBEL, S. et al. Strengthening the WHO Emergency Care Systems Framework: insights from an integrated, patient-centered approach in the Copenhagen Emergency Medical Services system—a qualitative system analysis. BMC Health Services Research, v. 25, 2025.
CLEMENTS, J.; MUELLER, S. Interhospital care transitions: coordinating care across institutions. The Medical Clinics of North America, v. 110, n. 4, p. 569–582, 2025.
CUTHBERTSON, J.; DRUMMOND, G. Prehospital care post-road-crash: a systematic review of the literature. Prehospital and Disaster Medicine, v. 40, p. 94–100, 2025.
DE LANGE, S.; HEYNS, T.; FILMALTER, C. A concept analysis of person-centred handover practices: the meaning in emergency departments. International Emergency Nursing, v. 74, p. 101446, 2024.
DÚASON, S.; GUNNARSSON, B.; SVAVARSDÓTTIR, M. H. Patient handover between ambulance crew and healthcare professionals in Icelandic emergency departments: a qualitative study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, v. 29, 2021.
GARRETT, T. V. et al. Curriculum innovation: training the front line. Neurology: Education, v. 5, 2026.
GROSS, C. L. et al. Prehospital to emergency department handoff: can team-based reporting improve markers of clinical efficiency in an adult emergency department? BMJ Open Quality, v. 14, 2025.
HAOUTAR, M. et al. Safety of inter-facility transport strategies for patients referred for severe acute respiratory distress syndrome. BMC Emergency Medicine, v. 23, 2023.
HEDQVIST, A.; HERRERA, M. Ambulance clinicians’ perspectives on interprofessional collaboration in prehospital emergency care for older patients with complex care needs: a mixed-methods study. BMC Geriatrics, v. 25, 2025.
IBRAHIM, M. et al. Optimizing interprofessional trauma care pathways: a systematic review of workflow integration from prehospital stabilization to definitive disposition. Saudi Journal of Medicine and Public Health, 2024.
KAMIDANI, R.; OKADA, H. Centralization and transport of critically ill pediatric patients. Frontiers in Pediatrics, v. 13, 2025.
LI, Y. et al. Chinese expert consensus on the prehospital management of major trauma. Chinese Journal of Traumatology, v. 29, p. 79–89, 2026.
MAY, T. et al. Management of patients with cardiac arrest requiring interfacility transport. Circulation, v. 150, p. e316–e327, 2024.
QUAKE, S. et al. The current status and challenges of prehospital trauma care in low- and middle-income countries: a systematic review. Prehospital Emergency Care, v. 28, p. 76–86, 2023.
RICHARDS, C. T. et al. Prehospital stroke care part 2: on-scene evaluation and management by emergency medical services practitioners. Stroke, v. 54, p. 1416–1425, 2023.
SPOELDER, E. et al. Transport of the patient with trauma: a narrative review. Anaesthesia, v. 77, p. 1281–1287, 2022.
TANT, J. et al. The impact of interdisciplinary cardiac arrest teams on paramedic practise: an interpretive qualitative study using reflexive thematic analysis. Resuscitation Plus, v. 29, 2026.
TIKKANEN, V.; SUNDBERG, K. Care relationship and interaction between patients and ambulance clinicians: a qualitative meta-synthesis from a person-centred perspective. Scandinavian Journal of Caring Sciences, 2023.
TRAN, Q. et al. Patient care during interfacility transport: a narrative review of managing diverse disease states. World Journal of Emergency Medicine, v. 14, n. 1, p. 3–9, 2022.
WERNER, K. et al. Emergency care in post-conflict settings: a systematic literature review. BMC Emergency Medicine, v. 23, 2023.
YU, A. et al. Experience from transport teams on interhospital transfer of patients with extracorporeal membrane oxygenation support: a qualitative study. Nursing in Critical Care, 2024.
ZACHRISON, K. et al. Prehospital stroke care part 1: emergency medical services and the stroke systems of care. Stroke, v. 54, p. 1138–1147, 2022.
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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
