Safety through redundancy: a case study of in-hospital patient transfers.

@article{Ong2010SafetyTR,
  title={Safety through redundancy: a case study of in-hospital patient transfers.},
  author={Mei-Sing Ong and Enrico W. Coiera},
  journal={Quality & safety in health care},
  year={2010},
  volume={19 5},
  pages={e32}
}
OBJECTIVES To study the extent and execution of redundant processes during inpatient transfers to Radiology, and their impact on errors during the transfer process; to explore the use of causal and reliability analyses for modelling error detection and redundancy in the transfer process; and to provide guidance on potential system improvements. METHODS A prospective observational study at a metropolitan teaching hospital. 101 patient transfers to Radiology were observed over a 6-month period… CONTINUE READING

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