TY - JOUR AB - International Journal for Quality in Health Care 2003; Volume 15, Number 5: pp. 441 10.1093/intqhc/mzg072 Every defect is a treasure Quality problems that result in adverse outcomes provide opportunities for quality improvement. A series based on actual examples of care. Lack of clear channels of communication in patient transfer between care facilities leads to fragmentation in care A potential health problem in a 1-day-old infant transferred for further evaluation from a community hospital to an acute care setting is exacerbated as a result of poor communication between providers at the two facilities. A 1-day-old infant is transferred from a community hospital to Enhancing systems for communicating between hospitals can an acute care hospital to rule out a gastrointestinal bleed. An make the health care system safer. In particular, having a transfer intravenous line (IV) containing calcium gluconate is infusing in checklist in place when a patient is transferred from one facility to his right foot. At the acute care hospital, the notes written over another can improve information exchange and ‘handing off’ care. a 2-day period—one from each nursing shift—indicate that the Further, it can serve as a reminder to members of health care IV is running well. On TI - Lack of clear channels of communication in patient transfer between care facilities leads to fragmentation in care JF - International Journal for Quality in Health Care DO - 10.1093/intqhc/mzg072 DA - 2003-10-01 UR - https://www.deepdyve.com/lp/oxford-university-press/lack-of-clear-channels-of-communication-in-patient-transfer-between-6a8FZWvDXL SP - 441 EP - 441 VL - 15 IS - 5 DP - DeepDyve ER -