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International Journal for Quality in Health Care 15:441 (2003)
© 2003 International Society for Quality in Health Care

Every defect is a treasure

Lack of clear channels of communication in patient transfer between care facilities leads to fragmentation in care

The first 10% of the full text of this article appears below.

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 an acute care hospital to rule out a gastrointestinal bleed. An intravenous line (IV) containing calcium gluconate is infusing in his right foot. At the acute care hospital, the notes written over a 2-day . . . [Full Text of this Article]


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