This WebM&M describes two incidences of the incorrect patient being transported from the Emergency Department (ED) to other parts of the hospital for tests or procedures. In one case, the wrong patient was identified before undergoing an unnecessary procedure; in the second case, the wrong patient received an unnecessary chest x-ray. The commentary highlights the consequences of patient transport errors and strategies to enhance the safety of patient transport and prevent transport-related errors.
RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement
Farnborough, UK: Healthcare Safety Investigation Branch; June 3, 2021.
Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57.