Handoff Strategies in Settings with High Consequences for Failure

Patterson, E. S. (2004). Handoff Strategies in Settings with High Consequences for Failure: Lessons for Health Care Operations. International Journal for Quality in Health Care, 16(2), 125-132.

Type

Journal article

Intellectual base

Primary research

Year

2004

Volume

16

Issue

2

Pages

125-132

DOI

10.1093/intqhc/mzh026

DOI registrant

Oxford University Press

Link

https://doi.org/10.1093/intqhc/mzh026

Cited from

history_historiography

Cited by

1 citation across 1 artifact.

Each citation links to the sentence it supports in the citing article.

Primes

• Custody Transfer
  • Those failures are why human institutions invent rituals — signatures, seals, manifests, acknowledgements, baton-passes, scan codes — to make the moment unambiguous.

    This sourceObservational study of handoff practice in four high-consequence settings (NASA Johnson Space Center mission control, Canadian nuclear power plants, a U.S. railroad dispatch center, and a Toronto ambulance dispatch center), cataloguing the explicit strategies and rituals these high-accountability domains use to make the responsibility transfer unambiguous — supporting both that institutions invent such handoff rituals and that high-accountability domains invest heavily in unmistakable triggering acts.

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