Firstly, in order to identify a solution we must pin point the main problem areas. Many reports would suggest that the core of over-crowding lies within our emergency departments and the unsatisfactory methods of managing patient flow. The main objectives of emergency rooms is to provide continuous access to healthcare twenty-four hours a day, seven days a week three hundred and sixty five days of the year, however unavailability of hospital beds has become a major difficulty, resulting in compromised patient care and safety. Error in health care usually has a ‘domino effect’ in that one small problem usually leads to another and another and so on. Therefore if we change factors in the chain of events which leads to errors we can counteract