CRICO CRICO home

CRICO MDs ONLY: Register to access your facesheet, and more.

Advanced Search

  • Topic
  • Specialty
  • Content Type

RESET SEARCH CRITERIA
spacer sps-callout

Also Related

< Back To Patient Safety
0 dislikes

< Hide

Comments For

Let’s Be Clear About This

0 comments

< Shrink

Add Your Voice

All comments are posted anonymously. Your comment will be attributed to: "Anonymous user."

post comment

Delete

Are you sure you want to delete this comment?

Let’s Be Clear About This

By Jock Hoffman, CRICO

Related to: Communication, Documentation, Emergency Medicine, Primary Care, Nursing, Obstetrics, Other Specialties, Surgery

Miscommunication—either among health care providers, or between providers and patients—is a factor in 30% of malpractice cases. From 2009–2013, 41% of communication-related cases closed with an indemnity payment at an average cost of $433,000.

Cases that involve a breakdown in communication among clinicians are twice as likely to close with a payment as cases that do not involve provider-to-provider miscommunication, and those payments track 14% higher.

Source: Comparative Benchmarking System

 


Evidence from multiple sources has established that a patient’s safety is often dependent on sharing clinical information efficiently and effectively among multiple physicians, nurses, family members, a multitude of other participants in the care process and, of course, the patient.

Effective communication—whether spoken or written—does not necessarily mean more words or more time. Indeed, the burdens of repetition or elaboration can be eased by verbal clarity. The specific words and phrases physicians and nurses speak and write to convey patient information may be construed differently by individuals with different roles, levels of experience, or cultural backgrounds. An unclear messages (e.g., ambiguity, jargon) on the other hand, may seed confusion that either prompts the need for follow up or leads to subsequent actions based on uncertainty or assumption.

And, as more information communicated by you is directly available to your patients, you may need to think twice about those words. How will they be perceived by everyone who hears or reads them? Will your patients, or their subsequent caregivers, be certain how to react. An allegation of substandard care—based on a delayed diagnosis, surgical complication, adverse drug event, etc.—will be magnified if the patient’s story or the medical record demonstrate a pattern of opacity or insensitivity.

No one expects you to measure every word you utter or write. But by paying attention to the specifics that have, in the past, led to a miscommunication with your peers or patients, you might be able to avoid being misconstrued in the future.

Additional Material


January 31, 2017
0 dislikes

< Back To Patient Safety