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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Levels of Communication II: Organizational, Public, and Group Dynamics01:27

Levels of Communication II: Organizational, Public, and Group Dynamics

Effective communication is the foundation of a good organization. Communication is the lifeblood of an organization that connects the group with messages. In an organization, communication occurs in upward, downward, and horizontal lines. Downward communication travels from the administrative and senior levels to the staff through official channels such as manuals, rules and regulations, and organizational charts. Staff members initiate upward communication, which is addressed to executives and...
Barriers to Effective Communication II01:21

Barriers to Effective Communication II

The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Role of Communication in the Nursing Process II: Planning and Implementation01:25

Role of Communication in the Nursing Process II: Planning and Implementation

Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...
Communication01:28

Communication

Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
Within...
Communication01:03

Communication

Communication between two animals occurs when one animal transmits an information signal that causes a change in the animal that receives the information. Organisms communicate with one another in a host of different ways. Signals can be auditory, chemical, visual, tactile, or a combination of these. Communication is a critical behavioral adaptation that promotes survival, growth, and reproduction.

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Related Experiment Videos

Understanding communication during hospitalist service changes: a mixed methods study.

Keiki Hinami1, Jeanne M Farnan, David O Meltzer

  • 1Section of Hospital Medicine, University of Chicago, Chicago, Illinois, USA. khinami@nmh.org

Journal of Hospital Medicine
|December 17, 2009
PubMed
Summary

Incomplete hospitalist handoffs during service changes lead to patient care uncertainty and potential harm. Improving communication completeness is crucial for patient safety and efficient care transitions.

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Area of Science:

  • Medical Communication
  • Hospital Medicine
  • Patient Safety

Background:

  • Limited data exists on hospitalist communication practices during service changes.
  • Effective patient handoffs are critical for continuity of care in academic medical centers.

Purpose of the Study:

  • To characterize the nature and completeness of hospitalist handoffs during service changes.
  • To identify the impact of incomplete handoffs on patient care and hospitalist workflow.

Main Methods:

  • A serial survey study was conducted at a single academic medical center.
  • Anonymous surveys assessed handoff completeness, care plan certainty, and adverse events for 60 service changes.
  • Qualitative analysis of narrative comments provided insights into perceived needs for improvement.

Main Results:

  • 13% of hospitalist handoffs were reported as incomplete, with 18% experiencing uncertainty about patient care plans.
  • Incomplete handoffs were significantly associated with increased uncertainty, missed information, near misses/adverse events, and time spent resolving issues.
  • 16% of hospitalists reported at least one near miss attributable to incomplete communication.

Conclusions:

  • Incomplete hospitalist handoffs during service changes are linked to significant patient care deficiencies and potential harm.
  • A more systematic, team-based, and patient-centered approach to handoffs is needed to enhance communication completeness and patient safety.