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• W2915187890 abstract "ABSTRACT Suboptimal exchange of information can have tragic consequences to patient's safety and survival. To this end, the Joint Commission lists among the most common attributable causes of sentinel events. The risk management literature further supports this finding, ascribing as a major factor (70%) in adverse events. Despite numerous strategies to improve patient safety, which are rooted in other high reliability industries (e.g., commercial aviation and naval aviation), remains an adaptive challenge that has proven difficult to overcome in the sociotechnical landscape that defines healthcare. Attributing a breakdown in information exchange to simply a generic communication error without further specification is ineffective and a gross oversimplification of a complex phenomenon. Further dissection of the using root cause analysis, a failure modes and effects analysis, or through an event reporting system is needed. Generalizing rather than categorizing is an oversimplification that clouds clear pattern recognition and thereby prevents focused interventions to improve process reliability. We propose that being more precise when describing is a valid mechanism to learn from these errors. We assert that by deconstructing in healthcare into its elemental parts, a more effective organizational learning strategy emerges to enable more focused patient safety improvement efforts. After defining the barriers to effective communication, we then map evidence-based recovery strategies and tools specific to each barrier as a tactic to enhance the reliability and validity of information exchange within healthcare." @default.
• W2915187890 created "2019-03-02" @default.
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• W2915187890 date "2018-11-09" @default.
• W2915187890 modified "2023-10-01" @default.
• W2915187890 title "Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resiliency, Reliability, and Patient Safety." @default.
• W2915187890 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30418425" @default.
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