Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Disciplined physician communication saves lives

Val Jones, MD
Education
November 14, 2014
Share
Tweet
Share

I have spent many blog hours bemoaning the inadequate communication going on in hospitals today. Thanks to authors of a new study published in the New England Journal of Medicine, I have more objective data for my ranting. A prospective intervention study conducted at 9 academic children’s hospitals (and involving 10,740 patients over 18 months) revealed that requiring resident physicians to adopt a formal handoff process at shift change resulted in a 30 percent reduction of medical errors.

What was the intervention exactly? Details are available via mail order from the folks at Boston Children’s Hospital. It may take me a few weeks to get my hands on the curriculum (which was supported by a grant from the Department of Health and Human Services). I’m not sure how complex the new handoff initiative is in practice (or if it’s something that could be replicated without government-approved formality) but one thing is certain: Disciplined physician communication saves lives.

I myself (without a grant from HHS or a NEJM study to back my assertions — ahem) proposed a set of comprehensive communication practices that can help to reduce medical errors in the hospital. My list involves more than peer hand-offs, but also nursing communication, EMR documentation strategies, and reliance on pharmacists for medication reconciliation and review. It is more than just an information exchange protocol for shift-changes, it is a lifestyle choice.

I applaud the I-PASS Handoff Study for its rigorous, evidence-based approach to implementing communication interventions among pediatric residents in children’s hospitals. I am stunned by how effective this one intervention has been — but a part of me is saddened that we practically had to mandate the obvious before it got done. What will it take for physicians to adopt safer communications strategies for inpatient care? I’m guessing that for many of us, it will involve enrollment in a workshop with hospital administration-driven requirements for participation.

For others of us — regular communication with staff, patients, and peers already defines our medical practice. But because (apparently?) we are not in the majority, we’ll just carry on our instinctual carefulness and wait for the rest to catch up. At least now we know that there is a path forward regarding improving communication skills and transfer of patient information. If we have to force doctors to look up from their iPhones and sit around a table and speak to one another — then so be it. The process may improve our lives while it saves those of our patients.

Val Jones is founder and CEO, Better Health. 

Prev

What primary care can learn from the financial service industry

November 14, 2014 Kevin 42
…
Next

MKSAP: 55-year-old man with nonischemic cardiomyopathy

November 15, 2014 Kevin 0
…

Tagged as: Hospital-Based Medicine, Residency

Post navigation

< Previous Post
What primary care can learn from the financial service industry
Next Post >
MKSAP: 55-year-old man with nonischemic cardiomyopathy

ADVERTISEMENT

More by Val Jones, MD

  • To solve the overmedication problem, follow the physiatrists

    Val Jones, MD
  • Interested in being a locum tenens physician? Read this first.

    Val Jones, MD
  • Why physicians should not complain about school debt

    Val Jones, MD

More in Education

  • The courage to choose restraint in medicine

    Kelly Dórea França
  • Celebrating internal medicine through our human connections with patients

    American College of Physicians
  • Confronting the hidden curriculum in surgery

    Dr. Sheldon Jolie
  • Why faith and academia must work together

    Adrian Reynolds, PhD
  • What psychiatry teaches us about professionalism, loss, and becoming human

    Hannah Wulk
  • A sibling’s guide to surviving medical school

    Chuka Onuh and Ogechukwu Onuh, MD
  • Most Popular

  • Past Week

    • The decline of the doctor-patient relationship

      William Lynes, MD | Physician
    • Rethinking cholesterol and atherosclerosis

      Larry Kaskel, MD | Conditions
    • The difference between a doctor and a physician

      Mick Connors, MD | Physician
    • Diagnosing the epidemic of U.S. violence

      Brian Lynch, MD | Physician
    • How new physicians can build their career

      David B. Mandell, JD, MBA | Finance
    • A nurse’s view on the broken health care system

      Amanda Dean, RN | Conditions
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The mental health workforce is collapsing

      Ronke Lawal | Conditions
    • The stoic cure for modern anxiety

      Osmund Agbo, MD | Physician
    • The hypocrisy of insurance referral mandates

      Ryan Nadelson, MD | Physician
  • Recent Posts

    • A nurse’s view on the broken health care system

      Amanda Dean, RN | Conditions
    • The courage to choose restraint in medicine

      Kelly Dórea França | Education
    • Carrier screening counseling must evolve

      Oluyemisi Famuyiwa, MD | Conditions
    • How a dying patient taught a doctor the meaning of care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why plain language isn’t enough for patients

      Hamid Moghimi, RPN | Conditions
    • Why it may be time to reevaluate your medical malpractice coverage

      MagMutual | Sponsored

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The decline of the doctor-patient relationship

      William Lynes, MD | Physician
    • Rethinking cholesterol and atherosclerosis

      Larry Kaskel, MD | Conditions
    • The difference between a doctor and a physician

      Mick Connors, MD | Physician
    • Diagnosing the epidemic of U.S. violence

      Brian Lynch, MD | Physician
    • How new physicians can build their career

      David B. Mandell, JD, MBA | Finance
    • A nurse’s view on the broken health care system

      Amanda Dean, RN | Conditions
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The mental health workforce is collapsing

      Ronke Lawal | Conditions
    • The stoic cure for modern anxiety

      Osmund Agbo, MD | Physician
    • The hypocrisy of insurance referral mandates

      Ryan Nadelson, MD | Physician
  • Recent Posts

    • A nurse’s view on the broken health care system

      Amanda Dean, RN | Conditions
    • The courage to choose restraint in medicine

      Kelly Dórea França | Education
    • Carrier screening counseling must evolve

      Oluyemisi Famuyiwa, MD | Conditions
    • How a dying patient taught a doctor the meaning of care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why plain language isn’t enough for patients

      Hamid Moghimi, RPN | Conditions
    • Why it may be time to reevaluate your medical malpractice coverage

      MagMutual | Sponsored

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...