Poor nursing communication causes needless hospital injuries and deaths Nurse-doctor communication is such a problem that the Joint Commission on the Accreditation of Healthcare Organizations requires all hospitals to create policies and procedures to improve nursing communication of critical lab values June 21, When a patient is admitted to a hospital one of the most important factors for achieving treatment goals is competent nursing care.
Lack of Communication Leads to Patient Death Lack of Communication Leads to Patient Death Communication is key for many professions, but in the case of the medical profession it is even more crucial. Miscommunication, communication errors, and lack of communication can all contribute to medical errors — whether they are errors in treatment or diagnosis.
This is why good communication is essential. The following case is a good example of how better communication might have resulted in a better outcome for the patient. P, 48, was an emergency medicine physician practicing in the emergency department ED of a busy urban hospital.
He had been employed by the hospital for the past four years. While he had enjoyed the job for the first three, the closing of another local hospital had led to a new influx of patients in the ED, and Dr.
P was beginning to find the situation intolerable. The hospital was short staffed, and everyone was overworked. Weekends, especially Saturday nights, were particularly bad, and Dr. P dreaded pulling the weekend shift. P was on duty, a year old obese male patient, Mr. M, was brought in by paramedics.
The patient had been drinking alcohol all day and was suffering from severe abdominal pain. A breathalyzer indicated that the patient's blood alcohol level was.
Upon arrival at the hospital, Mr. M was noted to be alert, oriented and cooperative, but anxious. When questioned by the triage nurse, the patient rated his pain as a 10 out of P ordered intravenous fluids, and additionally ordered that the patient receive hydromorphone 1—2mg IV every twenty minutes as needed.
With the hydromorphone order, Dr. At the time Dr. P ordered the medication, he had not evaluated the patient. The ED was, in fact, so crowded at the time that the patient was placed in an overflow room and did not have continuous monitoring of vitals.
Over the course of an hour, Mr. M was administered 6mg of hydromorphone. Only one full set of vitals was taken during this time. About two hours after the patient's arrival in the ED, Dr. P found the patient in cardiopulmonary arrest, and a code was called.
Despite extensive efforts by Dr. P and the other hospital staff to resuscitate Mr. M, the patient died.
An autopsy found the cause of death to be anoxic encephalopathy due to mixed alcohol and hydromorphone toxicity. Page 1 of 3.Mar 31, · Research and regulatory bodies have long confirmed that poor communication in healthcare is harmful at best and deadly at worst.
In the past decade, the healthcare community has turned to safety. Poor communication between the two teams meant the severity of the patient's condition was not appreciated until it was too late. Unfortunately, problems with communication between clinicians are pervasive and clearly result in preventable patient harm.
As a means of improving patient safety and outcomes, interventions should focus on integrating the critical attributes of collaboration, including open communication, shared responsibilities for planning and problemsolving, shared decisionmaking, and coordination.
The following case is a good example of how better communication might have resulted in a better outcome for the patient. Dr. P, 48, was an emergency medicine physician practicing in the emergency. Report prepared for Patient-clinician communication What is the impact of ineffective/poor communication on patient outcomes and heals, and that sub‐standard communication may have nocebic effects.
For all these. Report prepared for Patient-clinician communication An overview of relevant research and What is the impact of ineffective/poor communication on patient outcomes and critical to the quality and safety of contemporary health care.