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Article ; Online: How Communication “Failed” or “Saved the Day”

Richard L Street PhD / John V Petrocelli PhD / Azraa Amroze MS / Corinna Bergelt PhD / Margaret Murphy PhD / J Michael Wieting DO / Kathleen M Mazor PhD

Journal of Patient Experience, Vol

Counterfactual Accounts of Medical Errors

2020  Volume 7

Abstract: Communication breakdowns among clinicians, patients, and family members can lead to medical errors, yet effective communication may prevent such mistakes. This investigation examined patients’ and family members’ experiences where they believed ... ...

Abstract Communication breakdowns among clinicians, patients, and family members can lead to medical errors, yet effective communication may prevent such mistakes. This investigation examined patients’ and family members’ experiences where they believed communication failures contributed to medical errors or where effective communication prevented a medical error (“close calls”). The study conducted a thematic analysis of open-ended responses to an online survey of patients’ and family members’ past experiences with medical errors or close calls. Of the 93 respondents, 56 (60%) provided stories of medical errors, and the remaining described close calls. Two predominant themes emerged in medical error stories that were attributed to health care providers—information inadequacy (eg, delayed, inaccurate) and not listening to or being dismissive of a patient’s or family member’s concerns. In stories of close calls, a patient’s or family member’s proactive communication (eg, being assertive, persistent) most often “saved the day.” The findings highlight the importance of encouraging active patient/family involvement in a patient’s medical care to prevent errors and of improving systems to provide meaningful information in a timely manner.
Keywords Medicine (General) ; R5-920
Language English
Publishing date 2020-12-01T00:00:00Z
Publisher SAGE Publishing
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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