Improving Communication Between Nurses, Doctors, And All Healthcare Providers To Reduce Medical Errors | Tim Fish, RN MBA DNP CENP | RxEconsult

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Improving Communication Between Healthcare Providers Category: Nursing by - March 10, 2013 | Views: 39969 | Likes: 0 | Comment: 1  

Command: This involves no mitigated speech. It is the clearest method of conveying a thought or concern. “Doctor, this order is incorrect, the proper dose of this medication is between 10 and 20 milligrams, not 1-2 grams.”

Obligation Statement: The earliest sign of mitigation in speech. This may be done to soften a statement. “Doctor, I have received the order for your patient’s medication. I need to talk to you about the dose you have written.”

Suggestion: Further mitigated and less to the point. “Doctor, I have received the order for the patient's medication. We should discuss this patient’s dosing strategy”.

Query: A shift occurs that indicates the physician is in charge of the situation. There is no communication about the problem. “Doctor, would you like to talk to me about this patient’s medication order?”

Preference: Still not communicating the issue. This may leave the physician unsure why the other healthcare provider is even attempting to discuss the medication. “Doctor, did you mean to write this order for this patient, is there anything you would like to prescribe instead?”

Hint: Fully mitigated and unclear in regard to the intent of the communicator. “Doctor, at your earliest convenience I would like to talk to you.”


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