Lecture (2) - Clarity and Safety in Communication in Dentistry PDF

Clarity and Safety in Communication in Dentistry Health Administration and Communication Skills (0801300) 20-24/10/2024 1St Semester-2024/2025 Dr. Anas Khalifeh Week 2  Objectives (1 of 2) 1. Discuss the role communication pla...

Clarity and Safety in Communication in Dentistry Health Administration and Communication Skills (0801300) 20-24/10/2024 1St Semester-2024/2025 Dr. Anas Khalifeh Week 2  Objectives (1 of 2) 1. Discuss the role communication plays in creating a “culture of safety.” 2. Describe why patient safety is a complex system issue and an individual function. 3. Analyze the relationship between open communication, error reporting, and a culture of safety.  Objectives (2 of 2) 4. Create simulations to demonstrate use of standardized tools for clear communication affecting patient care.  Introduction  Communication as Key to Safe Health Care  Errors and Unsafe Events Miscommunication Quality and Safety guidelines Incomplete patient information  Communication Strategies Standardized communication tools  Miscommunication  Miscommunication refers to misunderstandings or lack of clarity in conveying information among healthcare professionals, patients, or caregivers.  Miscommunication can lead to medical errors, such as incorrect diagnoses, inappropriate treatments, or overlooked patient concerns. In dentistry, this can result in complications, patient dissatisfaction, and potential harm.  Quality and Safety Guidelines  Quality and safety guidelines refer to established protocols and best practices aimed at minimizing risks and ensuring high-quality care in dental settings.  Adhering to these guidelines requires effective communication at all levels. Training and reinforcing these protocols help create a culture of safety and accountability, reducing the likelihood of errors.  Incomplete Patient Information  Incomplete patient information refers to gaps in the data collected about a patient's medical history, current medications, allergies, or previous treatments.  Insufficient information can lead to inappropriate treatment decisions and negatively impact patient safety. Effective communication with patients during consultations is vital to gathering comprehensive and accurate information.  Standardized Communication Tools  Standardized communication tools are structured methods and protocols that facilitate clear and consistent information exchange among dental professionals and between providers and patients.  Checklists: Tools that ensure all necessary information is addressed before procedures, promoting thoroughness and reducing the risk of oversight.  Patient Safety Protocols: Established procedures for communicating patient information, treatment plans, and post- operative care instructions clearly and effectively.  Basic Concepts (1 of 2)  Safety Definitions.  Patient Safety: The prevention of errors and adverse effects associated with healthcare, ensuring that patients are not harmed during dental treatment.  Communication Safety: The process of accurately and clearly conveying information among dental professionals and between providers and patients to reduce misunderstandings and errors.  Basic Concepts  Safety Incidents Definition: Safety incidents refer to events or situations that result in harm or the potential for harm to patients during dental care. These can include: Medication Errors: Incorrect dosages or medications prescribed or administered. Surgical Errors: Mistakes made during dental procedures, such as extracting the wrong tooth. Infection Control Breaches: Failures in following sterilization protocols, leading to infections.  Basic Concepts  Goal The primary goal of clarity and safety in communication is to minimize the risk of errors and ensure the highest standard of care for patients. This includes: Enhancing Patient Understanding: Ensuring that patients comprehend their treatment plans and safety measures. Fostering Team Collaboration: Promoting effective communication among dental team members to coordinate care seamlessly.  Basic Concepts  General Safety Communication Guidelines for Organizations Error databases Improved communication  Barriers to Communication in the Health Care System  Lack of Patient Identifier Number  Fragmentation Handoffs or transfers of patient care Miscommunication errors most often occur during a handoff procedure. Factors that contribute to incomplete communication Ideal handoff  Under-reporting of Errors in a Punitive Climate  Individuals and Factors That Result In Errors  Fatigue Long hours work The risk of error nearly doubles when work more than 12 consecutive hours. Breaks  Innovations That Foster Safety (1 of 3)  Three C’s Communication clarity Collaboration Cooperation  Create a Culture of Safety Reducing risk factors Create a team culture of collaboration and cooperation Create a nonpunitive culture  Innovations That Foster Safety (2 of 3)  Best Practice: Communicating Clearly for Quality Care Use “best practices” by increasing use of evidence-based “best practice” versus “usual practice.” Free resources EHRs  Innovations That Foster Safety (3 of 3)  Standardized Communication as an Initiative for Safer Care Patient safety outcomes Decrease interruptions  Applications  Safe Care Climate  Attitude: the mindset and approach of healthcare professionals toward safety, teamwork, and patient care. Patient safety outcome: the results of healthcare practices and interventions aimed at preventing harm to patients.  Skills Acquisition Through Simulation Patient safety outcome: Improved Communication Skills, Greater Confidence, Reduction in Errors.  Use of Standardized Communication Tools  Use of Checklists Purpose Types Time-out checklists Unit checklists Patient safety outcomes  Situation, Background, Assessment, Recommendation [SBAR]  Description S = Situation B = Background A = Assessment R = Recommendation or request  Purpose  Patient Safety Outcomes  Advantages  Electronic SBAR  Crew Resource Management-Based Tools  Briefing: a structured meeting that takes place before a procedure or clinical encounter, where team members discuss essential information and plan for the upcoming tasks.  Debriefing: a structured discussion that occurs after a procedure or clinical encounter, where team members reflect on the performance of the team, the outcomes of the procedure, and areas for improvement.  Patient Safety Outcomes  Team Training Models  Characteristics of an Effective Team  Goal of Health Care Team  Obstacles to Effective Teamwork  Interdisciplinary Rounds and Team Meetings  Historical View of Team Training  Contemporary View of Interdisciplinary Rounds Clinical teaching rounds  Huddle  Callouts and Time-outs  Technology-Oriented Solutions Create a Climate of Patient Safety  HITS Electronic transmission RFID Bar-coded name bands Electronic whiteboards  Patient Safety Outcomes  Summary (1 of 2)  Major efforts to transform the health care system are ongoing.  We maximize patient safety by minimizing the risk for errors made by all health care workers.  Because miscommunication has been documented to be one of the most significant factors in error occurrence, this chapter focused on communication solutions.  Summary (2 of 2)  A number of standardized communications tools were described.  Individual and system solution suggestions were offered that should help all practice more safely and effectively.