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Learn MoreWhile communication is extremely important in every healthcare environment, the Emergency Room stands out as one where communication success is critical, especially when saving lives can be a matter of quick decisions and responses within minutes or hours. An article in The Journal of Emergency Medicine observes that “Patient safety incidents are commonly observed in critical and high demanding care settings, including the emergency department. There is a need to understand what causes patient safety incidents in emergency departments and determine the implications for excellence in practice” (Amaniyan, 2019).
When researching literature about patient safety incidents, the authors above found that poor ED communication played a significant role in unfortunate patient outcomes. Communication lapses on the part of healthcare providers were an identified problem. According to Amaniyan, “Inadequate and poor staff communication were stated as a well-recognized safety challenge that was even more evident in EDs. Problems with the transfer of medical information and orders were considered an important communication-based factor that impacted patient safety. For example, failing to communicate changes in vital signs to the attending physician was an important factor for staff-related communication incidents in EDs” (Amaniyan et al, 2019). In some case , treatment for patients was delayed due to communication failure at the time of handoff between shifts. Additionally, medication management issues such as wrong doses, incorrect medicines, delayed or missing doses, and miscalculations were also attributable to communication problems. Further challenges included lack of compliance with patient safety protocols, such as infection control, clerical or laboratory processes, and incomplete discharge instructions were emphasized in the literature (Amaniyan, 2019).
An article about improving ED outcomes focused significantly on the noise problem in emergency departments (Welch et al, 2015) and how it can inhibit successful communication. Some strategies to overcome it include:
An article about improving ED Outcomes offers that “Provider organizations with great teams are more effective in improving quality and reducing costs. According to the Joint Commission, communication failure is one of the most-frequently identified root causes of reported sentinel events.” An important strategy to strengthen the ED team is to emphasize “teamwork and communication to create better experiences for patients and staff” (Sharma et al, 2017). In addition, it is a good idea to employ communication tools and methods to share important departmental information, as well as gather feedback from frontline staff. Consider implementing a daily interdisciplinary ED huddle, a worthwhile message of the week, and even creating a virtual suggestion box.
Amaniyan, S., et al, “Learning from Patient Safety Incidents in the Emergency Department: A Systematic Review,” The Journal of Emergency Medicine, 13 December 2019, Retrieved at https://www.sciencedirect.com/science/article/pii/S0736467919310121.
Sharma, R., et al, “How One Urban Emergency Department Is Making Care Better,” American Association for Physician Leadership News, October 30, 2017, Retrieved at https://www.physicianleaders.org/news/field-report-how-an-urban-emergency-department-is-making-care-better.
Welch, S., et al, “Strategies for Improving Communication in the Emergency Department: Mediums and Messages in a Noisy Environment,” The Joint Commission Journal on Quality and Patient Safety, June 2013, Retrieved at https://www.edbenchmarking.org/assets/docs/hottopics/welch%20communication%20and%20noise%20in%20%20%20%20the%20ed.pdf.
HealthStream’s workforce education solutions are already trusted by more than 70 percent of healthcare organizations in the U.S. Our comprehensive suite of learning and competency management tools empowers your people to deliver the best care more easily and effectively than ever before. Powered by the industry’s top content providers, HealthStream's Learning & Performance solutions connect you to healthcare’s largest learning community with a learning management system customized by you to meet your organization’s unique needs.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsStandardize policy and procedure management with an automated, customized, and centralized system.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementStreamline the revenue cycle management process and protect your bottom line with expert-backed education.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
View All ProductsComprehensive, industry-leading provider onboarding and credentialing software that validate health outcomes and support provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
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