There is not much evidence about this problem, which is very important for daily work. Often the pharmacotherapy from our colleagues has not been changed, although there are several reasons that it should be done (e.g. unproven combinations, contraindications, poor drug selection etc ... ). Who will solve problem in communication within healthcare professionals for patients' benefits?
You might like to look at the literature on the development of positive safety cultures - also the other side of this which is the negative impact on intra-professional communication of bullying, blame, and punitive procedures that often accompany errors.
Hi Kate,
tx for your answer. Can me suggest any special literature on web?
I would be very happy to receive this information.
From my experience, I think that one possible approach is first to gather evidence from your daily practice and after to do meetings with a reduced group of professionals, showing them your findings and giving possible solutions
In our experience, holding regular meetings with people (key stakeholders) e.g. inside a department or school to discuss key issues faced, errors committed under different premises e.g. quality assurance meetings, data quality meetings, clinical care meetings, Tumor Board, etc helps considerably to open up and discuss to find solutions, rather than just highlight problems. Often the reason people would hide errors, and would not communicate their challenges faced, etc when they feel that it will not be perceived appropriately. A platform for understanding and seeking solutions will avoid the communication gap. There are good lot of studies done on this in hospital administration area, and you can use best practices for effective sharing and feedback
Firstly I suggest you obtain the excellent book entitled 'Healthcare communication' by Bruce Hugman, Pharmaceutical Press ISBN 978-085369-749-7
Secondly, ISoP has etsbalished a risk communication group. Please contact me if you want to know more. There is alot of evidence out there which is not being implemented.
We utilize AHRQ's TeamStepps Training. You start off by doing a Culture of Safety Survey, then proceed with training Leaders, then all staff and physicians (as many as possible).
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