Abstract
Healthcare organizations are dynamic and complex systems that require multiple subjects to achieve its goals. Therefore it is no surprise that communication is a fundamental process in these systems, and that failures in communication are associated with worse outcomes. However, the term communication without a formal definition is nothing more than an elusive concept. In this chapter we borrow from an established mathematical framework of communication and use it as the basis to identify sources of errors in communication, discuss the main moments of communication in the ICU, and contextualize how communication tools, such as interdisciplinary rounds, standardization, pre-printed orders (PPOs), algorithms and language style, can help improve communication and increase the efficiency of healthcare and patient safety.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Eco U. A theory of semiotics. Bloomington: Indiana University Press; 1978.
Shannon CE. A mathematical theory of communication. Bell Syst Tech J. 1948;27:379–423.
Kluver J, Kluver C. On communication: an interdisciplinary and mathematical approach. Dordrecht: Springer; 2007.
Buckley W. Social stratification and the functional theory of social differentiation. Am Sociol Rev. 1958;23:369–75.
Miller GA. The magical number seven plus or minus two: some limits on our capacity for processing information. Psychol Rev. 1956;63:81–97.
Paris CR, Salas E, Cannon-Bowers JA. Teamwork in multi-person systems: a review and analysis. Ergonomics. 2000;43:1052–75.
Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care. 2003;18:71–5.
Kim MM, Barnato AE, Angus DC, Fleisher LF, Kahn JM. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170:369–76.
Cohen MD, Hilligoss B, Kajdacsy-Balla Amaral AC. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16:303.
Cohen MD, Hilligoss PB. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19:493–7.
Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Health Care. 2005;14:401–7.
Petersen LA, Brennan TA, O’Neil AC, Cook EF, Lee TH. Does housestaff discontinuity of care increase the risk for preventable adverse events? Ann Intern Med. 1994;121:866–72.
Fins JJ. Professional responsibility: a perspective on the Bell Commission reforms. Bull N Y Acad Med. 1991;67:359–64.
Laine C, Goldman L, Soukup JR, Hayes JG. The impact of a regulation restricting medical house staff working hours on the quality of patient care. JAMA. 1993;269:374–8.
Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003;133:614–21.
Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med. 2006;145:488–96.
Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Ann Emerg Med. 2007;49:196–205.
Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care. 2009;18:261–6.
Borowitz SM, Waggoner-Fountain LA, Bass EJ, Sledd RM. Adequacy of information transferred at resident sign-out (inhospital handover of care): a prospective survey. Qual Saf Health Care. 2008;17:6–10.
Catchpole K, Sellers R, Goldman A, McCulloch P, Hignett S. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Qual Saf Health Care. 2010;19:318–22.
Lamond D. The information content of the nurse change of shift report: a comparative study. J Adv Nurs. 2000;31:794–804.
Fassett MJ, Hannan TJ, Robertson IK, Bollipo SJ, Fassett RG. A national survey of medical morning handover report in Australian hospitals. Med J Aust. 2007;187:164–5.
Solet DJ, Norvell JM, Rutan GH, Frankel RM. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Acad Med. 2005;80:1094–9.
Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: a case study. Int J Nurs Pract. 2010;16:27–34.
Odell A. Communication theory and the shift handover report. Br J Nurs. 1996;5:1323–6.
Miller A, Scheinkestel C, Limpus A, Joseph M, Karnik A, Venkatesh B. Uni- and interdisciplinary effects on round and handover content in intensive care units. Hum Factors. 2009;51:339–53.
Bhabra G, Mackeith S, Monteiro P, Pothier DD. An experimental comparison of handover methods. Ann R Coll Surg Engl. 2007;89:298–300.
Accreditation C. Required organizational practices. Ottawa: Accreditation Canada; 2009.
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32:167–75.
Riesenberg LA, Leitzsch J, Little BW. Systematic review of handoff mnemonics literature. Am J Med Qual. 2009;24:196–204.
Ilan R, LeBaron CD, Christianson MK, Heyland DK, Day A, Cohen MD. Handover patterns: an observational study of critical care physicians. BMC Health Serv Res. 2012;12:11.
Van Eaton EG, Horvath KD, Lober WB, Rossini AJ, Pellegrini CA. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. J Am Coll Surg. 2005;200:538–45.
Anderson J, Shroff D, Curtis A, et al. The Veterans Affairs shift change physician-to-physician handoff project. Jt Comm J Qual Patient Saf. 2010;36:62–71.
Petersen LA, Orav EJ, Teich JM, O’Neil AC, Brennan TA. Using a computerized sign-out program to improve continuity of inpatient care and prevent adverse events. Jt Comm J Qual Improv. 1998;24:77–87.
Ash JS, Sittig DF, Campbell EM, Guappone KP, Dykstra RH. Some unintended consequences of clinical decision support systems. AMIA Annu Symp Proc. 2007:26–30.
Cheney C, Ramsdell JW. Effect of medical records’ checklists on implementation of periodic health measures. Am J Med. 1987;83:129–36.
Institute for Safe Medication Practices. ISMPs guidelines for standard order sets; 2011.
Hicks RW, Nelson J, Santell JP. Medication errors associated with preprinted orders. USP Drug Saf Rev Syst. 2004;148:pHSE28.
Brown P. Politeness: some universals in language usage. Cambridge: Cambridge University Press; 1987.
Westli HK, Johnsen BH, Eid J, Rasten I, Brattebo G. Teamwork skills, shared mental models, and performance in simulated trauma teams: an independent group design. Scand J Trauma Resusc Emerg Med. 2010;18:47.
Barshi I. The effects of mental representation on performance in a navigation task. ProQuest Dissertations and Theses, University of Colorado at Boulder, 1998, p. 93.
Snook SA. Friendly fire: the accidental shootdown of U.S. Black Hawks over Northern Iraq. New Jersey: Princeton University Press; 2000.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Kajdacsy-Balla Amaral, A.C. (2014). Facilitating Interactions Between Healthcare Providers in the ICU. In: Scales, D., Rubenfeld, G. (eds) The Organization of Critical Care. Respiratory Medicine, vol 18. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0811-0_8
Download citation
DOI: https://doi.org/10.1007/978-1-4939-0811-0_8
Published:
Publisher Name: Humana Press, New York, NY
Print ISBN: 978-1-4939-0810-3
Online ISBN: 978-1-4939-0811-0
eBook Packages: MedicineMedicine (R0)