환자안전은 소통이다. patient safety is · pdf file1 안전한 검체검사...
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. Communication is Safety
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1. from Latin language. 2. 'Communis and communicare' are two Latin words related to the word communication. Communis is noun word, which means common, communiality or sharing. Similarly, communicare is a verb, which means 'make something common'. Some scholars relate the term communication with an English word community. Community members have something common to each other. communities are formed with the tie of communication. 3. Basically, communication is the transfer of ideas, information from one person to another. It is the act of informing someone or disseminating information
From Wikipedia
Communication
(1)
1. (Verbal Communication): -Oral Communication
-Written Communication
2. (Nonverbal Communication) (gesture), (body language), (posture), (tone of voice),
3. (Appearance) , , , ( , , , )
(Body Language) : , ,
(Sounds) : , ,
(2)
1. (Formal Communication) -
- .
2. (Informal Communication) -
-
- , , ,
http://www.buzzle.com/articles/communication-cycle.html
Communication cycle
Dominant Communicator
Passive Communicator
Passive-Aggressive Communicator
Empathic Communicator
http://www.safetyperformance.com/ImprovingSafetyCommunication.pdf
Communication Styles
Dominant Communicator
Passive Communicator
Passive-Aggressive Communicator
Empathic Communicator
?
Verbal and Non-verbal communication
Formal communication
: , , , , , , ..
Communication Failure
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,
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International concern in complex healthcare system
Gaps in communication can cause serious break- downs in the continuity of care, inappropriate treatment, and potential harm to the patient.
http://www.who.int/patientsafety/solutions/patientsafety/PS-Solution3.pdf
The Joint Commission (2004) analyzed 2,455 sentinel events from hospitals across the US and reported through RCA(root cause analysis). Over of 70% of the events were due to communication failures, and 75% of the patients involved died.
Quality and Safety in Healthcare, 13(suppl 1)i85-90, 2004
Miscommunication between caregivers during report transitioning or hand-offs play a role in an estimated 80% of serious preventable adverse events.
http://www.prophecyhealth.com/communication-a-key-to-patient-safety-part-i/
http://oig.hhs.gov/oei/reports/oei-06-09-00090.pdf
2014 1017 - , S 1018~19- , . 1019 -. S . 1020- . 1022 - , . . 1022 11- . 12- . 1- . 1022 2- . S . . 1022 8- . , . 1027 819- .
2014. 10.27
http://www.jointcommissioninternational.org/http://www.jointcommissioninternational.org/http://www.jointcommissioninternational.org/
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4.2.5 .
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, . 2014.6
: : , , , : 428 145
(slightly)
(moderately)
(markedly)
34 - 11 17 6
100 9 - 3 5 1
100-200 12 - 5 6 1
200-500 9 - 2 4 3
500 4 - 1 2 1
38 3 10 20 5
100 - - - - -
100-200 3 - - 2 1
200-500 16 2 5 9 -
500 19 1 5 9 4
1) ?
(slightly)
(moderately)
(markedly)
34 - 4 22 8
100 9 - - 6 3
100-200 12 - 1 9 2
200-500 9 - 1 6 2
500 4 - 2 1 1
38 - 9 19 10
100 - - - - -
100-200 3 - - 1 2
200-500 16 - 5 9 2
500 19 - 4 9 6
2) ?
Standardized Systemic Communication
,
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Check-back ()
Read-back ()
Call-out ()
:
Standard communication framework
: SBAR (Situation, Background, Assessment, Recommendation)
SBAR
Situation . 75 AD with BPSD .
Background .
Assessment .
Recommendation .
High-Reliability Organization (HRO)
Collective Mindfulness
()
The five specific concepts that help create the state of mindfulness needed for reliability, which in turn is a prerequisite for safety
AHRQ Publication No. 08-0022
Better Health
Better Care Reduce Cost
Patient-centered Healthcare
Patient Satisfaction
Patient Experience
High-Reliability Healthcare Organization
- . . . .