Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
CME
Outcomes
Research
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
 
JCOM
BACK ISSUE articles are $15 each.
 
International credit cards NOT accepted.



JCOM Paid Subscribers
LOG IN
user name:
password:
 
Forgot password?

JCOM Abstract


J Clin Outcomes Manage 
2010 Oct;17(10):449-452
Communication amidst chaos: challenges to patient communication in the emergency department
Engel KG, Buckley BA, McCarthy DM, Forth VE, Adams JG

Abstract Objective: To examine the critical stages within the emergency department (ED) care process that require effective patient engagement and offer suggestions for enhancing communication. Methods: Review of the literature and a description of techniques for improving communication. Results: There are 4 main junctures during the ED care process that have critical communication requirements: (1) at intake, when the patient first enters the ED from home or as a transfer from another facility; (2) during assessment; (3) at the point of development of the treatment plan; and (4) at discharge or admission to the hospital from the ED. Transitions in care, such as discharge from the ED, are especially high-risk times for communication failure and, in turn, adverse patient events. To improve communication with patients at discharge, we need to define the information they need to care for their condition at home and consider how this information can best be provided. Our research group has created diagnosis-specific discharge instructions for several common diagnoses based on input from emergency providers, relevant subspecialty providers, and communication and literacy experts. Conclusion: Identifying and addressing problems with communication are essential to providing safe, high-quality patient care in the ED. An enriched dis-charge process may lead to positive downstream effects on ED recidivism and patient outcomes.

Clinical Communication

Search the Turner White index to find abstracts of articles published in JCOM.





New issues are posted one month following publication of the printed journal.



View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999



Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2014, Turner White Communications
Updated 1/20/14 • jdw