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I would like to address some egregious instances where communication of important facts simply never occurred, resulting in the potential for, or actual, catastrophic consequences. A while back I assu

Last month I began the story of end of life discussions and the importance of setting the stage for these conversations before they become urgent matters at hand. I presented the story of an elderly f

Transitions in care represent potential weak links that couple together the complex array of care options that patients may encounter as they traverse the modern healthcare system. Errors in communica

When clinicians talk with patients we bring our compassion and knowledge to the table. Patients, our partners in achieving outcomes, bring their knowledge, their apprehensions, their belief systems an

The Government of England recently passed legislation requiring institutions to inform patients, and/or other appropriate parties, of instances where patients have been harmed as a result of “errors”.

“Doctor, what would you do if Sally were your child?” Hospitals are dangerous, encumbered by system inefficiencies and human factors affecting performance. Despite all the hazards in the hospitals we