Case Study: Oregon Urology Institute

Communication in the operating room is very important. If surgeons and nurses are not communicating effectively it can directly affect the quality of patient care and safety. In 1999, the Institute of Medicine (IOM) issued a report, To Err is Human: Building a Safer Health System, which estimated the fifth leading cause of death in hospitals in the United States was due to health care errors (Mason, Gardner, Outlaw, Freida, 2016). To help reduce these errors, effective communication needs to be exercised throughout health care.

Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication. The first method of communication is mutual respect. The patient and clinician have a partnership based on trust. The patient has respect for the clinician 's experience and the clinician has respect for the patient 's wishes, needs, concerns and builds on past experience to meet immediate needs. (Paget, 2011).

When the patients would start talking more it was an indicator to me that they were trying to put a hold on the procedure. I would try to help them as much as I could, by explaining what I will be doing and how it will help them. I will have to work on working with anxiety to help me overcome this

In those hospital visits I had become accustomed to the sights and smells of a doctor’s office that instead of reminding me of pain, comforted me. I knew from then on, that the medical field was where I was called to serve.

As we work in the society, we are automatically associated with the well-being of the society and the people. I need to take responsibilities and have knowledge about what is going on with my patients and help them to be actively involved in their daily activities. Being able to communicate effectively with the people is the biggest key aspects of our daily life. I have to use the communication skills through reading and writing in my career which helps me to build trusting relationships with my patients. It will help me to understand the effects of the therapeutic process for the benefits of the patients.

The patients I have worked with have become my greatest teachers. I can’t sit down and flip to a chapter in a textbook that would teach me how to listen to a patient and let their unique history paint the picture of their present illness. A physician that I shadowed told me something that has since resonated with me. She told me how every patient has a story, and you always need to listen carefully because these stories aren’t pointless, they often can lead to your diagnosis. I personally believe the most important member of the care team is the patient; without communicating with the patient there is no chance to obtain crucial insight as to the illness that is presented to you.

Without strong communications, this team may not find their balance. It is important to collaborate and build this trust among the office members. The doctors can’t effectively lead change without the understanding of the staff to make the necessary

In 2005, a family friend by the name of Randy Birdsong was a patient at Audie L. Murphy Memorial VA Hospital located in San Antonio, Texas. The Veteran Affairs (VA) medical staff was performing surgery on his abdomen. After the surgery, he was notified that there was insufficient space to accommodate his continued care. The V.A. advised him to keep his wound clean with a fresh roll of gauze, and sent him on his merry way. A few days later, Randy was back at the V.A. hospital with a noticeable infection taken place in his abdominal region.

It is perceived that multi-disciplinary collaboration when it comes to service-user care is linked to more positive outcomes and experiences (Clifton et al., 2007). Teams which are able to communicate and are well coordinated have a lower rate of error (Despins, 2009). An effective team can be achieved through an effective model of communication, where members of each profession can openly share their opinions and challenge the opinions of others, in the hopes of improving service-user care and thus service-user safety. However, this type of honesty can only work well when there is a mutual respect and understanding within a team. Mutual respect, understanding teamed with effective communication lead to a

‘Dysentery…’ ‘Dysentery? That’s not my business. I’m a surgeon. Go on! Make room for the others.’”

1.2 – explain how communication affects relationships in work setting relationships in work setting in health and social care are very important we need to build a relationship with are colleagues and mangers staff to enable us to work effectively.it is essential to establish good relationship and communication with service user and there family’s but you must always have boundaries and keep it professional effective communication and working relationships . In order to work effectively with a service user line mangers, colleagues and families you must be able to meet their needs relationships are also governed by body language facial expression smiling and ways in which others listen and talk to you. If the communication is poor between you and a service user and with your work colleague the care the service user receives will not be right for them if you’re not talking to them or communicating with them how are you going to know what they like or don’t like.

As an aspiring physician in Emergency Medicine, it is hard to describe typical physician workday activities. Every day is unique and filled with many opportunities to learn and develop clinical, interpersonal communication, leadership and critical thinking skills. Despite this, there are certain routine activities which I had the opportunity to observe through my shadowing experience in the Emergency and Operating rooms at California Hospital Medical Center, Los Angeles. One day, a two year old patient came into the ER after falling and cutting her head. The patient’s mother told the physician that her daughter is nervous and scared.

As I was getting my assignment for the day, I was thinking “Am I going to remember what to say, or how to perform certain skills?” But, to my surprise, I was able to jump right back in. My patient was an 84 year old male, admitted with a blocked common bile duct. I was, able to talk with him, and do his assessment with no problem.

REFLECTION OF THE INTERVIEW 2.1 Description A component of the Effective Communication module, is an Inter-professional Education (IPE) enrichment activity and we were put into groups with the Pharmacy students. There were in total 2 Nursing students and 3 Pharmacy students. We were tasked to interview a healthcare professional. We interviewed Dr Edwin Lim from Tzu Chi Free Health Screening and Free Clinic (TCFC). He specialises in Family Medicine.

For communicating in this situation I should promote active listening and open questioning. This should help me to find out as much information as possible which should lead to a more thorough conclusion. Also clear and concise interaction with other professionals like the multi-disciplinary team is highly important. To solve a lot of problems that may arise when caring I will need to show assertiveness and good advocacy skills.