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Dr Steve Walsh. “Communication errors cause twice as many fatalities as inadequate clinical skills” Coiera “Communication usually fails, except by accident”

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Presentation on theme: "Dr Steve Walsh. “Communication errors cause twice as many fatalities as inadequate clinical skills” Coiera “Communication usually fails, except by accident”"— Presentation transcript:

1 Dr Steve Walsh

2 “Communication errors cause twice as many fatalities as inadequate clinical skills” Coiera “Communication usually fails, except by accident” Wiio

3  Assess: Ask about behavioural health risks  Advise: Give behaviour change advice  Agree: Collaboratively select treatment goals  Assist: In acquiring skills, support, Rx  Arrange: Follow-up visits

4

5  “Oh, by the way …”

6  3 minutes longer

7  Surgeons’ tone of voice

8  His patients - mainly elderly women - were living alone and vulnerable. They adored their doctor, Harold "Fred" Shipman. Even when their contemporaries began dying in unusually high numbers, patients remained loyal to the murderous M.D. For as long as he spared them, his victims loved their doctor — to death.

9  Do patients trust their physicians?

10  How you communicate strongly influences patients’ adherence to your management plan  Listen to your patient and interrupt less  Good communication, tone of voice and longer visits are correlated with fewer medico-legal claims

11 1. Communication usually fails, except by accident 2. If a message can be interpreted in several ways, it will be interpreted in a manner that maximizes the damage 3. There is always someone who knows better than you what you meant with your message 4. The more we communicate, the worse communication succeeds


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