Are you listening...Are you really listening?

Charles R. Denham; Jennifer Dingman; Mary Foley; Dan Ford; Becky Martins; Patti O'Regan; Arlene Salamendra

Commentary

Are you listening...Are you really listening?

September 17, 2008

Denham CR, Dingman J, Foley M, et al. J Patient Saf. 2008;4(3):148-161.

View more articles from the same authors.

This article discusses verbal communication and how human factors, authority gradients, team interaction, health literacy, and active listening can affect safety improvement.

Available at

Related Resources From the Same Author(s)

Disclosure through our eyes.

March 19, 2008

The partnership with patients: a call to action for leaders.

September 7, 2011

TRUST: the 5 rights of the second victim.

June 27, 2007

The new patient safety officer: a lifeline for patients, a life jacket for CEOs.

April 4, 2007

SBAR for patients.

March 12, 2008

The cost of harm and savings through safety: using simulated patients for leadership decision support.

September 12, 2012

The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.

June 20, 2007

Leading successful rapid response teams: a multisite implementation evaluation.

April 29, 2009

The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.

January 10, 2007

No excuses: the reality that demands action.

September 1, 2005

Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes.

January 7, 2015

Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?

August 24, 2005

Quality initiatives: developing a radiology quality and safety program: a primer.

August 26, 2009

Communication between primary and secondary care: deficits and danger.

August 21, 2019

Minimizing inappropriate medications in older populations: a ten-step conceptual framework.

April 4, 2012

Safe use of electronic health records and health information technology systems: trust but verify.

December 18, 2013

Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues.

July 25, 2007

Expanding what we know about off-peak mortality in hospitals.

May 26, 2010

Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care.

February 20, 2008

Medication discrepancies upon hospital to skilled nursing facility transitions.

April 29, 2009

Benefits of a rapid response system at a community hospital.

May 30, 2007

Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members.

April 16, 2014

Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study.

July 2, 2014

A safe practice standard for barcode technology.

June 3, 2015

Documentation of drug allergy on drug chart in patients presenting for surgery.

July 9, 2008

Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE).

October 17, 2012

Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system.

September 18, 2013

Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive?

December 4, 2013

Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students.

December 10, 2014

Patient safety in geriatrics: a call for action.

December 15, 2010

High rates of adverse drug events in a highly computerized hospital.

May 25, 2005

After Mid Staffordshire: from acknowledgement, through learning, to improvement.

August 27, 2014

Medication safety in community pharmacy: a qualitative study of the sociotechnical context.

December 2, 2009

Patient safety: the patient's role.

February 14, 2007

Interventions to promote safety culture in cancer care: a systematic review.

December 20, 2023

Using improvement science methods to increase accuracy of surgical consents.

September 17, 2014

Diagnostic error: untapped potential for improving patient safety?

August 13, 2014

Crime in the workplace, part 1.

October 24, 2007

Defining and classifying terminology for medication harm: a call for consensus.

December 19, 2018

Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study.

June 7, 2023

Practically speaking: rethinking hand hygiene improvement programs in health care settings.

January 4, 2012

Speaking up to reduce noise in the OR.

July 22, 2015

What do family physicians consider an error? A comparison of definitions and physician perception.

January 3, 2007

Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians.

January 6, 2016

Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature.

May 30, 2012

A decade after Francis: is the NHS safer and more open?

April 5, 2023

Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service

February 19, 2020

Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff?

September 29, 2021

The influence of the availability heuristic on physicians in the emergency department.

November 17, 2021

Classification of adverse events occurring in a surgical intensive care unit.

September 5, 2007

Resident to resident handoffs in the emergency department: an observational study.

October 22, 2014

Standardizing concentrations of adult drug infusions in Indiana.

June 7, 2017

Unfinished nursing care, missed care, and implicitly rationed care: state of the science review.

April 8, 2015

Patient safety education: what was, what is, and what will be?

December 18, 2013

The impact of health system membership on patient safety initiatives.

January 9, 2008

Patients' experiences with communication-and-resolution programs after medical injury.

October 18, 2017

Potentially unintended discontinuation of long-term medication use after elective surgical procedures.

January 3, 2007

Evolution of a rapid response system from voluntary to mandatory activation.

June 9, 2010

An investigation of occupational subgroups with respect to patient safety culture.

March 14, 2012

Psychosocial influences on safety climate: evidence from community pharmacies.

December 14, 2011

Professionalism in medicine: results of a national survey of physicians.

December 12, 2007

SWITCH for safety: perioperative hand-off tools.

November 6, 2013

Risks related to patient bed safety.

November 14, 2012

Incident learning in radiation oncology: a review.

August 15, 2018

How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals.

March 13, 2019

Developing a hospital-wide quality and safety dashboard: a qualitative research study.

August 22, 2018

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury.

July 17, 2019

"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system.

August 4, 2021

Influencing leadership perceptions of patient safety through just culture training.

May 5, 2010

Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.

October 29, 2014

Innovation in safety, and safety in innovation.

January 29, 2014

Mandatory presuit mediation: 5-year results of a medical malpractice resolution program.

May 7, 2014

How well is quality improvement described in the perioperative care literature? A systematic review.

May 4, 2016

Defining, estimating, and communicating overdiagnosis in cancer screening.

June 27, 2018

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations.

April 15, 2005

Impact of a pharmacotherapy alerting system on medication errors.

January 23, 2013

Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center.

December 2, 2009

Before you make that big decision...

July 20, 2011

Evidence for anchoring bias during physician decision-making.

July 12, 2023

Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers.

June 24, 2020

Improving process while changing practice: FMEA and medication administration.

March 12, 2008

Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study.

October 23, 2013

Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience.

March 7, 2018

Abandon the term "second victim."

April 10, 2019

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.

August 22, 2018

Exploring the human factors of prescribing errors in paediatric intensive care units.

March 27, 2019

Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals.

March 5, 2014

Reality check for checklists.

August 19, 2009

Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study.

April 26, 2017

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.

May 5, 2021

Hospital responses to the Leapfrog Group in local markets.

February 20, 2008

Fostering patient safety competencies using multiple-patient simulation experiences.

December 9, 2009

Attitudes of health sciences faculty members towards interprofessional teamwork and education.

September 5, 2007

Creating a physician-led quality imperative.

December 10, 2014

Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis.

May 11, 2022

Nurse workarounds in the electronic health record: an integrative review.

August 12, 2020

Zero harm in health care.

March 18, 2020

Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.

September 9, 2015

Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.

January 16, 2013

Related Resources

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Patient Safety Primers

Inpatient Transitions of Care: Challenges and Safety Practices

March 27, 2024

Interview

In Conversation with...Richard Ricciardi about Office-Based Patient Safety

January 31, 2024

Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care.

October 11, 2023

Interview

In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

WebM&M Cases

Misconnection Leading to Arterial Thrombosis

June 28, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Guidelines in Practice: prevention of unintentionally retained surgical items.

December 7, 2022

WebM&M Cases

Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.

September 28, 2022

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis.

May 25, 2022

Influence of perioperative handoffs on complications and outcomes.

November 17, 2021

From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.

February 10, 2021

Awareness of human factors in the operating theatres during the COVID-19 pandemic.

January 13, 2021

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic.

October 7, 2020

Disaster ergonomics: human factors in COVID-19 pandemic emergency management.

August 19, 2020

The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration.

April 22, 2020

Empowering patients and reducing inequities: is there potential in sharing clinical notes?

April 15, 2020

Engineering a foundation for partnership to improve medication safety during care transitions.

February 6, 2019

Critical role of the surgeon–anesthesiologist relationship for patient safety.

August 22, 2018

Use of a surgical safety checklist to improve team communication.

September 21, 2016

Health literacy and patient safety events.

July 13, 2016

Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork.

August 12, 2015

The influence of organizational factors on patient safety: examining successful handoffs in health care.

August 27, 2014

Improving safety and quality of care with enhanced teamwork through operating room briefings.

July 23, 2014

Nearing zero...reducing grade C medication errors.

July 23, 2014

10 years in, why time out still matters.

June 11, 2014

Principles supporting dynamic clinical care teams: an American College of Physicians position paper.

September 25, 2013

Using simulation to address hierarchy issues during medical crises.

February 13, 2013

See More About The Topic

Quality and Safety Professionals

Discontinuities, Gaps, and Hand-Off Problems

Communication between Providers

Health Literacy Improvement

Human Factors Engineering

Are you listening...Are you really listening?

Inpatient Transitions of Care: Challenges and Safety Practices

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Are you listening...Are you really listening?

Inpatient Transitions of Care: Challenges and Safety Practices

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site