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phases-of-illness paradigm better communication, better outcomesphases-of-illness模式更好的沟通,更好的结果
Pamplin et al. Critical Care 2011, 15:309
/content/15/6/309
V I E W P O I N T
Phases-of-illness paradigm: better communication,
better outcomes
1 2 3
Jeremy C Pamplin* , Sarah J Murray and Kevin K Chung
injuries and management mistakes account for tremen-
Abstract
dous costs in resources and dollars [4,5].
Communication failures are a signii cant contributor to Key to addressing this problem is the ‘divergence’
medical errors that harm patients. Critical care delivery among various team members as to what the priorities
is a complex system of inter-professional work that is are for a patient’s care. ‘Communication failures are often
distributed across time, space, and multiple disciplines. rooted in an internecine confl ict between team members
Because health-care education and delivery remain about these priorities.’ For example:
siloed by profession, we lack a shared framework Bedside nurse: ‘We haven’t done the rehab yet today.’
within which we discuss and subsequently optimize Attending physician: ‘Why?’
patient care. Furthermore, our disparate professional Bedside nurse: ‘We are waiting for ultrasound to come
perspectives and interests often interfere with our up.’
ability to ef ectively prioritize individual care. It is Attending physician: ‘Let’s get [the patient] up now.’
important, therefore, to develop a cognitively shared h is dialog represents ‘a misunderstanding of intent
fram
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