Koczmara Christine, Jelincic Valentina, Perri Dan
ISMP Canada.
Dynamics. 2006 Spring;17(1):20-4.
Communication is commonly cited as a contributing factor to adverse events causing patient harm (Baker et al., 2004). There are numerous ways and reasons that communication failures can occur, such as poor handwriting, transcription errors, lack of verification, lack of integration of information, and ineffective team functioning. Errors that can occur in critical care with the verbal communication and receipt of a telephone order will be highlighted. These examples, together with proposed strategies for improving telephone order safety, are intended to promote awareness and potential practice changes in the critical care environment.
沟通通常被认为是导致患者受到伤害的不良事件的一个促成因素（贝克等人，2004年）。沟通失败可能出现的方式和原因有很多，比如字迹潦草、转录错误、缺乏核实、信息整合不足以及团队协作效率低下。本文将重点介绍重症监护中口头传达和接收电话医嘱时可能出现的错误。这些例子以及提出的提高电话医嘱安全性的策略，旨在提高对重症监护环境中的认识，并促使潜在的实践发生改变。
