Bittner-Fagan Heather, Davis Joshua, Savoy Margot
The Family Medicine Center-Wilmington, 1400 N Washington Street 3rd Floor, Wilmington, Delaware 19801.
Sidney Kimmel Medical College - Thomas Jefferson University, 1025 Walnut St, Philadelphia, PA 19107.
FP Essent. 2017 Dec;463:27-33.
Communication among physicians, staff, and patients is a critical element in patient safety. Effective communication skills can be taught and improved through training and awareness. The practice of family medicine allows for long-term relationships with patients, which affords opportunities for ongoing, high-quality communication. There are many barriers to effective communication, including patient factors, clinician factors, and system factors, but tools and strategies exist to address these barriers, improve communication, and engage patients in their care. Use of universal precautions for health literacy, appropriate medical interpreters, and shared decision-making are evidence-based tools that improve communication and increase patient safety.
医生、工作人员和患者之间的沟通是患者安全的关键要素。有效的沟通技巧可以通过培训和提高意识来传授和改进。家庭医学实践允许与患者建立长期关系，这为持续的高质量沟通提供了机会。有效沟通存在许多障碍，包括患者因素、临床医生因素和系统因素，但存在一些工具和策略来克服这些障碍、改善沟通并让患者参与自身护理。使用健康素养通用预防措施、合适的医学口译员以及共同决策是基于证据的工具，可改善沟通并提高患者安全。
