Hurtig Richard R, Alper Rebecca M, Berkowitz Benjamin
University of Iowa.
Temple University.
Perspect ASHA Spec Interest Groups. 2018 Jan;3(12):99-112. doi: 10.1044/persp3.SIG12.99.
Preventable adverse events (AEs) lead to poorer patient outcomes, added patient suffering and dissatisfaction, longer hospital stays, and billions in additional annual healthcare spending. Patients facing barriers to communication are three times more likely to experience a preventable adverse event than patients who faced no communication barriers. National data on hospital admissions, incidence and cost of preventable AEs, and the odds ratio regarding the risk of preventable AEs in people facing communication barriers were used to estimate potential benefits of improving patient communication. Reducing communication barriers could lead to an estimated reduction of 671,440 preventable AE cases and a cost savings of $6.8 billion annually. Facilitating patient-provider communication is an ethical and financial imperative. A multi-pronged approach, including increased awareness of and support for speech-language pathology services, is essential to creating a communication-friendly hospital culture, reducing patient suffering, and decreasing the financial cost of preventable AEs. Speech-language pathologists and allied healthcare professionals play a critical role in facilitating patient-provider communication and improving patient outcomes.
可预防的不良事件会导致患者预后更差、增加患者痛苦和不满、延长住院时间，并使每年的医疗保健支出增加数十亿美元。面临沟通障碍的患者发生可预防不良事件的可能性是未面临沟通障碍患者的三倍。利用关于医院入院情况、可预防不良事件的发生率和成本以及面临沟通障碍者发生可预防不良事件风险的比值比的全国数据来估计改善患者沟通的潜在益处。减少沟通障碍估计每年可减少671,440例可预防的不良事件病例，并节省68亿美元的成本。促进医患沟通在伦理和经济方面都是当务之急。采取多管齐下的方法，包括提高对言语病理学服务的认识并提供支持，对于营造有利于沟通的医院文化、减轻患者痛苦以及降低可预防不良事件的经济成本至关重要。言语病理学家和相关医疗保健专业人员在促进医患沟通和改善患者预后方面发挥着关键作用。
