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This book was conceived in response to the increasing recognition of the central role of communication in effective healthcare delivery, particularly in high-stress contexts. Over a three-year period, the research team investigated communication between patients and clinicians in five representative emergency departments (EDs). The book describes the communicative complexity and intensity of work in the ED and identifies the features of successful patient-clinician interactions. Drawing on authentic examples of communication within the ED, the book provides comprehensive communication strategies for healthcare professionals that can be readily integrated into everyday practice. ‘Professor Diana Slade and her colleagues have written an innovative and practical book on communication and relationships in emergency departments and their effects on the patient experience. Rarely does one find a book that so seamlessly translates research findings into practical action strategies. The book is an invaluable resource for the training of physicians, nurses, hospital administrators and others in healthcare.’ - Elizabeth A. Rider, MSW, MD, FAAP, Department of Pediatrics, Harvard Medical School ‘My participation in the UTS Emergency Communication project provided extraordinary insights into the complexities and subtleties of communication encounters during a patient’s emergency department journey. This project has made a lasting impact on my daily work, and I hope will improve emergency patient care into the future.’ - Dr Nick Taylor, Emergency Medicine Specialist, The Canberra Hospital ‘The captured clinical conversations between doctors, nurses and patients are fascinating... The discussion and conclusions provide a rare insight into an integral and critical component of Emergency Medicine practice. The team, led by Professor Slade, was truly unobtrusive, professional and personable.’ - Dr Marian Lee, Emergency Physician, Director of Emergency Medicine Training
Communication in Emergency Medicine highlights key challenges to effective communication in Emergency Medicine that may be experienced by healthcare providers, students, nurses, and even hospital administrators. The text addresses these pitfalls by demonstrating how a mix of foundational communication techniques and leadership skills can be used to successfully overcome barriers in information exchange highlighted by real-life clinical scenarios with an emphasis on avoidable pitfalls. This text is an ideal resource for Emergency Medicine providers, with lessons which can also be applied in many other settings as well.
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
In response to the growing emphasis on clinicians' capacity to practise effective communication, Communicating Quality and Safety in Health Care provides real-time communication scenarios and interprofessional case studies. The book engages healthcare trainees from across medicine, nursing and allied health services in a comprehensive and probing discussion of the communication demands that confront today's healthcare teams. This book explains the role of communication in mental health, emergency medicine, intensive care and a wide range of other health service and community care contexts. It emphasises the ways in which patients and clinicians communicate, and how clinicians communicate with one another. The case studies explain why and how communication is critical to good care and healing. Each chapter analyses real-life practice situations, encourages the learner to ask probing questions about these situations and sets out the principal components and strategies of good communication.
Written for a global audience, by an international team, the book provides practical, case-based emergency department leadership skills.
NCTE-CCCC Best Book in Technical or Scientific Communication 2020 Rhetorical Work in Emergency Medical Services: Communicating in the Unpredictable Workplace details how communicators harness the power of rhetoric to make decisions and communicate in unpredictable contexts. Grounded in a 16-month study in the emergency medical services (EMS) workplace, this text contributes to our theoretical, methodological, and practical understandings of the situation-specific processes that communicators and researchers engage in to respond to the urgencies and constraints of high-stakes workplaces. This book presents these intricate processes and skills—learned and innate—that workplace communicators use to accomplish goal-directed activity, collaborate with other communicators, and complete and teach workplace writing.
Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a break
With the increased emphasis on reducing medical errors in an emergency setting, this book will focus on patient safety within the emergency department, where preventable medical errors often occur. The book will provide both an overview of patient safety within health care—the 'culture of safety,' importance of teamwork, organizational change—and specific guidelines on issues such as medication safety, procedural complications, and clinician fatigue, to ensure quality care in the ED. Special sections discuss ED design, medication safety, and awareness of the 'culture of safety.'