Risk Pearls: March 2017

By Julie Loomis, RN, JD
March, 2017

One of the simplest tools for improving your communication with patients is intentional or "active" listening. When a new mother brings her baby to the office, listening to her description of the problem often provides that subtle clue a physical examination may not have revealed. Not all medical interactions require intervention; listening may be the only care needed. Keep in mind that patient experience surveys measure patients' perspectives of care by asking "How often did your doctors/nurses listen carefully to you?" Active listening sounds easy, but in today's medical environment, you may be tempted to "short cut" time allowed for listening; you may listen only for the responses that fit the questions being asked or to complete a template, thereby missing critical information. EHRs can be a barrier to active listening. By facing the patient and maintaining eye contact, you have more opportunity to “hear” the patient.  Listening requires effort on the part of the practice in order to structure patient interactions that allow for open communication. Look at your questionnaires to see if they lead only to "yes" or "no" responses. If so, change the questions to make them more open-ended. Listening also requires the discipline to hear what is being said without immediately formulating a response. From the initial patient call requesting an appointment to your end of visit summary, each step in the patient experience involves listening attentively to ensure effective communication and quality care.

Julie Loomis, RN, JD

About the Author

Julie Loomis is Assistant Vice President of Risk Education for SVMIC where she develops educational programs and assists policyholders and staff with risk management issues. Ms. Loomis is a member of the Tennessee Bar Association, Medical Group Management Association, and American Society of Healthcare Risk Managers (ASHRM). She recently contributed to ASHRM’s Medication Safety Pearls. She serves on the Risk Management Committee of the Physician Insurers Association of America. Ms. Loomis is a speaker on risk management and professional liability topics at medical professional association meetings, medical schools and residency programs, and industry seminars.

The contents of The Sentinel are intended for educational/informational purposes only and do not constitute legal advice. Policyholders are urged to consult with their personal attorney for legal advice, as specific legal requirements may vary from state to state and/or change over time.