How to Prevent Communication Breakdowns in Medical Settings

The statistics are unsettling. According to the Jointsimple mispronunciation - and could have had
Commission of Accreditation of Healthcaredisastrous results.
Organizations, 65% of hospital deaths and injuriesThe solution? Providing onsite or online accent
are directly related to communication breakdowns.reduction training for foreign-born medical
Nearly 55% of medication errors are caused byprofessionals. With programs tailored specifically to
faulty communication. These are preventable,the medical community, accent reduction
treatable problems that would not have occurredspecialists can provide the pronunciation training
if the communication had been clear.that healthcare workers need while adapting to
We all know that more paperwork is not thetheir hectic schedule.
answer. But how can we prevent the needlessDepending on the needs of a particular hospital or
deaths? What can be done to reduce errors andprivate practice, training can often be provided
improve patient outcomes?individually, in small groups, or even in a large
One area that must be addressed is that ofgroup seminar. With virtual training now available
foreign-born doctors' accented English. Even thosevia Skype, classes can literally be scheduled
who are proficient in English often still speak withanytime and anywhere in the world, as long as
such a thick accent that it is difficult for nursesthere is internet available.
and patients to understand what they are saying.Please don't expect your staff speech
Unfortunately, it is difficult for them to see thepathologists to provide this service. They have
problem because, often, they've been speakingenough on their plates, and asking them to "treat"
English since they were a child and it was goodthe doctors would reinforce the stigma that
enough to get them through medical school.something is wrong and requires therapy. Instead,
But here's the reality. It's not an issue of a deficitlocate a speech pathologist off site whose
in their expertise or knowledge and it's not anspecialty is accent reduction training. That way,
issue of their needing "speech therapy"; it's simplythis person is brought in as an expert trainer
a matter of needing some extra training tooffering continuing education opportunities.
improve communication skills.Communication breakdowns are one of the
For example, let's suppose that a doctor treatingbiggest causes of error in medical settings - and
a patient turns to his nurse and asks her tomany of them are preventable. Accent reduction
administer fifteen milligrams of a medication. Shetraining is one effective way to reduce the
misunderstands him and proceeds to give thenumber of communication -related mistakes. What
patient fifty milligrams of the medication. Now, theare you doing to improve the communication skills
doctor knew exactly what he was doing, and theof the foreign-born healthcare workers in your
nurse followed instructions as precisely as shepractice?
could. The problem occurred because of one