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In this issue:

Articles
Narrowing the Focus for Patient Safety
Diagnosis-related Risks
Case Example: Missed Opportunities
Audio: Lack of Information Hinders Care
Medication-related Risks
Case Example: Inattention to Allergy
Best Practice: Phone Requests for Drug Refills
Obstetrics-related Risks
Case Example: Dysfunctional Teamwork
Closed Claim Abstract: Vague Talk Between OB and RN Caused Delay
Surgery-related Risks
Case Example: Blindness Following Spine Surgery
Closed Claim Abstract: Reliance on Memory Harms Patient
Patient-centered Risk Management Analysis
Video: Emotion When Things Go Wrong
Guiding Questions
Interactive Learning
Polling Exercise: Safe Prescribing Practices
Exercise: The Telephone in Clinical Practice
Target Area: Targets for Patient Safety January 2007

Exercise: The Telephone in Clinical Practice

Physicians can be sued when someone else mishandles a telephone call with a patient. This is because the law and juries hold physicians accountable for training and oversight of their staff. Most importantly, without this oversight by physicians, the care that patients receive will not be optimal.

The following exercise focuses on a fundamental element of establishing and maintaining an excellent training/monitoring program for telephone care: distinctions among staff roles in a busy practice. Perform the following exercise from four different staff perspectives:

  • Receptionist,
  • Medical Assistant,
  • Nurse, and
  • Physician.
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