Averting adverse events in communication skills training: A case series Journal Article


Authors: Levin, T.; Horner, J.; Bylund, C.; Kissane, D.
Article Title: Averting adverse events in communication skills training: A case series
Abstract: Objective: To document cases of adverse or near adverse events in communication skills training (CST) and to identify risk factors and strategies to reduce the likelihood of their occurrence. Methods: Six physician CST cases meeting criteria for an adverse or near adverse collected from experienced facilitators are analyzed and discussed. Results: Three types of adverse CST events are described: traumatic personal experiences or losses evoked by training; perception that feedback is not empathic; and where trainees are referred for remedial CST as a risk management strategy. Conclusion: Early identification of risk factors and emotional cues of trainees is a key first step that facilitates implementation of remedial strategies to avert potential adverse events. Consideration of ways that physicians' personal experiences impact communication and good feedback techniques are vital. The implications of physicians sent to CST for risk management purposes is a new scenario that deserves special consideration. Practice implications: To make CST safer and to optimize learning, early recognition of potential adverse events is essential. Specific feedback techniques should be mastered by all CST facilitators. © 2010 Elsevier Ireland Ltd.
Keywords: united states; risk assessment; doctor patient relation; training; medical education; communication; empathy; physician-patient relations; communication skills training; communication skill; emotion; feedback; personal experience; medical error; stress, psychological; risk management; adverse event; education, medical; patient simulation; students, medical
Journal Title: Patient Education and Counseling
Volume: 81
Issue: 1
ISSN: 0738-3991
Publisher: Elsevier Ireland Ltd.  
Date Published: 2010-10-01
Start Page: 126
End Page: 130
Language: English
DOI: 10.1016/j.pec.2009.12.009
PUBMED: 20074890
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: PEDCD" - "Source: Scopus"
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  1. Tomer T Levin
    62 Levin
  2. David W Kissane
    164 Kissane
  3. Jennifer Horner
    2 Horner