Much of the communication today in business and health care entails an exchange, wherein all parties involved must act as both giver and recipient of information. This exchange ensures that the information is received and the recipient has an opportunity to express agreement, disagreement, confusion, understanding, need for clarification or any other response.
For example, a recent study by the U.S. Center for Studying Health System Change found that “reliance on electronic medical records (EMRs) could result in poorer communications with other providers in inpatient or clinical environments. While the use of other communication tools with EMRs – such as email and instant messaging – can sometimes help clinicians, they can also hinder care when a time lag occurs between responses.” Communication starts and stops all effective collaborations. Learning how to effectively communicate is a critical component of your development as a leader.
Some of the causes of ineffective communication are a mixture of both organizational and human factors. Time pressures, work stress, a multilayered corporate structure, language incompatibilities, and information overload are cited as some of the organization related causes. The human factors are mental, behavioural and emotional weakness, such as the following:
1. Poor listening skills
2. Lack of focus or mental disorganization
3. Impatience and arrogance
4. Tendency to assume instead of double-check
5. Uncontrolled emotional attachment or response to the information
6. Disinterest in the information or task
7. Refusal to clarify or follow up
8. Fatigue or burnout
People who display these and similar interpersonal inadequacies put themselves, their communication partners, and those affected by the information in a dangerous position. They send and receive only partial and possibly incorrect information and consequently they create time consuming double work, confusion, frustration and conflict. In this case, communication will not improve if behaviours and mindset do not improve. This is particularly true in trying to prevent medical errors as we seek to improve health care quality and safety.
Ineffective communication is a leading cause of untoward events and harm to patients whether it is an organizational factor or a human factor of disruptive behaviour. Adopting the skill of Positive Presence as a business improvement strategy is the first step to acquiring the necessary mindset for behavioural awareness.
CORPORATE HARMONY is grateful to Dr. Michael E. Frisina for his contributions to this entry.
