(Engage patients and carers) :
_Ways to engage patients:
1-encourage patient to share information
2-show empathy,honesty&respect
3-Communicate effectively
4-Obtaining informed consent
5-understand steps of open disclosure
_SEGUE framework to achieve good communication:
1-set the stage
2-Elicit informations
3-Give informations
4-Understand the patient perspective
5-End the encounter
_Elements of informed consent :
1-Elements which inform the patient (Disclosure of informations & understanding informations by patient)
2-Elements that enable patient to make a decision :
(Voluntary choice by patient & Competence )
_Open disclosure :
Informing patients of bad outcomes of health care treatment
_Key principles of open disclosure:
1- Open timely communication
2-Acknowledgment of incident
3-express regret
5-support for staff
6-Confidentiality
_SPIKES(tool of communication to guide bad news):
1-Setting (أجهز الدنيا وأزبط المكان)
2-Perception (أسأله هو شايف حالته ازاي)
3-Invitation (أسأله عاوز يعرف عن حالته ولا لا)
4-Knowledge(أعرفه التفاصيل)
5-Empathy
6-Strategy& Summary
_Common barriers to disclosing adverse events :
1-Want to avoid confrontation
2-causing more distress on patient
3-loss of reputation&job
4-Fear legal action