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Spoken communication and patient safety: a new direction for healthcare communication policy, research, education and practice?

Research output: Contribution to journalEditorial

Roderick Iedema, Trish Greenhalgh, Joan Russell

Original languageEnglish
Article number10.1136/ bmjoq-2019-000742
Pages (from-to)1-4
Number of pages4
JournalBMJ Open Quality
Issue number2019
Publication statusPublished - 8 Sep 2019

King's Authors


This report sets out the findings of a National
Health Service Improvement (NHSI)
working group on care communication which
included clinicians, patients, patient representatives,
NHSI staff and academics from
different disciplines. The group’s activities
included running four national focus groups
and discussion days, in addition to conducting
national and international literature searches
on healthcare communication and communication
improvement. The group’s conclusions
are that six domains of care communication
warrant attention and improvement: the care
environment, information exchange, attitude
and listening, aligning and responding,
team communication, and communicating
with unique groups. Together, these domains
expand the definition of healthcare communication
from communication as information
transaction to communication as complex
social and local dynamic. The report outlines
the consequences of this expanded definition
for healthcare communication improvement
and improvement research.

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