Page 154 - Hospital Authority Convention 2018
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Symposiums
HOSPITAL AUTHORITY CONVENTION 2018
S11.3 Value Driven Healthcare 14:30 Convention Hall B
Quality Care while Managing Difficult Scenarios and Outcomes
Lee DWH
Department of Surgery, The Chinese University of Hong Kong, Hong Kong
Miscommunication between patients and their healthcare providers is a well-recognised risk of poor quality healthcare
services and medical litigations. Even experienced clinicians find it challenging to manage patients’ unrealistic expectations
and handle difficult communications after adverse scenarios and outcomes. The use of shared decision-making model and
mediation (communication) skills to assist difficult clinical interactions has been advocated with encouraging responses.
In the perspective of medical law and ethics, the movement towards open disclosure and the enactment of the Apology
Legislation in Hong Kong may further enhance direct and candid communications following medical adverse events.
On the other hand, modern clinical management always involves multiple disciplines. In a mixed team of professionals, poor
inter-professional communication is a definite risk to patient safety. By learning the experience from the aviation industry,
the incorporation of standardised professional communication tools such as ‘checklist’ has been proven to improve clinical
outcomes in high risks clinical practices.
Tuesday, 8 May 2018
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