In healthcare environments where resources are limited and demands are high, triage represents a fundamental organizing principle. Clinical triage sorts patients based on acuity to ensure appropriate resource allocation. Yet when it comes to violence prevention, many healthcare organizations lack a systematic approach to early assessment and intervention. The result is reactive rather than...
Posts about Articles (2)
What's Missing from Your Safety Drills?
Healthcare organizations conduct regular safety drills to prepare for emergencies ranging from fires and natural disasters to active shooters and mass casualty events. These drills typically focus on logistics, protocols, and technical procedures—evacuating patients, establishing command centers, allocating resources, and coordinating with external agencies.
Three Seconds to Diffuse a Threat: The Power of First Contact
In a healthcare setting, the first three seconds of an interaction often determine whether a situation will escalate or stabilize. This critical window—from the moment a provider enters a room, approaches a distressed visitor, or addresses an agitated patient—sets the tone for everything that follows. Getting these first moments right can diffuse potential threats before they materialize;...
Training vs. Conditioning: What Sticks When It's Life-or-Death?
Under extreme stress, humans don't rise to the occasion—they fall to their level of training. This reality holds profound implications for healthcare communication and conflict management. When facing a volatile patient, an aggressive family member, or a high-stakes team conflict, healthcare professionals don't suddenly develop new skills. Instead, they rely on deeply conditioned responses...
Listening as a Safety Practice
In healthcare settings where lives depend on accurate information exchange, listening isn't just a courtesy—it's a critical safety practice. Yet despite its importance, effective listening remains remarkably rare in healthcare interactions. Rushed providers interrupt patients after an average of just 11 seconds. Hierarchical team structures inhibit junior members from speaking up. Handoff...
The Communication Crisis in Healthcare—And How to Fix It
Healthcare faces a communication crisis that endangers patients, burns out clinicians, and compromises care quality. While clinical advances accelerate at breathtaking speed, the fundamental human skill of effective communication remains underdeveloped across the healthcare ecosystem. This crisis isn't merely annoying—it's dangerous.
Scripts vs. Skill: The Real Tools for Responding to Escalation
Healthcare organizations frequently respond to communication challenges by creating scripts—standardized language that staff are instructed to use in various scenarios. A good example might be a service recovery model, such as LEAD: Listen, Empathize, Apologize, Do something. This pre-fabricated response represents a well-intentioned effort to improve communication and can be useful when making...
Why Saying 'Calm Down' Never Works—and What to Say Instead
"Calm down."
These two seemingly innocent words are among the most counterproductive phrases in healthcare communication. Uttered countless times daily in hospitals and clinics across the country, this phrase reliably achieves the opposite of its intended effect. Rather than reducing tension, it often escalates it, creating barriers between providers and patients and sometimes triggering...
Psychological Safety Starts at the Top
In healthcare environments where lives hang in the balance and split-second decisions matter, psychological safety isn't a luxury—it's a necessity. Psychological safety, the belief that one can speak up without fear of punishment or humiliation, directly impacts clinical outcomes, staff wellbeing, and organizational performance. Yet despite its proven importance, this crucial element of...
When Mission Statements Fail: Building Real Behavioral Standards
Nearly every healthcare organization has a mission statement that includes values like respect, compassion, and dignity. Yet many of these same organizations struggle with entrenched patterns of disrespectful behavior, workplace bullying, and poor communication. The gap between aspirational language and daily reality reveals a fundamental truth: mission statements alone don't change behavior.
...