Inadequate communication between clinical staff and families

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2014 → 2014Agnes Hannan10 months after James Withers · same coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight deficient communication between healthcare staff and patients/families. The later report adds concerns about inadequate handover and poor documentation, but the core hazard remains poor communication.

  James Withers · 7 Jan 2014

  “There was generally poor communication between nursing and medical staff (inter se) and between medical/nursing staff and the family of the patient.”

  Check it in the source

  Agnes Hannan · 27 Oct 2014

  “There was extremely poor communication between hospital staff and the patient (and her family), and between and amongst themselves.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2014 → 2016Edith Kirkham1 year 4 months after Agnes Hannan · same coronerClosely relatedConfidence 0.80 · moderate

  Closely relatedConfidence 0.80 · moderate

  Both reports highlight failures in transferring patient information and ensuring proper handover between care settings. The earlier report cites poor communication and inadequate notes across the hospital, while the later report points to absent handover from hospital to an intermediate care ward.

  Agnes Hannan · 27 Oct 2014

  “There was extremely poor communication between hospital staff and the patient (and her family), and between and amongst themselves. There was evidence of a lack of handover between staff, and this was exacerbated by the fact that the medical and nursing notes were frequently inadequate.”

  Check it in the source

  Edith Kirkham · 23 Feb 2016

  “There was no apparent handover from the hospital to this ward, as to the individual needs of the patient, and the staff were therefore placed in an impossible position.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2014 → 2016Edith Kirkham2 years 2 months after James Withers · same coronerClosely relatedConfidence 0.80 · moderate

  Closely relatedConfidence 0.80 · moderate

  Both reports highlight failures in transferring essential patient information between teams, leading to compromised care.

  James Withers · 7 Jan 2014

  “There was generally poor communication between nursing and medical staff (inter se) and between medical/nursing staff and the family of the patient.”

  Check it in the source

  Edith Kirkham · 23 Feb 2016

  “There was no apparent handover from the hospital to this ward, as to the individual needs of the patient, and the staff were therefore placed in an impossible position.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2014 → 2016Ranjan Mistry2 years 2 months after James Withers · same coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight a breakdown in communication where clinical staff fail to read or consider each other's notes. The core issue is the lack of effective information exchange between nursing and medical teams.

  James Withers · 7 Jan 2014

  “There was generally poor communication between nursing and medical staff (inter se) and between medical/nursing staff and the family of the patient.”

  Check it in the source

  Ranjan Mistry · 4 Mar 2016

  “There was clear evidence that the medical staff were not reading (or even looking at) the nursing notes, and the nurses were similarly not looking at the medical entries.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2014 → 2016Ranjan Mistry1 year 4 months after Agnes Hannan · same coronerClosely relatedConfidence 0.80 · moderate

  Closely relatedConfidence 0.80 · moderate

  Both reports highlight failures in communication through medical and nursing documentation, specifically that staff do not adequately review or rely on each other's notes.

  Agnes Hannan · 27 Oct 2014

  “There was extremely poor communication between hospital staff and the patient (and her family), and between and amongst themselves. There was evidence of a lack of handover between staff, and this was exacerbated by the fact that the medical and nursing notes were frequently inadequate.”

  Check it in the source

  Ranjan Mistry · 4 Mar 2016

  “There was clear evidence that the medical staff were not reading (or even looking at) the nursing notes, and the nurses were similarly not looking at the medical entries.”

  Check it in the source

  Earlier report in the app · Later report in the app