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Are you listening?
When you think of serious public health issues, thoughts of obesity, childhood diabetes or even antibiotic resistant bacteria may come to mind. But one significant public health issue facing the medical field today is patient safety.  In the U.S. alone, over 40,000 incidents of medical harm—both physical and emotional, occur in hospitals every day due to medical errors and mistakes. One of the culprits? Ineffective communication. Studies show that we only retain somewhere between 25-50% of what we hear, making lots of room for improvement. An important component to fighting ineffective communication is active listening—here are some tips to help your team be great listeners! What is active listening? Active listening is a communication technique where the listener paraphrases what they heard back to the speaker, confirming the understanding of both parties. There are many factors that get in the way of active listening but with a little practice and some conscious effort, these can be overcome, thereby improving the patient experience and level of care. Minimize distractions It is easy to get distracted by all the factors that contribute to the over-stimulating environments many of us work in today—i.e. cell phones, office chatter, background noise, etc. Minimize these disturbances by silencing your phone or other devices, shutting the door, and using white noise machines. Post signs reminding patients and other visitors to silence their mobile devices as well. A “Do Not Disturb” door hanger can be a great way to let fellow co-workers know that you do not want interruptions. Or if talking on the phone with a patient, utilize noise cancelling headphones or an ear plug to minimize background noise. Concentrate We’ve all allowed our minds to wander—what’s for dinner, who is my next patient, did I remember to pay the electric bill? Even with the best intentions, we are human and let’s face it, we are all very busy. It may take some conscious effort, but try to give the patient your complete and undivided attention. When you find your mind starting to wander, push those meandering thoughts aside and refocus on the patient and what they are saying. Simple note-taking can help you to keep your focus on the patient. Try highlighting important points being discussed on your laptop or tablet and utilize these notes when acknowledging back to the patient your understanding of what they are saying. Acknowledge Acknowledge that you clearly understand what your patient is saying by paraphrasing what you just heard. Don’t focus so much on repeating exactly what they said verbatim; rather center on the intentions of your patient’s communication. This presents a great opportunity to get it right if you didn’t the first time. The acknowledgement step can take practice to master but practice makes perfect. Rehearse with a colleague and record your conversation. This will provide you with the opportunity to hear how much you are really listening. Body language Use body language to communicate to your patient that you’re engaged and listening. This includes good eye contact, leaning slightly forward in your chair, nodding your head and even smiling. Try to be consciously aware of your body language when engaging with a patient and adjust appropriately if it is anything other than positive and attentive. Practicing in front of a mirror is a great way to see what your patients are seeing. As a reminder to keep your body language in check, imprint a magnet or keyboard notepad with a bulleted list of good body language pointers and have it within eye view wherever you meet with patients. Don’t interrupt Sometimes it can be hard to hold back our questions or comments until the end, but to actively listen, you cannot interrupt. Interruptions are not only frustrating to your patient, they can act as roadblocks in receiving the full and intended message the patient is trying to send. If you’re like most people, there is a lot of room for improvement in the department of listening skills. It takes a dedication and a conscious effort, but with a little practice and a lot of reminders, you can become a better listener and in turn provide better care to your patients. Australia. Victorian Quality Council. Hospital and Health Service Performance Division. Promoting Effective Communication Among Healthcare Professionals to Improve Patient Safety and Quality of Care. N.p.: n.p., n.d. Web. 19 Dec. 2012.

“Statistics.” Statistics. N.p., n.d. Web. 19 Dec. 2012.

“Active Listening.” Mind Tools New Articles RSS. N.p., n.d. Web. 19 Dec. 2012.

“Effective Listening in Business Communication.” Small Business. N.p., n.d. Web. 19 Dec. 2012.

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