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 Roughly four of every 10 elders said they had misheard a doctor or
nurse, researchers in Ireland found.
"Patients may not have understood what you think they understood,"
senior author Simon Smith, of University College Cork, warns health
care providers.
Smith and colleagues write in JAMA Otolaryngology-Head and Neck
Surgery that hearing loss is becoming more common among people over
age 60.
Also, they note, medical errors are more common among older adults,
who are some the healthcare system's most dependent users.
Failure of communication is the leading cause of medical errors,
earlier research has suggested.
Smith told Reuters Health that even people who haven't been
diagnosed with hearing issues - people who hear well in their
day-to-day lives - may struggle in the noisy halls of a hospital.
To learn more about the proportion of older people having
communication problems with healthcare providers, the researchers
surveyed 100 outpatients at their hospital who were at least 60
years old.
Nearly 60 percent reported some hearing loss, and 26 percent used a
hearing aid.
Overall, 43 percent reported mishearing their doctor or nurse at a
hospital or a doctor's office. The rate of miscommunication didn't
differ between age groups.
Some patients explained why they misheard their healthcare
providers, and their reasons fell into one of five categories.
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Descriptions of illnesses or instructions tripped up 36 percent of
people, and 29 percent said they missed words or full sentences for
no particular reason. People talking too fast, too many people
talking at once and similar issues were cited by 27 percent of
people. Pronunciation or similar-sounding words were an issue to 10
percent of people. Others reported intentionally not listening to
their providers and some blamed the setting.
Smith pointed out that some of the issues can't be corrected by
simply giving people hearing aids."The key thing" for patients, he
advises, "is to clarify with the doctor. Repeat it back would be the
obvious first intervention."
People need to recognize that hearing loss is a problem and look for
it, writes Dr. Heather Weinreich, of Johns Hopkins University in
Baltimore, in an editorial accompanying the new study.
Doctors need to change their communication style and intervene to
help patients hear well, she adds.
"There are potential immediate short-term and long-term impacts of
miscommunication with patient," Weinreich writes. "We need more
research into the medical errors and costs caused by hearing loss
and to examine methods to provide effective communication so as to
deliver high-quality patient-centered care."
SOURCE: http://bit.ly/2w8axPq and http://bit.ly/2w7WZ6j JAMA
Otolaryngology-Head and Neck Surgery, online August 24, 2017.
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