Healthcare DIVE November 13, 2023
A chain of command is a formal, structured communication technique used to resolve patient safety issues. Through this process, care team members can escalate a concern through leadership levels until a resolution is reached. When appropriately utilized, the chain of command provides clear guidance to staff and enhances an organization’s culture of safety.
Elements vary by organization. However, the process usually begins with communication to an immediate supervisor that may then extend up the hierarchy to organizational leaders, medical executives, or even governing body members.
Typical situations in which the chain of command is invoked include:
- A lack of orders.
- Disagreements over patient care.
- A non-responsive practitioner.
- A practitioner who does not follow established policies and procedures. ...
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