¿Cuáles son los errores más comunes que se deben evitar al referir pacientes a otros proveedores de atención médica?

Not providing crucial information where safety and care could be compromised Not communicating what has been done so far and what has worked and what hasn't. This is important so that there would be no repetition of mistakes

From the perspective of the person being referred to (non-medical HomeCare), we really need as much information about the patient as possible: health conditions, recent incidents that brought about the hospitalization and rehab, treatments, and results, expectations for treatment and follow up care after discharge, what to expect and monitor. Our goal is to provide a service that will help the patient to have positive outcomes and improved quality of life. And to keep them from needing another trip to the hospital.

I have found the most success by reaching out to the provider first to ensure that they have availability, etc. and I prefer that colleagues do the same before sending a referral my way. Maybe it is more just a courtesy but I always feel disappointed when a patient says that Dr. X referred them to me and I have to tell them I have no openings. This type of situation reinforces the need for relationship-building in our quest to navigate through the rough waters we call healthcare.

Clear communication plays a very important role. Also making all resources required available for an accurate diagnosis and procedure is crucial. It reduces unwanted time wastage and also helps the patient to get a happy and smooth experience.

One pitfall of the referral process from one provider to another is the inclusion of opinionated views about the patient due to familiarity. Providers must stick to the facts about the patient to ensure that continuity of care is provided at an optimal level. The main purpose of the referral process is to benefit the patient first and foremost.

Really like this comment! It might be helpful to also empower your patient with the right questions to ask. Let your patients know that they have the right to quality service. If the particular referral doesn’t work for them, let them know they can come back to you for another one.

If the physician does not accept your client's insurance, you will lose your client's trust. They will not trust that you have done research into an appropriate referral. Also consider if your client prefers a male or female physician or if the physician needs to have appointment availability beyond traditional hours.

The fit between a clinician and a client is absolutely crucial for a successful therapeutic alliance. Therapy is a deeply personal journey. It's not just about finding the closest or most available therapist; it's about finding the right match. Understanding the client's needs, values, and cultural background is vital. Different therapy styles, approaches, and personalities work for different people, and finding a therapist who aligns with the patient's preferences can set the stage for a more productive and successful therapeutic relationship. Considering financial situations and insurance coverage is also essential. The fit between the clinician and client is the cornerstone of effective therapy.

One thing I find useful is to find together with the patient the most comfortable ways for them. The specialist who values these aspects shows empathy and respect for the person in front of him.

This is a really great comment, and all I want to add is that role modelling transparency, and advising your patient that they should expect transparency from any provider, is helpful and empowering.

Neglecting to consider a consumer's preferences and individual circumstances in the referral process is a significant oversight. In the context of mental health services, where the therapeutic relationship and consumer trust are paramount, this lapse can have far-reaching implications. A referral isn't merely a logistical matter; it's a collaborative decision that should ideally align with the consumer's values, needs, and logistical realities.

Too often I’ve seen clients fall through the referral cracks whenever they leave an agency. One of the ways to ensure this does not happen is through following up with both them and the new service provider. Sometime clients will opt out and choose other options, and that’s okay! But it is always better to confirm this, rather than assume all is well before closing contact.

Great points, keep a record of the ones that are working out really well, and the ones that are not so good. Keeping track helps make the referrals more successful. I’ve also reached out to a provider that I referred a client to. I had a discussion with her about a bad experience my client had with her. It was out of courtesy for her, and it was my attempt not to make a complaint about her services. She received my feedback very well, and made adjustments to her style/approach. I appreciated that, and I feel she did too.

Evaluating the outcomes referrals is absolutely essential. Consider tracking the amount of referrals accepted to various providers, and encourage patients to complete feedback or brief surveys about their experiences. I've welcomed patient feedback about referrals for various agencies, and this has helped us avoid sending future patients to providers who don't provide our patients with excellent experiences.

We're all human. Mistakes happen. There's many ways to address mistakes, though. - Checklists: I love checklists for critical, high-risk processes. There's a reason our surgeons use checklists! - Accept fault and learn: For low-risk processes, maybe like calling in medicine to a pharmacy that takes longer to get to, the fix is simple. Make the patient feel heard, address the error, add a system to catch it next time.

While working in an organization that provided medical services for patients from diverse backgrounds and culture. It was important to consider the traditions and culture of a patients. To ask if they prefer a certain gender for the doctor or physician to deal with. For example, when referring them to physiotherapy. This is why clear direct communication with patients is important.

Consider and find solutions to barriers that keep people from a higher level of care. In rural areas, like where I live, often we find that childcare and transportation are big barriers. People don't always have family that can or will help. Social workers and counselors work diligently to find resources for people when we are not the only ones that have partnering/ networking skills. In other words, do not assume that someone else in the office, clinic, organization does not have a solution. I try to share this with every student that enters my path. In the past, work environments would tell staff to wait until the social worker or counselor got there when if it was a transportation issue, others could help or atleast begin to help.

Ensure services offered and insurances accepted by the agency/organization before referring clients: All mental health professionals; at one point or another, come across clients, who at times are more challenging to work with than others. This can impact the referral process because the person who is referring the client, may over look, actual services offered at particular sites, and insurances needed for clients to receive services. Referring parties, please, ensure that clients referred, have the necessary documentation (insurance and symptomatology) for resources.

Its is important to ensure that you worked up the patient thoroughly first before sending out a referral. You'd be surprised by how many patients are referred for a specific problem such as a joint pain, and the referring provider or physician did not even have any imaging done yet. This both delays care for the patient and puts unnecessary redundancies on the specialist.