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April safety tool: Phonetic and numeric clarification

“It’s important to use clarifiers when the information might be unclear, especially names, procedure or test names, and medication names,” said Becky Pomrenke, R.N., M.S.N., patient safety manager for USA Health.

Published Apr 2nd, 2024

As part of the Safety Starts with Me initiative, USA Health employees are being encouraged to learn and practice this safety behavior during April: Communicate clearly using phonetic and numeric clarification.

“It’s important to use clarifiers when the information might be unclear, especially names, procedure or test names, and medication names,” said Becky Pomrenke, R.N., M.S.N., patient safety manager for USA Health.

For sound-alike numbers, say the number and then the digits. For instance, to clarify 15 versus 50, say “Fifteen; that’s one five.”

For sound-alike words and letters, use the phonetic alphabet. The phonetic alphabet is a set of clear code words used for communicating the letters of the alphabet. They range from Alpha and Bravo to Yankee and Zulu.

To use the phonetic alphabet, say the letter followed by the word that begins with the letter. For instance, say, “That’s neurology with an N, as in November.”

“It’s usually not necessary to spell the whole word phonetically,” Pomrenke said. “Just spell the parts that can be confusing.”

April safety tool: Phonetic and numeric clarification

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