What communication practices can help reduce allegations of a failure to diagnose breast cancer?
• Avoid sending the wrong message to a patient by just telling her that a palpable lump is probably benign. Stress that additional studies may be needed to rule out malignancy. • Share any uncertainty with the patient in a way that helps them appreciate the importance of follow-up appointments. • Confirm and document with other providers which of you will be the clinician of record and responsible for ordering tests and following up with the patient. • Communicate all abnormal findings to the patient and document that act.