Free excerpt from the book Confident Conversations

Say It So It Lands: The Healthcare & High-Stakes Communication Guide

Teach-Back, SPIKES, SBAR, and the 7 core principles from Confident Conversations: Mastering the Art of Connection. Patient-safe communication in one free guide.

What is inside your free guide

  • The 7 core principles: clarity, empathetic listening, patient-centeredness, trust, cultural humility, Teach-Back, confidentiality
  • Teach-Back that verifies comprehension, not just whether the patient nods and says yes
  • SPIKES for difficult news: a structured way to be direct and still compassionate
  • SBAR and I-PASS handoffs that prevent the errors that happen between shifts
  • CUS for speaking up: Concerned, Uncomfortable, Safety issue, without fear of blame
  • Plain language swaps that fix low health literacy before it causes harm

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Professional education only. It does not replace your institution's policies or protocols.

This guide was written for people who...

...know the protocols and still find the hard conversations draining, rushed, or harder to land than they should be.

Bedside nurses

Explain, reassure, and hand off cleanly, even on the worst shift of the week.

Physicians and residents

Deliver difficult news with structure and still keep the room calm.

Pharmacists and allied health

Make instructions clear enough that a patient can repeat them back accurately.

Care coordinators

Speak up about a safety concern without fear of blame, and close the loop afterwards.

"Done well, communication measurably improves patient safety, diagnostic accuracy, adherence, satisfaction, teamwork, and informed consent."
Confident Conversations, Chapter 22

Say it so it lands. Protect every patient.

The guide is free. Better communication is a patient safety tool.

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