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safety and quality among work teams which perform complex activities. Long time ago, risk industries started to address adequate communication so as to increase their security to the maximum. Commercial aviation is probably the prime example with their marked accident reduction and becoming an industry that plans even the tiniest detail taking into account that people will inevitably fail and therefore, systems should prevent mistakes, or detect and correct them quickly. Clearly, without effective communication, even competent people could be part of an incompetent team, as evidenced by the tragic explosion in the Chernobyl nuclear power station. The subsequent investigation on the causes of the accident revealed that the main reasons included inadequate or nearly inexistent communication among key teams. Advances towards an adequate communication among teams in medicine have not yet reached a noteworthy magnitude, and unfortunately communication among professionals and with the administrative staff continues to be inefficient. For this reason, in spite of the great efforts made to improve patient safety, advances are still limited. Undoubtedly, ineffective team work leads to patient harm. A review of more than 3500 sentinel events (resulting in death or serious injuries) conducted by The Joint Commission in the United States (2004) determined that 60% of deaths and 50% of serious injuries were caused by failure in team communication. In such critical situation, a favorable aspect can be seen in the first attempts to investigate team communication and patient safety taking place within the difficult venture of medicine towards a cultural shift in the approach to medical errors. Sti l l , the more complicated aspects of communication have not been explored, and research cannot be excessively simple because this is an extremely complex process. More attention has been recently paid to the technical knowledge of human communications, which will help to establish an “effective communication” in medical institutions. Here I will briefly address only some points so as to better define this complex issue. Lingard L. (Healthcare Quarterly, April 2012) described the three aspects she considered Communication among health care teams: a major challenge for the improvement of patient safety

Communication among health care teams: a major challenge for the improvement of patient safety.