The apparent cause of a medical malpractice claim almost always fails to re
veal the unseen emotional and psychologic factors that triggered the patien
t's visit to an attorney; however, the most common element in an adversaria
l doctor-patient relationship is failed communication. By concentrating on
using good listening skills, physicians can greatly improve their relations
hip with their patients. Furthermore, communication between the physician a
nd the nurse is vital for quality patient care as well as avoidance of medi
cal malpractice.