TEO Academy Evidence Library

Evidence that informs better communication

TEO Academy · Evidence and Research

Evidence that informs better clinical communication.

Clinical communication. Patient safety. Workforce readiness.

Explore research relevant to clinical communication, patient safety and the transition of internationally trained clinicians into new healthcare systems.

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Search the public evidence summaries by topic, clinician group, healthcare system or author.

Matching evidence Select a result to view its summary below
 
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Explore the evidence by clinical question

Follow the evidence across patient care, safety, professional communication and international workforce transition.

Evidence theme

Clinical Communication and Patient Outcomes

Evidence examining relationships between clinician communication, understanding, adherence and healthcare outcomes.

Featured evidence Neal et al. · 2026

Updated systematic review and meta-analysis of interventions intended to strengthen patient-clinician relationships and healthcare outcomes.

Open original research
Evidence theme

Communication and Patient Safety

Research concerning communication failure, clinical risk, adverse events and safer healthcare systems.

Featured evidence Humphrey et al. · 2022

Retrospective analysis examining communication and handoff failures within a sample of medical malpractice claims.

Open original research
Evidence theme

Handover, Escalation and Team Communication

Evidence relating to handover, speaking up, escalation, teamwork and communication across professional boundaries.

Featured evidence Starmer et al. · 2014

Multicentre prospective implementation study of the I-PASS handoff-improvement programme.

Open original research
Evidence theme

Patient-Centred Communication

Listening, patient understanding, shared decision-making, empathy, explanations and communication with relatives.

Featured evidence Street et al. · 2009

Conceptual model describing pathways through which clinician-patient communication may influence health outcomes.

Open original research
Evidence theme

International Clinician Transition and Workforce Readiness

Research into communication, healthcare-system transition, onboarding, integration and workplace readiness.

Featured evidence Nishimura et al. · 2024

Systematic review of international medical graduates' transition experiences in English-speaking countries.

Open full-text research
Evidence theme

Culture, Language and Healthcare Communication

Evidence exploring language, culture, professional expectations and communication across healthcare environments.

Featured evidence Kehoe et al. · 2016

Realist synthesis examining interventions intended to support international medical graduates' transition.

Open full-text research
Evidence theme

Communication Education and Training: What Works?

Evidence examining communication education, simulation, feedback and approaches to developing clinical communication.

Featured evidence Rutherford-Hemming et al. · 2024

Systematic review comparing standardised-patient approaches with other simulation methods for communication training.

Open original research
Evidence at a glance

Developing evidence base · September 2026

18 Sources reviewed
7 Evidence themes
5 Public evidence summaries
2026 Latest evidence included
Evidence governance

Evidence informs how we work.

TEO Academy maintains an evolving evidence base across clinical communication, patient safety, international clinician transition and workforce readiness. Relevant research is considered when developing and reviewing our educational programmes, resources and organisational work.

We prioritise systematic reviews, meta-analyses and peer-reviewed research where available. We consider study design, population, healthcare setting, limitations and applicability, distinguish association from causation and do not assume that findings from one profession, country or healthcare environment automatically apply to another.

Research evidence is considered alongside relevant professional standards, clinical guidance and patient-safety learning, which are presented separately below according to their purpose and authority.

01
Evidence identified Relevant research is identified across our core areas of clinical communication and workforce readiness.
02
Evidence critically considered Study design, population, setting, limitations and applicability are considered before findings are used.
03
Evidence applied Relevant findings can inform programme development, educational resources and organisational work.
04
Evidence reviewed Records carry review dates so that newer, updated or conflicting evidence can be identified.
Evidence collections

Follow a question across the evidence

Collections will bring related evidence together around practical clinical and workforce questions as the library grows.

Developing collection

International Clinician Workforce Readiness

Communication, culture, healthcare-system transition, onboarding, support and workforce integration.

Developing collection

Communication and Patient Safety

Handover, escalation, communication failure, speaking up and safer clinical systems.

Developing collection

Patient-Centred Clinical Communication

Listening, understanding, relationships, shared decisions and communication with patients and relatives.

Evidence briefing

Clinical Communication and International Workforce Readiness

A concise referenced briefing bringing together selected evidence on internationally trained clinicians, communication, transition and organisational support.

Free evidence briefing · Referenced sources · For healthcare and education professionals

Evidence briefing in development

This area is reserved for a future downloadable TEO evidence briefing. The research summaries and source links elsewhere on this page are already available without registration.

Evidence into practice

From research to real clinical communication

TEO Academy works at the intersection of clinical communication, professional language and workforce readiness, supporting clinicians and organisations working across international healthcare environments.

Guidance, Standards and Safety Learning

Research is only part of the picture.

Professional standards. Clinical guidance. Patient safety. International practice.

Alongside peer-reviewed research, TEO Academy reviews relevant clinical guidance, professional and regulatory standards, patient-safety learning and healthcare-system frameworks that help place communication and workforce readiness within professional practice.

These sources are presented according to their purpose. Guidance, regulatory standards, competency frameworks and safety investigations are not described as research studies, and requirements from one jurisdiction are not assumed to apply automatically in another.

Guidance Explorer Official Sources
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Search by organisation, profession, healthcare system or communication and patient-safety topic.

Matching sources Select a result to view its summary below
 
Current collection

Guidance, standards and safety learning

Concise TEO summaries are provided for context. Each record links directly to the organisation responsible for the original source.

NICE · UK · Clinical guidance · NG197

Shared decision making

NICE guidance on supporting people to be involved in decisions about their care. Its recommendations include tailoring communication to the person and context, explaining options clearly, supporting understanding and confirming what has been agreed.

Why it matters here: relevant to patient understanding, explanation, shared decisions and practical patient-centred communication.
Open official NICE guidance
NMC · UK · Professional standards

The Code

The Nursing and Midwifery Council's Code sets the professional standards of practice and behaviour that nurses, midwives and nursing associates must uphold. It is structured around prioritising people, practising effectively, preserving safety and promoting professionalism and trust.

Why it matters here: provides professional expectations relevant to listening, communication, teamwork, safety and person-centred professional practice.
Open the NMC Code
GMC · UK · Professional standards

Good medical practice

Good medical practice sets out the professional principles, values and standards expected of doctors, physician associates and anaesthesia associates registered with the GMC. It includes partnership and communication with patients, working with colleagues, professional culture and patient safety.

Why it matters here: provides a UK professional-practice reference for patient communication, teamwork, informed decisions, workplace culture and raising safety concerns.
Open GMC Good medical practice
HCPC · UK · Professional standards

Standards of conduct, performance and ethics

The HCPC standards set expectations for registrants across the health and care professions it regulates. They include working in partnership with service users and carers, communicating appropriately and effectively, managing risk and raising concerns.

Why it matters here: broadens the collection beyond medicine and nursing and provides a multidisciplinary professional reference relevant to allied health and care professions.
Open HCPC standards
NHS England · UK · Patient safety framework

Patient Safety Incident Response Framework

PSIRF sets out the NHS approach to developing and maintaining systems and processes for responding to patient-safety incidents for the purpose of learning and improving patient safety. Supporting guidance addresses proportionate responses, oversight and engagement with people affected by incidents.

Why it matters here: places communication within the wider context of systems, organisational culture, learning and patient safety.
Open NHS England PSIRF
HSSIB · UK · Safety investigation · 2025

Workforce and patient safety: electronic communications on patient discharge from acute hospitals

This HSSIB investigation explored patient-safety risks associated with communication of critical clinical information when patients leave acute hospital inpatient settings and ongoing actions transfer to primary and community care.

Why it matters here: provides system-level safety learning about transitions of care, information flow, follow-up and communication across organisational boundaries.
Open HSSIB investigation
WHO · Global · Patient safety strategy

Global Patient Safety Action Plan 2021-2030

The World Health Organization's action plan provides strategic direction for countries, healthcare organisations and other stakeholders seeking to reduce avoidable harm and improve patient safety.

Why it matters here: provides a global patient-safety context and helps avoid presenting UK standards as though they apply universally across healthcare systems.
Open WHO action plan
Medical Board of Australia · Australia · Professional standard

Good medical practice: a code of conduct for doctors in Australia

The Medical Board of Australia's code describes principles and standards of ethical and professional conduct expected of doctors registered to practise medicine in Australia.

Why it matters here: provides a healthcare-system-specific professional reference for doctors moving into Australian practice rather than assuming UK standards transfer unchanged.
Open Australian medical code
Medical Council of New Zealand · New Zealand · Professional standard

Good medical practice

The Medical Council of New Zealand's Good medical practice statement sets out principles, values and standards expected of doctors in their professional behaviour.

Why it matters here: supports comparison of professional expectations across English-speaking healthcare systems relevant to internationally mobile clinicians.
Open New Zealand standard
NMBI · Ireland · Professional standard · 2025

Code of Professional Conduct and Ethics

The Nursing and Midwifery Board of Ireland's current Code applies to registered nurses and midwives and incorporates professional conduct, scope of practice and professional guidance. The revised Code came into effect in February 2025.

Why it matters here: provides a current nursing and midwifery reference from another English-speaking healthcare system, including collaboration and leadership alongside safe and person-centred professional practice.
Open NMBI Code
Royal College of Physicians and Surgeons of Canada · Canada · Competency framework

CanMEDS 2015 Physician Competency Framework

CanMEDS is an educational framework describing abilities physicians require to meet the healthcare needs of the people they serve. The 2015 framework includes Communicator and Collaborator roles, with explicit attention to patient-centred communication, collaboration, handovers and care transitions.

Why it matters here: provides an established Canadian competency framework in which communication and collaboration are explicit components of physician competence.
Open CanMEDS framework
Guidance at a glance

Official-source collection · reviewed September 2026

11 Official sources
5 National systems represented
4 Core source groups
2026 Current review cycle
From standards to educational practice

Guidance is considered in context.

TEO Academy does not treat every source as equivalent. Regulatory standards, clinical guidance, competency frameworks and patient-safety investigations have different purposes and different levels of authority.

When relevant to our work, we consider who issued the source, the profession and jurisdiction to which it applies, whether it represents a professional requirement, recommendation, competency framework or safety-learning source, and how it relates to the wider research evidence.

01
Source identified Relevant guidance, professional standards, safety learning and healthcare-system frameworks are identified from authoritative organisations.
02
Authority and scope checked We consider the issuing organisation, profession, jurisdiction, intended audience and purpose of the source.
03
Relevance considered Relevant expectations are considered alongside research evidence when educational content, resources and organisational work are developed.
04
Updates reviewed Sources are reviewed so superseded standards, revised guidance and important safety learning can be identified.