It is mind blowing that something so simple as clear transparent communication can be such a revolutionary idea in medicine. And the fact that it has taken so long for simple logical things, like good communication, to start to be integrated into practice even though humans have been practicing medicine in some form since the dawn of time is almost infuriating. I guess better late than never as the saying goes. One thing that really struck me was the statement “every hour that goes by without telling the patient/family of an adverse event is another harm”. Clear, transparent, honest communication is an ethical/moral must in medicine. To withhold information about a patient’s health is to deny them the most intimate knowledge of themself. Information that is inherently theirs and was only entrusted to you given your role as the provider. To withhold or delay the deliverance of that information is to betray that trust and is harmful to the patient.