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Effective communication in healthcare is a cornerstone for ensuring patient safety and optimal clinical outcomes. This narrative review explores the impact of poor communication between nurses and internal medicine physicians on patient safety. The review highlights how communication breakdowns contribute to medication errors, diagnostic delays, and suboptimal care coordination. Drawing on case studies and evidence, this paper also examines the psychological and workplace challenges that arise from inadequate communication, including stress, reduced morale, and strained interprofessional collaboration. Proposed solutions such as standardized communication tools (e.g., SBAR), interdisciplinary team meetings, and enhanced training programs are discussed to mitigate these barriers and foster a culture of effective collaboration. By addressing these issues, healthcare institutions can significantly enhance patient safety and care quality.Aim of work: The aim of this review is to examine the critical impact of poor communication between nurses and internal medicine physicians on patient safety. It seeks to identify the common barriers that hinder effective communication in healthcare settings, such as hierarchical structures, workload pressures, and differences in professional training. Additionally, the review explores the adverse consequences of communication breakdowns, including medication errors, diagnostic delays, and compromised care transitions. By analyzing case studies and existing evidence, this work highlights the significance of addressing these challenges and proposes evidence-based strategies, such as standardized communication tools, interdisciplinary meetings, and targeted training programs, to foster better collaboration and improve patient outcomes. Ultimately, the review emphasizes the importance of creating a culture that prioritizes clear, respectful, and efficient communication within healthcare teams to enhance patient safety and care quality.