PDF(Pubmed)
Abstract：
UNASSIGNED: This report describes a root cause analysis of incorrect provider assignments and a standardized workflow developed to improve the clarity and accuracy of provider assignments.
UNASSIGNED: A multidisciplinary working group involving housestaff was assembled. Key drivers were identified using value stream mapping and fishbone analysis. A report was developed to allow for the analysis of correct provider assignments. A standardized workflow was created and piloted with a single service line. Pre- and post-pilot surveys were administered to nursing staff and participating housestaff on the unit.
UNASSIGNED: Four key drivers were identified. A standardized workflow was created with an exclusive treatment team role in Epic held by a single provider at any given time, with a corresponding patient list column displaying provider information for each patient. Pre- and post-survey responses report decreased confusion, decreased provider identification errors, and increased user satisfaction among RNs and residents with sustained uptake over time.
UNASSIGNED: This work demonstrates structured root cause analysis, notably engaging housestaff, to develop a standardized workflow for an understudied and growing problem. The development of tools and strategies to address the widespread burdens resulting from clinical communication failures is needed.
UNASSIGNED: A multidisciplinary working group involving housestaff was assembled. Key drivers were identified using value stream mapping and fishbone analysis. A report was developed to allow for the analysis of correct provider assignments. A standardized workflow was created and piloted with a single service line. Pre- and post-pilot surveys were administered to nursing staff and participating housestaff on the unit.
UNASSIGNED: Four key drivers were identified. A standardized workflow was created with an exclusive treatment team role in Epic held by a single provider at any given time, with a corresponding patient list column displaying provider information for each patient. Pre- and post-survey responses report decreased confusion, decreased provider identification errors, and increased user satisfaction among RNs and residents with sustained uptake over time.
UNASSIGNED: This work demonstrates structured root cause analysis, notably engaging housestaff, to develop a standardized workflow for an understudied and growing problem. The development of tools and strategies to address the widespread burdens resulting from clinical communication failures is needed.
摘要：
■本报告描述了不正确的提供者分配的根本原因分析以及为提高提供者分配的清晰度和准确性而开发的标准化工作流程。
■组建了一个由家政人员参与的多学科工作组。使用价值流映射和鱼骨分析确定了关键驱动因素。编写了一份报告，以便分析正确的提供者分配。创建了标准化的工作流程，并使用单个服务线进行了试点。对该单位的护理人员和参与家庭的工作人员进行了试点前和试点后的调查。
■确定了四个关键驱动因素。在任何给定时间由单个提供者在Epic中担任的独家治疗团队角色创建了标准化的工作流程，对应的患者列表列显示每个患者的提供者信息。调查前和调查后的回复报告减少了混乱，减少提供商识别错误，随着时间的推移，RNs和居民的用户满意度提高。
■这项工作展示了结构化的根本原因分析，特别是有吸引力的管家，为一个研究不足和日益严重的问题开发一个标准化的工作流程。需要开发工具和策略来解决因临床沟通失败而造成的广泛负担。
■组建了一个由家政人员参与的多学科工作组。使用价值流映射和鱼骨分析确定了关键驱动因素。编写了一份报告，以便分析正确的提供者分配。创建了标准化的工作流程，并使用单个服务线进行了试点。对该单位的护理人员和参与家庭的工作人员进行了试点前和试点后的调查。
■确定了四个关键驱动因素。在任何给定时间由单个提供者在Epic中担任的独家治疗团队角色创建了标准化的工作流程，对应的患者列表列显示每个患者的提供者信息。调查前和调查后的回复报告减少了混乱，减少提供商识别错误，随着时间的推移，RNs和居民的用户满意度提高。
■这项工作展示了结构化的根本原因分析，特别是有吸引力的管家，为一个研究不足和日益严重的问题开发一个标准化的工作流程。需要开发工具和策略来解决因临床沟通失败而造成的广泛负担。
