%0 Journal Article
%T "Covering provider": an effort to streamline clinical communication chaos.
%A Joshi M
%A Gokhale A
%A Ma S
%A Pendrey A
%A Wozniak L
%A Moturu A
%A Schwartz NU
%A Wilson A
%A Darmawan K
%A Phillips B
%A Cullum S
%A Sharp C
%A Brown G
%A Shieh L
%A Schmiesing C
%J JAMIA Open
%V 7
%N 3
%D 2024 Oct
%M 38974405
暂无%R 10.1093/jamiaopen/ooae057
%X <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.