{Reference Type}: Journal Article
{Title}: "Covering provider": an effort to streamline clinical communication chaos.
{Author}: Joshi M;Gokhale A;Ma S;Pendrey A;Wozniak L;Moturu A;Schwartz NU;Wilson A;Darmawan K;Phillips B;Cullum S;Sharp C;Brown G;Shieh L;Schmiesing C;
{Journal}: JAMIA Open
{Volume}: 7
{Issue}: 3
{Year}: 2024 Oct
暂无{DOI}: 10.1093/jamiaopen/ooae057
{Abstract}: <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.