Browsing by Author "Shieh, Lisa"

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    “Covering provider”: an effort to streamline clinical communication chaos
    (Oxford University Press, 2024-07-05) Joshi, Mugdha; Gokhale, Arjun; Ma, Stephen; Pendrey, Anna; Wozniak, Lauren; Moturu, Anoosha; Schwartz, Nicholas U.; Wilson, Austin; Darmawan, Kelly; Phillips, Brian; Cullum, Stav; Sharp, Christopher; Brown, Gretchen; Shieh, Lisa; Schmiesing, Clifford; Medicine, School of Medicine
    Objective: 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. Materials and methods: 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. Results: 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. Conclusion: 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.