{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:43Z","timestamp":1753877083585,"version":"3.41.2"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T00:00:00Z","timestamp":1720224000000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamiaopen\/ooae057","type":"journal-article","created":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T08:12:17Z","timestamp":1720253537000},"source":"Crossref","is-referenced-by-count":0,"title":["\u201cCovering provider\u201d: an effort to streamline clinical communication chaos"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4625-9176","authenticated-orcid":false,"given":"Mugdha","family":"Joshi","sequence":"first","affiliation":[{"name":"Internal Medicine, Stanford University School of Medicine , Palo Alto, CA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjun","family":"Gokhale","sequence":"additional","affiliation":[{"name":"Clinical Informatics, Stanford University School of Medicine , Palo Alto, CA, United 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U","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Neurology, Stanford University School of Medicine , Palo Alto, CA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austin","family":"Wilson","sequence":"additional","affiliation":[{"name":"Nursing Innovation, Stanford Healthcare , Palo Alto, CA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Darmawan","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine , Palo Alto, CA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Phillips","sequence":"additional","affiliation":[{"name":"Nursing Innovation, Stanford Healthcare , Palo Alto, CA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stav","family":"Cullum","sequence":"additional","affiliation":[{"name":"Internal Medicine, Stanford University School of Medicine , Palo Alto, CA, 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