2016
DOI: 10.1002/jhm.2542
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Care team identification in the electronic health record: A critical first step for patient‐centered communication

Abstract: Patient‐centered communication is essential to coordinate care and safely progress patients from admission through discharge. Hospitals struggle with improving the complex and increasingly electronic conversation patterns among care team members, patients, and caregivers to achieve effective patient‐centered communication across settings. Accurate and reliable identification of all care team members is a precursor to effective patient‐centered communication and ideally should be facilitated by the electronic h… Show more

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Cited by 17 publications
(14 citation statements)
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References 34 publications
(81 reference statements)
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“…The opportunities identified include promoting patient-centered communication by supporting a real-time and asynchronous dialogue among patients, care partners, and care team members (including ambulatory clinicians) while minimizing conversational silos 4,33 ; displaying names, roles, and pictures of all care team members 4,34 ; fostering transparency by sharing clinician documentation in progress notes and sign-outs 35 ; ensuring accountability for a single plan of care spanning shift changes and handoffs, and providing a mech-anism to enable real-time feedback.…”
Section: Patient and Family Empowermentmentioning
confidence: 99%
“…The opportunities identified include promoting patient-centered communication by supporting a real-time and asynchronous dialogue among patients, care partners, and care team members (including ambulatory clinicians) while minimizing conversational silos 4,33 ; displaying names, roles, and pictures of all care team members 4,34 ; fostering transparency by sharing clinician documentation in progress notes and sign-outs 35 ; ensuring accountability for a single plan of care spanning shift changes and handoffs, and providing a mech-anism to enable real-time feedback.…”
Section: Patient and Family Empowermentmentioning
confidence: 99%
“…Most major EHR vendors can extend existing functionality to externally notify clinicians of actionable TPADs via institutional email, secure messaging, or mobile app Bpush^notifications; flag importance in subject headings or notification banners; In sub-group analyses for documented acknowledgment, percentages, ORs, and p values calculated were similar across all characteristics and was statistically significant for Elixhauser (I vs. C: 64.0 vs. 50.0%; adjusted OR 1.84 [0.80, 4.2]; p = 0.04) facilitate knowledge transfer via messaging threads between key inpatient and ambulatory clinicians; and request acknowledgment electronically. 7,16,17,39,40 Institutions considering this type of Bactive^strategy would benefit from notifying nonnetwork as well as network PCPs-technology to send out-ofnetwork messages securely is increasingly available with growth of online physician directories and professional networks. 41 Leveraging EHRs, communication tools, and online resources in this way can address safety concerns related to discontinuity within and across healthcare systems.…”
Section: Discussionmentioning
confidence: 99%
“…Effective communication between care providers is essential for providing safe, quality care to patients. It is well established that poor communication—including delays, as this case highlights—is one of the most common contributors to medical error and preventable adverse events . Delays in communicating important test results can lead to permanent disability or even death.…”
Section: Discussionmentioning
confidence: 99%