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Title: Impacts of Miscommunication Between Inter-Teams on Patient Outcomes in Large Teaching Hospitals

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Title: Impacts of Miscommunication Between Inter-Teams on Patient Outcomes in Large Teaching Hospitals Grading Criteria: Part #1 - Introduction & Thesis Statement STAYS WITHIN PAGE LIMIT – MAXIMUM OF 2 PAGES EXCLUDING THE TITLE PAGE Grading Criteria Value Title Page • APA Student Format (See Sample in APA Manual) – 10 pts. • Title - Maximum of 10 words – 5 pts 15 Introduction • Writes a compelling statement at the beginning of the Introduction that captures the reader’s interest • States the purpose of the paper • Indicates the importance of the topic • Describes what is known about the topic • Citations are from experts & authorities in the field – NOT from the studies used for this paper. • Includes the thesis statement Purpose of the Paper • Clearly states the reason for the selection of the topic – the purpose • Briefly explains the topic • Describes the significance of the topic Thesis Statement • Describes what the paper will argue, a statement that requires further evidence, or what the reader will learn from the paper • The thesis statement is highlighted. Grammar & Formatting • Overall, correct APA format • Uses correct document label (last name, first initial_abbreviated title of paper) • Stays within page limit – maximum of 2 pages excluding the title page • Correct levels of headings (see APA Manual) • Correct American English grammar • Accurate spelling 20 15 20 25 1 Points Earned • Correct format for in-text reference citations Grammar & Formatting (Con’t) • References within last 5 years unless historical • References start on a new page and are in APA format Third Party Resources • A statement is at the end of the Reference List acknowledging your use or non-use of any third-party resources to assist with writing or editing 5 TOTAL 100 Part 2: Review and Appraisal of the Literature STAYS WITHIN PAGE LIMIT - 3 PAGES Grading Criteria Value Review of Literature - Searching • Explains the purpose of the literature review • Includes the list of search terms • Identifies the search strategy/databases used Review of Literature - Reviewing • Identifies the inclusion criteria for sources used in the paper • States the number of sources retrieved on the initial review & the number included in the paper • Describes how the author arrived at the final studies used for the paper • Includes a PRISMA flow diagram documenting the search process • The review does NOT include systematic reviews, scoping reviews, opinion pieces, or editorials. 15 25 2 Points Earned Review of Literature - Appraising • Compares and contrasts the findings from the literature - Explains how the findings in the studies are similar and different in areas such as subjects, location, method, etc. • Completes the evidence table/review matrix using course template • Accurately records the findings of the selected studies in the evidence table • Includes evidence table/review matrix as an appendix Grammar & Formatting • Stays within page limit - 3 pages excluding title page, evidence table, & references • Uses correct document label (last name, first initial_abbreviated title of paper) • Correct APA format & style • Correct grammar • Accurate spelling • References within last 5 years unless historical • Previously submitted sections of the paper are corrected 30 20 Grading Criteria: Part #3 - Analysis & Synthesis of the Literature PAGE LIMIT - 4 PAGES MAXIMUM Grading Criteria Review of Literature - Analysis • Critically analyzes the literature identifying common findings and themes • Identifies three themes that emerged from the reviewed literature • Supports the themes with references to evidence/content found in the selected studies • Highlights findings in the evidence table that support the three themes Value 30 3 Points Earned Review of Literature - Synthesis • Uses the three major themes of the literature review as an organizing framework for this section • Compares & contrasts the findings from the literature within the context of the three themes • Integrates the perspectives and findings from the studies in support of each of the three themes. • Identifies at least one knowledge gap in the literature • Cites references in this section only from the reviewed studies 30 Grading Criteria: Part #4 – Discussion and Conclusion MAXIMUM 3 PAGES Discussion • Examines the findings for the three themes of the paper • Discusses the strengths & weaknesses of the literature reviewed • Proposes strategies for addressing the knowledge gap MAXIMUM OF 2 PAGES Conclusions & Implications • Summarizes the key points presented in the paper • Addresses the thesis statement • Presents implications for practice, scholarship, and/or education MAXIMUM OF 1 PAGE 4 15 15 Literature Search: When you are searching the literature, systematic reviews, scoping reviews, editorials, and opinion pieces will not be acceptable as literature to support your paper. Reading a systematic review may help you locate other relevant literature but the journal article containing the systematic review will not be an acceptable source. Google Scholar is not permitted as one of your databases for searching the literature. Appraisal: Compare and contrast studies using the data from the design, methods, and/or findings from your 5 studies. This might include differences in populations, sample sizes, study designs, findings, or other aspects of the studies. The only information reported in the appraisal section should be related to the actual research conducted in your 5 studies. Nothing else should be cited or described. Citations: Before submitting your paper, print a copy of your paper and get a highlighter. Now highlight any information you gained from a source (as opposed to your own thoughts & ideas). Now look at your paper. If you have nothing highlighted, you have not adequately used the literature. If nearly everything is highlighted, you have too much information from sources & little of your own thinking. Aim for a balance. [From: Plachta, S. (2022, June 22).How highlighters can help students write better research papers. Faculty Focus. https://www.facultyfocus.com/author/ff-susanplachta/.] Citing Sources: Use primary sources. Do not use information such as statitics or historical data that is quoted in one of your five studies unless it is a finding from that research study or from a national or global organizations such as the CDC, WHO, or IOM. Go to the primary (original) source. Primary Sources: If you are using information that an author of one of your studies has cited, you should go to the primary source. If it is impossible to find the primary source, you must cite the primary source "as cited in . . ." (see APA Manual, p. 258). Otherwise, you are giving credit to the wrong author. 5 PRISMAX FLOW DIAGRAM Screening Identification Identification of studies via databases Records removed before screening: Duplicate records removed (n = ) Records removed for other reasons (n = ) Records identified from*: Databases (n = ) Records screened (n = ) Records excluded (n = ) Reports sought for retrieval (n = ) Reports not retrieved (n = ) Included Reports assessed for eligibility (n = ) Reports excluded: Reason 1 (n = ) Reason 2 (n = ) Reason 3 (n = ) etc. Studies included in review (n = ) *Report the number of records identified from each database searched (rather than the total number across all databases). Source: Page MJ, et al. BMJ 2021;372:n71. doi: 10.1136/bmj.n71. This work is licensed under CC BY 4.0. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/ 6
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Thesis: Impacts of Miscommunication Between Medical Teams on Patient Outcomes in
Large Teaching Hospitals
a) Part 1: Introduction
a. Introduction
b. Purpose of the Study
c. Thesis Statement
b) Part 2: Review and Appraisal of the Literature
a. Review of Literature: Search Strategy
b. Review of Literature: Review
c. Figure 1: Prisma Flow Diagram
d. Appraisal
c) Part 3: Analysis & Synthesis of the Literature
a. Analysis
b. Theme 1: Factors causing miscommunication between medical teams
c. Theme 2: The absence of standardized communication processes
d. Theme 3: The impact of miscommunication on patient outcomes
e. Synthesis
d) Part 4: Discussion and Conclusion
a. Discussion
b. Conclusion and Implications


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Impacts of Miscommunication Between Medical Teams on Patient Outcomes in Large
Teaching Hospitals

Author
Affiliation
Course
Date

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Part 1: Introduction
Introduction
Miscommunication between medical teams providing healthcare services can expose
patients to significant safety risks. The factors contributing to miscommunication between
medical teams vary from one organization to the other (Tiwary et al., 2019). For instance,
miscommunication can be due to incompetency in one hospital but be a result of a breakdown in
communication channels or poor organizational culture in another organization. Whichever the
course, miscommunication among healthcare providers can avoidable complications, prolonging
the patient’s stay in the hospital. Howick et al. (2024), claim that one in every ten patients is
exposed to safety risks during healthcare provision, while over three million die annually
worldwide due to related safety incidents. In the US alone, at least 44,000 die annually from
avoidable errors. The number is relatively lower compared to the 1,700 who die from medical
errors in the UK. From these statistics, it is accurate to say that mistakes by medical teams can be
attributed to significant adverse effects on patient outcomes.
Communication breakdown involving health professionals can expose patients to
significant health risks (Buckman et al., 2022). One of the most common risks is misdiagnosis,
which involves patients getting diagnosed wrongly. Miscommunication can also result in delayed
treatment as some professionals wait for information that does not reach them. Mix-up of
information after such a delay could result in unintended inappropriate treatment which could
inevitably prolong the patient’s stay in the hospital. Many large teaching healthcare facilities
seek to reduce operating costs by optimizing the available resources to provide quality
healthcare. One of the most common ways of optimizing resources involves using medical teams
to provide care to patients suffering from different conditions. Medical teams usually comprise

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of doctors, nurses, and specialists from various disciplines of medicine (Hassan, 2018). Each
member is expected to bring their experience to the medical team, to jointly offer better quality
care, resulting in better health outcomes for patients. However, communication challenges may
arise, resulting in undesirable outcomes for patients. According to Stewart and Snowden (2021),
elaborate communication between medical teams is necessary to avoid exposing patients to
avoidable safety risks. Healthcare providers must adopt best practices in communication among
medical teams to reduce the adverse impact of miscommunication on patient outcomes.
Purpose of the Study
The purpose of the study is to investigate the impacts of miscommunication between
medical teams on patient outcomes in large teaching hospitals. Medical teams are expected to
offer better quality services since they are comprised of several healthcare providers. Contrary to
this expectation, medical teams experience communication challenges, resulting in
miscommunication. According to Wong et al. (2017), such miscommunication further results in
misdiagnosis and inaccurate treatment, which results in delayed hospital stays.
Miscommunication among healthcare providers in such medical teams also results in medical
errors which is attributed to major complications and even death of the patients. Buckman et al.
(2022) attribute miscommunication in medical teams to factors such as lack of knowledge in
specialty areas, incompetence of some members, and differences in theoretical versus practical
training. It could also be due to the personalities of the doctors, their attitudes, poor handwriting,
or fatigue. The study investigated the specific causes of miscommunication between medical
teams in large hospitals. It also determined how such miscommunication affects patients and
recommended ways to address these communication gaps to improve patient outcomes.
Thesis Statement

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Miscommunication in healthcare provision due to factors like the lack of standardized
operating procedures for communication and staff competency can inadvertently expose patients
to significant health risks. Some of the health risks include being assigned the wrong medication,
inaccurate diagnosis, and slower recovery time. All these risks adversely impact the patient’s
welfare, resulting in undesirable outcomes. The management of large teaching hospitals must
urgently address concerns of miscommunication among healthcare professionals working as part
of medical teams to help them significantly reduce undesirable health outcomes associated with
it to improve patients’ welfare and reduce the likelihood of extended hospitalizations.
Part 2: Review and Appraisal of the Literature
Review of Literature: Search Strategy
In part one, the background of the study revealed that specialists who work in medical
teams can sometimes face communication challenges which disrupt the flow of information
necessa...

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