Perspectives of Multidisciplinary Staff toward the Improvement of Communication and Patient Safety by Safety Huddles | ||
| Journal of Patient Safety & Quality Improvement | ||
| مقاله 3، دوره 6، شماره 1، فروردین 2018، صفحه 644-649 اصل مقاله (726.19 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.22038/psj.2018.10728 | ||
| نویسندگان | ||
| Aishwarya Venkataraman* 1؛ Rory Conn2؛ Rachel L Cotton3؛ Sally Abraham1؛ Maria Banaghan4؛ Bridget Callaghan5 | ||
| 1International and Private Patients Service, Great Ormond Street Hospital, London, UK. | ||
| 2Darzi fellow in Quality Improvement and Patient Safety, Great Ormond Street Hospital, London, UK. | ||
| 3Imperial College London, UK. | ||
| 4Quality Improvement Team, Great Ormond Street Hospital, London, UK. | ||
| 5Clinical Lead for SAFE project, Great Ormond Street Hospital, London, UK. | ||
| چکیده | ||
| Introduction: Evidence in the literature shows that healthcare utilizing deliberate discussion linking events (HUDDLEs) for patient safety could enhance inter-professional relationships through improved communication, thereby increasing the situational awareness of healthcare professionals. The present study aimed to assess the perspectives of frontline staff toward the impact of safety huddles on patient safety and explore further strategies to improve their delivery in order to enhance the situational awareness of patient safety. Materials and Methods: Safety huddles were implemented in two inpatient wards at Great Ormond Street Hospital (GOSH), a tertiary children’s hospital in London, UK. A staff survey was conducted at two intervals (18 and 30 months) before the initiation of the huddles using a questionnaire to evaluate the perceptions of the staff toward the huddles. The questionnaire was devised and scored based on Likert scales and free-text responses. Results:The healthcare staff believed that safety huddles played a critical role in highlighting the problems of patients and identifying clinical deterioration. Moreover, they could improve the communication within the healthcare team, reduce anxiety, and enhance team cohesiveness. Conclusion: According to the results, safety huddles had an extremely positive influence on frontline staff. Therefore, they could be implemented in healthcare settings to increase situational awareness and improve teamwork and communication, thereby enhancing patient safety. Considering their positive impact, safety huddles were introduced to the other wards and specialties across GOSH as well. In addition, safety huddles were incorporated into the RCPCH S.A.F.E program as a key intervention to improve situational awareness. | ||
| کلیدواژهها | ||
| Patient safety؛ Safety huddle؛ Situational awareness؛ Staff perception؛ Team work | ||
| مراجع | ||
|
1- Lancaster G, Kolakowsky‐ Hayner S, Kovacich J, Greer Williams N. Interdisciplinary communication and collaboration among physicians, nurses, and unlicensed assistive personnel. Journal of Nursing Scholarship. 2015 May 1;47(3):275-84.
2- Gardner D. Ten lessons in collaboration. Online journal of issues in nursing. 2005 Jan 1;10(1).
3- Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. 2004;13(Suppl 1):i85-i90. 4- Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-164.
5- Endsley MR. Toward a Theory of Situation Awareness in Dynamic Systems. Hum Factors J Hum Factors Ergon Soc. 1995;37(1):32-64.
6- Endsley MR, Garland DJ. Theoretical underpinnings of situation awareness: A critical review. Situat Aware Anal Meas. 2000:3-32.
7- Riehle A, Braun B I. Improving Patient and Worker Safety. 2013;28(2):99-102.
8- Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. BMJ Qual Saf. 2014;23(2):153- 161.
9- Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-151.
10- Goldenhar LM, Brady PW, Sutcliffe KM, Muething SE. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906.
11- Kellish AA, Smith-Miller C, Ashton K, Rodgers C. Team Huddle Implementation in a General Pediatric Clinic. J Nurses Prof Dev. 2015;31(6):324-327.
12- Edelson DP, Litzinger B, Arora V, et al. Improving in-hospital cardiac arrest process and outcomes with performance debriefing. Arch Intern Med. 2008;168(10):1063-1069.
13- Glymph DC, Olenick M, Barbera S, Brown EL, Prestianni L, Miller C. Healthcare utilizing deliberate discussion linking events (HUDDLE): A systematic review. AANA J. 2015;83(3):183.
14- Provost SM, Lanham HJ, Leykum LK, McDaniel Jr RR, Pugh J. Health care huddles: Managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12.
15- Ali M, Osborne A, Bethune R, Pullyblank A. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. J Patient Saf. 2011;7(3):139-143.
16- Bethune R, Sasirekha G, Sahu A, Cawthorn S, Pullyblank A. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. Postgrad Med J. 2011:pgmj-2009.
17- Muething SE, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e423-e431.
18- Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(1):e298-e308. Venkataraman et al Safety Huddles 649 Patient Saf Qual Improv, Vol. 6, No. 1, Win 2018
19-Nervecentre. http://nervecentresoftware.com/solutions/electronicobservations/.
20- Cooper RL, Meara ME. The organizational huddle process—optimum results through collaboration. Health Care Manag (Frederick). 2002;21(2):12-16.
21- Wheelan SA, Burchill CN, Tilin F. The link between teamwork and patients’ outcomes in intensive care units. Am J Crit Care. 2003;12(6):527-534.
22- Hanson CC, Randolph GD, Erickson JA, et al. A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. Postgrad Med J. 2010;86(1015):314- 318.
23- Wilbur K, Scarborough K. Medication safety huddles: teaming up to improve patient safety. Can J Hosp Pharm. 2005;58(3).
24- Fogarty CT, Schultz S. Team huddles: the role of the primary care educator. Clin Teach. 2010;7(3):157- 160.
25- Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-232.
26- Singer S, Lin S, Falwell A, Gaba D, Baker L. Relationship of safety climate and safety performance in hospitals. Health Serv Res. 2009;44(2p1):399-421.
27- Westat R, Sorra J, Famolaro T, Dyer MPSN, Khanna K, Nelson D. Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. 2010. | ||
|
آمار تعداد مشاهده مقاله: 1,303 تعداد دریافت فایل اصل مقاله: 797 |
||