Safety Huddle Case Study

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Implementation of the Safety Huddle When communicating among team members on a critical care unit it is linked to patient safety. The unit that was described in this article was a unit that had communication barriers. The major problem was that there unit was shaped in horse shoe arrangement, with small working pod between each pair of patient’s rooms. The nurses were encouraged by the hospital to stay I their pods to remain closer to their patients. Staff voiced their concern regarding their lack of knowledge about the environment. They voiced their concern about things like falls, patients requiring medical ventilation, or the number of nursing attendants available on the floor. Not knowing the number of nursing on the floor is a huge problem. …show more content…
The unit leader was using the huddle in another unit and saw that it was really helping those staff member and implemented in this critical care unit. Multiply staff member realized the effectiveness of the brief staffing huddle. They especially liked the way it enabled them to work together more cohesively in the decentralized unit. The positive feedback from the staff drove the team to make the huddle a more permeant event (Kylor, 2016). As they became permeant there were more things discussed in the huddle and there were more frequent huddles on the unit. There were huddles for off-going and oncoming shifts, morning huddles, afternoon huddles, and an evening huddles. These huddles gave the opportunity to share more than just staffing information. Material that had previously been distributed solely in email format- such as patient safety or unit initiative information- started to be reviewed in the huddle, and facilitated discussion to increase retention for the auditory leaners. Sometimes in an acute care setting unlike this unit it is hard to have effective communication because of all the chaos and business. In this article is was stated that The Joint Commission has identified communication failure as the cause of more than 80% of serious medical errors (Kylor, 2016). The huddle increases effective …show more content…
It showed that they tried many things before the huddle and nothing worked. It provided the nurses more of a team. Many of the nurses were voicing their concern about the unit being isolated and know they have interaction and a team to communicate effectively about the unit. The unit has created and continued to develop the huddle for effective communication, focusing on team work, safety, and quality.
Hospital achieves 50% reduction in falls with huddles, better rounding There is a hospital in Fargo, North Dakota, that focused on preventable falls in a cardiac telemetry unit. When implementing this focus they saw admirable results. After a year a quarter of the falls were reduced and then a month later it reduced by fifty percent (Healthcare care Risk Management, 2013). This was a result of making more frequent rounds and having the morning huddle implemented. For this specific hospital they held there huddle for three minutes to go over the patients who were on the unit (Healthcare care Risk Management, 2013). The details of the patient were there diagnosed and condition, and how mobile the patient is and there risk to fall. Knowing if the patient is a fall risk gives awareness to the nurses. It makes the nurses be more aware of which patients should be walking alone or need to be checked on more so that they don’t

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