Effectiveness of the Huddles in Improving the Patient Safety Attitudes Among Clinical Team Members.

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Quality Management in Health Care Pub Date : 2024-03-25 DOI:10.1097/QMH.0000000000000455

Yi-Hung Lai, Ching-Wein Chang, Ming-Ju Wu, Hsin-Hua Chen, Shih-Ping Lin, Chun-Shih Chin, Cheng-Hsien Lin, Sz-Iuan Shiu, Chun-Yi Wu, Ying-Cheng Lin, Hui-Chi Chen, Shu-Chin Hou, Hung-Ru Lin

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引用次数: 0

Abstract

Background and objectives: Huddles among members of interdisciplinary medical teams involve short stand-up sessions and allow team members to focus on existing or emerging patient safety issues, thereby facilitating team communication. Hospital managers are able to recognize the current situation of the organization through patient safety attitudes, strengthen team members' awareness of patient safety, and improve the quality of health care. The purpose of this study was to determine the effects of huddles on improving team members' attitudes toward patient safety.

Methods: We used a quasi-experimental design and selected 2 adult wards with similar properties as the experimental and comparison groups by convenience sampling. Data collection was from December 1, 2021, to June 30, 2022, at a teaching hospital in central Taiwan. Team members of the ward performing huddles formed the experimental group, and they participated 2 times per week in 15-minute huddles from 8:15 to 8:30 am for a total of 4 weeks. The comparison group adopted the routine team care process. Both groups completed the Safety Attitudes Questionnaire during the pre- and post-tests of the study.

Results: The experimental group scored significantly higher in the post-test than in the pre-test in all aspects of safety attitudes, with the exception of stress recognition. These improved aspects were teamwork climate (76.47 ± 15.90 vs 83.29 ± 13.52, P < .001), safety climate (75.94 ± 16.14 vs 82.81 ± 13.74, P < .001), job satisfaction (74.34 ± 20.22 vs 84.40 ± 17.22, P <.001), perceptions of management (78.02 ± 19.99 vs 85.51 ± 15.97, P < .001), and working conditions (78.85 ± 17.87 vs 86.81 ± 14.74, P < .001).

Conclusion: Through the huddles, clinical team members improved their understanding of different aspects of safety attitudes. Such a study provided ward units with real-time improvement and adjustment in terms of patient safety during their medical work processes with better patient safety.

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Huddles 在改善临床团队成员的患者安全态度方面的效果。

背景和目的：跨学科医疗团队成员之间的 "Huddle "是一种简短的站立式会议，可让团队成员集中讨论现有的或新出现的患者安全问题，从而促进团队交流。医院管理者能够通过患者安全态度认识组织现状，加强团队成员的患者安全意识，提高医疗质量。本研究的目的是确定分组讨论对改善团队成员患者安全态度的影响：我们采用了准实验设计，并通过便利抽样法选择了两个性质相似的成人病房作为实验组和对比组。数据收集时间为 2021 年 12 月 1 日至 2022 年 6 月 30 日，地点在台湾中部的一家教学医院。进行团队护理的病房的团队成员组成实验组，他们每周参加 2 次 15 分钟的团队护理，时间为上午 8:15 至 8:30，共持续 4 周。对比组采用常规团队护理流程。在研究的前测和后测中，两组均填写了安全态度问卷：结果：实验组在所有安全态度方面的后测得分都明显高于前测得分，但压力识别除外。这些得到改善的方面包括团队合作氛围（76.47 ± 15.90 vs 83.29 ± 13.52，P < .001）、安全氛围（75.94 ± 16.14 vs 82.81 ± 13.74，P < .001）、工作满意度（74.34 ± 20.22 vs 84.40 ± 17.22，P 结论：通过 "Huddle"，临床团队的安全态度得到了改善：通过分组讨论，临床团队成员提高了对安全态度不同方面的认识。这样的研究为病房单位在医疗工作过程中的患者安全方面提供了实时的改进和调整，从而更好地保障患者安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.