ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2018
Factors to consider in the introduction of huddles on clinical wards: perceptions of staff on the SAFE programme.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Safety huddle in healthcare settings: a concept analysis.BMC health services research · 2025Pooled it
- Interventions to improve team effectiveness within health care: a systematic review of the past decade.Human resources for health · 2020Pooled it
- Nurses and Consumer Consultants Perspectives on the Implementation of a Novel Violence Risk Assessment and Intervention Framework.International journal of mental health nursing · 2025Article
- Evaluating the implementation of maternal safety bundles for obstetric hemorrhage and severe hypertension during pregnancy in Arkansas.BMC pregnancy and childbirth · 2025Article
- Streamlining Communication: "Resident Huddle" on General Medicine Wards at a Veterans Affairs Hospital.Journal of graduate medical education · 2024Article
- A Safety Huddle Intervention in In-Patient Surgical Units: A Mixed-Methods Study.Journal of nursing management · 2023Article
- Impacts of Huddle Intervention on the Patient Safety Culture of Medical Team Members in Medical Ward: One-Group Pretest-Posttest Design.Journal of multidisciplinary healthcare · 2023Article
- The Effectiveness of Multidisciplinary Team Huddles in Healthcare Hospital-Based Setting.Journal of multidisciplinary healthcare · 2022Article
- Huddles and their effectiveness at the frontlines of clinical care: a scoping review.Journal of general internal medicine · 2021Article
- Enhancing sleep quality for nursing home residents with dementia: a pragmatic randomized controlled trial of an evidence-based frontline huddling program.BMC geriatrics · 2021Article
- Article
- A dedicated multidisciplinary safety briefing for the COVID-19 critical care.Intensive & critical care nursing · 2020Article
- Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool.BMJ open quality · 2020Article
- Reclaiming the systems approach to paediatric safety.Archives of disease in childhood · 2019Article
- Assessing risks to paediatric patients: conversation analysis of situation awareness in huddle meetings in England.BMJ open · 2019Article
- HeartWatch: Implementing a Pediatric Heart Center Program to Prevent Cardiac Arrests Outside the ICU.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore paediatric hospital staff members' perceptions of the emerging benefits and challenges of the huddle, a new safety improvement initiative, as well as the barriers and facilitators to its implementation.
designA qualitative study was conducted using semi-structured interviews to explore staff perspectives and experiences.
settingSituation Awareness For Everyone (SAFE), a safety improvement programme, was implemented on a sample of National Health Service (NHS) paediatric wards from September 2014 to June 2016. Previously untested in England, the huddle was a central component of the programme.
participantsSemi-structured interviews were conducted with 76 staff members on four wards ~4 months after the start of the programme.
resultsA thematic analysis showed that staff perceived the huddle as helping to increase their awareness of important issues, improve communication, facilitate teamwork, and encourage a culture of increased efficiency, anticipation and planning on the ward. Challenges of the huddle included added pressure on staff time and workload, and the potential for junior nurses to be excluded from involvement, thus perhaps inadvertently reinforcing medical hierarchies. Staff also identified several barriers and facilitators to the huddle process, including the importance of senior nursing and medical staff leadership and managing staff time and capacity issues.
conclusionsThe findings point towards the potential efficacy of the huddle as a way of improving hospital staff members' working environments and clinical practice, with important implications for other sites seeking to implement such safety improvement initiatives.
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