ArticleBMJ open quality2020
Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool.
Article in BMJ open quality, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 65 citations in OpenAlex.
- Structured shift huddle training and its influence on nurses' knowledge, safety awareness, and clinical performance: a quasi-experimental investigation.BMC nursing · 2026Article
- Feasibility and implementation of a daily safety brief at a children's hospital-in-a-hospital.Frontiers in pediatrics · 2026Article
- Proactive huddles to reduce missed nursing care; the mediating roles of personal situational awareness and rational coordination: A cluster randomized pre post intervention study.International journal of nursing studies advances · 2025Article
- Knowledge, attitude, and practice toward azithromycin infusion reactions among pediatric nurses: a cross-sectional study.BMC nursing · 2025Article
- Enhancing competency in ICU interns and residents through simulation-based training: a structured program in Morocco.Intensive care medicine · 2025Article
- Determining the Effectiveness of a Clinical Nursing Teaching Intervention in Improving Teamwork Ability: A Quasi-Experimental Study.Journal of multidisciplinary healthcare · 2025Article
- Article
- Patient safety incident reporting behavior and its associated factors among healthcare professionals in Hadiya zone, Ethiopia: A facility based cross-sectional study.International journal of nursing studies advances · 2024Article
- Patient safety culture assessment before and after safety huddle implementation.Revista da Escola de Enfermagem da U S P · 2024Article
- Cluster of Speaking-Up Behavior in Clinical Nurses and Its Association With Nursing Organizational Culture, Teamwork, and Working Condition: A Cross-Sectional Study.Journal of nursing management · 2024Article
- Born in Bradford's Age of Wonder cohort: protocol for adolescent data collection.Wellcome open research · 2024Article
- Response to patient safety incidents in healthcare settings in Ghana: the role of teamwork, communication openness, and handoffs.BMC health services research · 2023Article
- The functionality of unit practice councils and its relationship with nurses' accountability: A cross-sectional study.Nursing open · 2023Article
- 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
- Analysis of the factors influencing teamwork among oncology nurses based on multigroup structural equation model.Annals of translational medicine · 2022Article
- Power of daily huddles in COVID-19 pandemic: a QI initiative.BMJ open quality · 2022Article
- Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.BMC health services research · 2021Article
- Improving Knowledge of Active Safety and QI Projects Amongst Practitioners in a Pediatric ICU.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOpen communication between leadership and frontline staff at the unit level is vital in promoting safe hospital culture. Our hospital staff culture survey identified the failure to address safety issues as one of the areas where staff felt unable to express their concerns openly. Thus, this improvement project using the daily safety huddle tool has been developed to enhance teamwork communication and respond effectively to patient safety issues identified in a paediatric intensive care unit.
methodsWe used the TeamSTEPPS quality approach. TeamSTEPPS is an evidence-based set of teamwork tools developed by the US Agency of Healthcare Research and Quality to enhance teamwork and communication. We applied TeamSTEPPS using a tool called the Daily Safety Huddle, aiming at improving communication and interaction between healthcare workers and building trust by acting immediately when there is any patient safety issue or concern at the unit level.
resultsDuring the period from April to December 2017, the interaction between frontline staff and unit leadership increased through compliance with the daily safety huddle. Initially, compliance was at 73%, but it increased to 97%, with a total of 340 safety issues addressed. The majority of these safety issues pertained to infection control and medication errors (109; 32.05%), followed by communication (83; 24.41%), documentation (59; 17.35%), other issues (37; 10.88%), procedure (20; 5.88%), patient flow (16; 4.7%) and equipment and supplies (16; 4.7%).
conclusionsSystematic use of daily safety huddle is a powerful tool to create an equitable environment where frontline staff can speak up freely about daily patient safety concerns. The huddle leads to a more open and active discussion with unit leadership and to the ability to perform the right action at the right time.
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