Improving Safety on Labor and Delivery Through Team Huddles and Teamwork Training [25H]

Blumenthal, Elizabeth; Carranza, Leslie; Sim, Myung Shin

doi:10.1097/01.aog.0000483702.28878.8b

Cited by 3 publications

(4 citation statements)

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“…Planning, Huddles, and Post-event Debriefs Team huddles for obstetric patients have been shown to improve health care professionals' perception of working conditions such as teamwork and safety climate. 45 Having a huddle at the time of sepsis identification to assure adherence to institutional policies and procedures, such as order sets for appropriate antibiotic therapy, mechanisms for obtaining prompt antibiotic treatment, rapid response team initiation, and escalation of care assessment can facilitate timely coordination of processes. Post-event debriefings can provide real-time action plans to remove barriers that occur.…”

Section: Establish a Culture Of Multidisciplinarymentioning

confidence: 99%

Alliance for Innovation on Maternal Health

Bauer,

Albright,

Prabhu

et al. 2023

Obstetrics &Amp; Gynecology

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Sepsis in obstetric care is one of the leading causes of maternal death in the United States, with Black, Asian/Pacific Islander, and American Indian/Alaska Native obstetric patients experiencing sepsis at disproportionately higher rates. State maternal mortality review committees have determined that deaths are preventable much of the time and are caused by delays in recognition, treatment, and escalation of care. The “Sepsis in Obstetric Care” patient safety bundle provides guidance for health care teams to develop coordinated, multidisciplinary care for pregnant and postpartum people by preventing infection and recognizing and treating infection early to prevent progression to sepsis. This is one of several core patient safety bundles developed by AIM (the Alliance for Innovation on Maternal Health) to provide condition- or event-specific clinical practices that should be implemented in all appropriate care settings. As with other bundles developed by AIM, the “Sepsis in Obstetric Care” patient safety bundle is organized into five domains: Readiness, Recognition and Prevention, Response, Reporting and Systems Learning, and Respectful, Equitable, and Supportive Care. The Respectful, Equitable, and Supportive Care domain provides essential best practices to support respectful, equitable, and supportive care to all patients. Further health equity considerations are integrated into the elements of each domain.

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Section: Establish a Culture Of Multidisciplinarymentioning

confidence: 99%

Alliance for Innovation on Maternal Health

Bauer,

Albright,

Prabhu

et al. 2023

Obstetrics &Amp; Gynecology

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“…More than one-third of the studies (37.3%; N=59) were based on a conceptual rationale, 1,6,11,21,23,27,[30][31][32]35,37,42,47,49,53,54,57,58,[61][62][63]66,67,69,70,73,75,78,83,89,90,94,98,107,115,[119][120][121]123,[125][126][127][128]132,133,135,[145][146][147][148]156,159,…”

Section: Theories and Toolsmentioning

confidence: 99%

“…Huddles, when duration was specified, lasted anywhere between 2 and 30 min. Most of these huddles were held either once (41.1%; N = 5 3 ) 6 , 9 , 2 6 , 2 7 , 2 9 , 3 4 , 3 5 , 3 9 , 4 0 , 4 2 , 4 5 , 4 7 , 5 1 , 5 5 , 6 0 , 6 2 , 6 7 -69,73,74,77,80,81,85,87,92,93,102,104,108,111,113,114,116-118,123,126,129,131,138,140,142-144,149,155,160,162,169,170,172 or twice (12.7%; N=20) daily, 1,23,28,33,37,43,44,58,59,[88][89][90]120,128,133,145,154,156,157,160 24.7% (N=39) before or after an event of interest (e.g., surgery, fall, activation of sepsis alarm), 8,22,24,36,49,53,54,[64][65][66]71,72,78,[82][83][84]91,96,100,105,109,112,119,121,122,…”

Section: Participating Staffmentioning

confidence: 99%

“…Of the 63.9% (N=101) studies measuring work and team process outcomes (Table 1), all but 1 reported that the huddle had a statistically significant positive impact on frontline staff. 6,8,9,[125][126][127][128][129][130][131][140][141][142][143][144][145][146][147][148]150,[153][154][155][156][157] Of these, studies found evidence for improved efficiency, process-based functioning, and communication across clinical roles (64.4%; N=65); 6,8,9,[125][126][127][140][141][142][143][144][145][153][154][155] improved situational awareness and staff perceptions of safety and safety climate (44.6%; N=45); 6,8,11,26,30,31,…”

Section: Effectiveness Of Huddlesmentioning

confidence: 99%

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Huddles and their effectiveness at the frontlines of clinical care: a scoping review

et al. 2021

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BACKGROUND: Brief, stand-up meetings known as huddles may improve clinical care, but knowledge about huddle implementation and effectiveness at the frontlines is fragmented and setting specific. This work provides a comprehensive overview of huddles used in diverse health care settings, examines the empirical support for huddle effectiveness, and identifies knowledge gaps and opportunities for future research. METHODS: A scoping review was completed by searching the databases PubMed, EBSCOhost, ProQuest, and OvidSP for studies published in English from inception to May 31, 2019. Eligible studies described huddles that (1) took place in a clinical or medical setting providing health care patient services, (2) included frontline staff members, (3) were used to improve care quality, and (4) were studied empirically. Two reviewers independently screened abstracts and full texts; seven reviewers independently abstracted data from full texts. RESULTS: Of 2,185 identified studies, 158 met inclusion criteria. The majority (67.7%) of studies described huddles used to improve team communication, collaboration, and/or coordination. Huddles positively impacted team process outcomes in 67.7% of studies, including improvements in efficiency, process-based functioning, and communication across clinical roles (64.4%); situational awareness and staff perceptions of safety and safety climate (44.6%); and staff satisfaction and engagement (29.7%). Almost half of studies (44.3%) reported huddles positively impacting clinical care outcomes such as patients receiving timely and/or evidence-based assessments and care (31.4%); decreased medical errors and adverse drug events (24.3%); and decreased rates of other negative outcomes (20.0%). DISCUSSION: Huddles involving frontline staff are an increasingly prevalent practice across diverse health care settings. Huddles are generally interdisciplinary and aimed at improving team communication, collaboration, and/or coordination. Data from the scoping review point to the effectiveness of huddles at improving work and team process outcomes and indicate the positive impact of huddles can extend beyond processes to include improvements in clinical outcomes. STUDY REGISTRATION: This scoping review was registered with the Open Science Framework on 18 January 2019 (https://osf.io/bdj2x/).

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Improving Obstetric Anesthesia Care Through Teaming and Improvement Science

Clayton,

Girnius

2024

Anesthesia &Amp; Analgesia

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Improving Safety on Labor and Delivery Through Team Huddles and Teamwork Training [25H]

Cited by 3 publications

References 0 publications

Alliance for Innovation on Maternal Health

Alliance for Innovation on Maternal Health

Huddles and their effectiveness at the frontlines of clinical care: a scoping review

Improving Obstetric Anesthesia Care Through Teaming and Improvement Science

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