Use of huddles among frontline staff in clinical settings: a scoping review protocol

Pimentel, Camilla B; Hartmann, Christine W.; Okyere, Daniel; Carnes, Sarah; Loup, Julia; Vallejo-Luces, Tatiana M; Sloup, Sharon; Snow, A. Lynn

doi:10.11124/jbisrir-d-19-00026

Cited by 4 publications

(6 citation statements)

References 42 publications

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“…Sabe-se que o fenômeno da superlotação é complexo, tendo em vista sua multicausalidade, de modo que a resolução se torna um desafio que precisa de planejamento estratégico. Através de uma visão sistêmica da instituição é possível realizar diversas ações, porém apenas com o alinhamento e o desenvolvimento de uma cultura de melhoria contínua tem-se de fato o aumento na qualidade do atendimento ao paciente, uma gestão eficaz dos recursos e eficiência dos processos de fluxo e rotatividade de leitos [7][8][9][10][11][12][13][14][15] .…”

Section: Discussionunclassified

“…Assim como em outros estudos, são evidenciados efeitos positivos após a implementação do Daily Huddle, como uma estrutura confiável para comunicação e ações em conjunto [5][6][7][8][9][10][11][12]14 O envolvimento da equipe fornece uma otimização do tempo da assistência, impactando diretamente na segurança do paciente, acarretando na melhora dos indicadores e metas, proporcionado por respostas rápidas frente aos desafios, esses resultados reduzem a superlotação dos hospitais, proporcionado pela diminuição do tempo de internação [10][11][12][14][15] .…”

Section: Discussionunclassified

“…Também, as discussões devem ser conduzidas por um líder designado ou situacional, ter agendamento diário prévio 12 , um foco como base o trabalho em equipe, o planejamento e a resolução efetiva das demandas do setor, pautado na cultura de segurança do paciente e organização da assistência 5 .…”

Section: Introductionunclassified

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A implementação do Daily Huddle no pronto-socorro de um hospital público: relato de experiência

Fernandes,

Tomaz,

Dutra

et al. 2023

Rev. Fam., Ciclos Vida Saúde Contexto Soc.

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Objetivo: descrever a implementação do Daily Huddle no setor de pronto-socorro de um hospital público, com foco na redução da superlotação. Método: relato de experiência da realização de duas reuniões diárias de 10 a 15 minutos, com equipe multidisciplinar, considerando quatro etapas, no período de julho de 2021 a janeiro de 2023, com o uso de formulário eletrônico confeccionado pelo hospital, para registro das pendências e soluções levantadas pela equipe multidisciplinar. Resultados: ocorreram 437 reuniões e foram observadas a comunicação eficaz e o trabalho em equipe como propulsores essenciais para a efetivação do Daily Huddle, com redução na superlotação. Conclusão: essa experiência reforçou a importância de medidas para contingenciar a superlotação, para assim favorecer a segurança do paciente e a qualidade dos serviços por meio de ferramentas organizacionais e gestão colaborativa.

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Section: Discussionunclassified

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A implementação do Daily Huddle no pronto-socorro de um hospital público: relato de experiência

Fernandes,

Tomaz,

Dutra

et al. 2023

Rev. Fam., Ciclos Vida Saúde Contexto Soc.

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“…16 The final protocol was prospectively registered with the Open Science Framework 17 on 18 January 2019 (https://osf.io/bdj2x/) and published in the peer-reviewed literature. 18…”

Section: Methodsmentioning

confidence: 99%

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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“…Huddles are a well-known communication tool in health care that enable unit-level staff to exchange information collaboratively and efficiently. The huddles format of brief, frequent touchpoints to resolve patient issues fosters open communication and can improve patient safety and outcomes [ 3 , 4 ]. Advocate Health Care, for example, implemented daily, 15-min safety huddles in 2013, which increased safety event reporting by 40% and dramatically decreased safety events by 2014 [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Leveraging National Nursing Home Huddles for Rapid COVID-19 Response

et al. 2021

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A disproportionate number of older adult residents of U.S. nursing homes have died during the COVID-19 pandemic. The novelty of the virus spurred frequently changing guidance as nursing facilities navigated response efforts. In May 2020, the 6-month COVID-19 Rapid Response Network for Nursing Homes (RRN) was launched to leverage the concept of huddles across U.S. nursing homes to reduce COVID-19-related morbidity, mortality, and transmission by identifying best practices to rapidly implement, fostering connections between nursing homes, and refocusing the national narrative on optimism for nursing home care response efforts. Daily 20-min huddles transitioned to twice weekly in the program’s final two months. A total of 93 huddles featured 103 speakers with 1960 participants engaging in both live huddles and asynchronous learning. 90.33% of participants said they learned at least two new ideas by participating and 89.17% strongly agreed or agreed that participating improved their ability to lead change in their organization. Qualitative data echoed gratitude for a centralized source of information and best practices and the sense of positivity and community the RRN provided. Leveraging nursing home huddles at the national, regional, local, system, or facility level may serve as a guidepost for future pandemics or work where guidance is new or quickly evolving.

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Use of huddles among frontline staff in clinical settings: a scoping review protocol

Cited by 4 publications

References 42 publications

A implementação do Daily Huddle no pronto-socorro de um hospital público: relato de experiência

A implementação do Daily Huddle no pronto-socorro de um hospital público: relato de experiência

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

Leveraging National Nursing Home Huddles for Rapid COVID-19 Response

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