Authors

  1. Castaldi, Maria MD, FACS
  2. Kaban, Jody M. MD, FACS
  3. Petersen, Martina RN
  4. George, Geena MPH
  5. O'Neill, Andrea RN
  6. Mullaney, Kathi RN
  7. Pennacchio, Suzanne RN
  8. Morley, John MD

Abstract

Background: A Leadership Safety Huddle was instituted in efforts to improve communication and make safety culture a priority at our institution. The Huddle is a transparent, regularly recurring forum of clinical and administrative hospital leaders, in which safety issues and concerns are identified, shared, and swiftly addressed.

 

Methods: Metrics regarding huddle effectiveness in 3 areas are studied: information technology (IT) services ticket resolution time, bladder catheterization, and one-to-one inpatient monitoring.

 

Results: Analysis revealed effectiveness of the huddle on quality of inpatient care and cost savings. Survey revealed 75% or higher favorable responses to huddle improving communication, transparency, time to resolution of issues, ability to voice concerns, and patient safety. As a result of huddle implementation, metrics showed 46% reduction in IT ticket turnaround time (P = .0001), 28% reduction in non-intensive care unit bladder catheter days (P = .011), and 10% decrease in continuous observations (P = .008), allowing a 24% reduction in cost (P = .001) with quarterly savings of $139 107.00.

 

Conclusion: These metrics demonstrate how huddles are instrumental in infusing and sustaining a culture of patient safety in hospitals.