Implementation of Situational Awareness in the Pediatric Oncology Setting. Does a 'huddle' Work and Is it Sustainable?
| Autor: | Laura R.M. Chapman, Kirsten Adnum, Felicity A. Wright, Cecilia Oswald, Luke J Molloy, Richard Mitchell, Tracey A. O'Brien |
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| Rok vydání: | 2019 |
| Předmět: |
Situation awareness
Adolescent Attitude of Health Personnel media_common.quotation_subject Efficiency Organizational Medical Oncology Pediatrics 03 medical and health sciences Patient safety 0302 clinical medicine Promotion (rank) 030225 pediatrics Intervention (counseling) Surveys and Questionnaires Health care Humans Cooperative Behavior Child media_common Patient Care Team Medical education Teamwork 030504 nursing business.industry Attendance Infant Newborn Infant Awareness Hospitals Pediatric Quality Improvement Group Processes Child Preschool Models Organizational Observational study Interdisciplinary Communication Patient Safety 0305 other medical science business Psychology |
| Zdroj: | Journal of pediatric nursing. 50 |
| ISSN: | 1532-8449 |
| Popis: | Background Huddles are short, regular debriefings that are designed to engage clinical staff in discussions about existing or emerging safety issues. They allow a brief conversation to take place creating a ‘situational awareness’ about the complexities of the healthcare environment for that day. Methods The huddle was implemented in a pediatric oncology service as an intervention aimed at improving patient safety and staff communication to enhance situational awareness. To ensure an efficient format for each huddle a huddle observational tool (HOT) was developed. An initial electronic anonymous survey focusing on safety and situational awareness was distributed to all of the multi-disciplinary (MDT) team. A second survey was disseminated 18 months post huddle introduction to scrutinize its effectiveness. Sustainability was assessed using staff attendance and huddle numbers. Results Four key areas demonstrated high situational awareness; safety awareness, incident management, communication and teamwork. Positive/negative pooled responses from both survey time points demonstrated a high percentage of positive responses, particularly relating to teamwork enhancement. The overwhelming finding was sustainability of the intervention of the huddle. The pediatric oncology services have now conducted over 700 huddles events over a three-year period. Conclusion The initiation of the huddle has led to increased situational awareness and promotion of safety. It has been shown to be sustainable in the pediatric oncology setting, with durability and attendance of the huddle being the most significant outcome. |
| Databáze: | OpenAIRE |
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