Melton Leslie, Lengerich Alex, Collins Melanie, McKeehan Rita, Dunn Denise, Griggs Phyllis, Davies Theodore, Johnson Brenda, Bugajski Andrew
Author Affiliations: Baptist Health Lexington (Ms Melton and Mr Lengerich); Baptist Health Louisville (Ms Collins); Clinical Quality & Patient Safety, Baptist Health Madisonville (Ms Dunn); Baptist Health Richmond (Mr Griggs); Baptist Health Paducah (Mr Davies); Baptist Health LaGrange (Ms Johnson); and Nursing and Allied Health Research Office, Baptist Health Lexington (Mr Bugajski), Kentucky.
Health Care Manag (Frederick). 2017 Jul/Sep;36(3):282-287. doi: 10.1097/HCM.0000000000000171.
Regular, interdisciplinary group meetings, "huddles," may be useful in improving communication among disciplines, resolving problems, and sharing information. Daily use of huddles may contribute to the development of a highly reliable health care organization. The purpose of this study was to describe safety huddles in relation to (1) problem type, (2) timeliness of resolution, (3) attendance of representatives from each discipline, (4) amount of information sharing, and (5) attendees' satisfaction with the process. Overall, results demonstrated that the primary function of huddles was the exchange of information that posed or had the potential to pose safety risks to patients. Across seven hospitals, the range of information sharing during huddles was 61.0% to 95.6%. Regarding satisfaction with the huddle process, staff reported that huddles were useful in improving awareness of safety concerns and also improved communication between disciplines. Huddles provide a structured format in which staff can positively impact safety concerns, form a greater sense of medical community, increase sharing of information between disciplines, quickly resolve discipline-based problems, and increase awareness of safety concerns. Given the results of this study, it is recommended that health care administrators and managers develop a huddle process.
定期召开跨学科小组会议（即“碰头会”），可能有助于改善各学科之间的沟通、解决问题和共享信息。每日召开碰头会可能有助于打造一个高度可靠的医疗保健机构。本研究的目的是描述安全碰头会在以下方面的情况：（1）问题类型；（2）解决问题的及时性；（3）各学科代表的出席情况；（4）信息共享量；（5）与会者对该流程的满意度。总体而言，结果表明碰头会的主要功能是交流那些对患者构成或有可能构成安全风险的信息。在七家医院中，碰头会期间的信息共享范围为61.0%至95.6%。关于对碰头会流程的满意度，工作人员表示碰头会有助于提高对安全问题的认识，也改善了各学科之间的沟通。碰头会提供了一种结构化的形式，工作人员可以在其中对安全问题产生积极影响，形成更强的医疗团队意识，增加各学科之间的信息共享，迅速解决基于学科的问题，并提高对安全问题的认识。鉴于本研究的结果，建议医疗保健管理人员制定碰头会流程。
