Lai Yi-Hung, Chang Ching-Wein, Wu Ming-Ju, Chen Hsin-Hua, Lin Shih-Ping, Chin Chun-Shih, Lin Cheng-Hsien, Shiu Sz-Iuan, Wu Chun-Yi, Lin Ying-Cheng, Chen Hui-Chi, Hou Shu-Chin, Lin Hung-Ru
Author Affiliations: National Taipei University of Nursing and Health Sciences, Taipei (Ms Lai and Dr H.-R. Lin); School of Nursing (Mss Lai, Chang, H.-C. Chen, and Hou) and Divisions of Nephrology (Drs M.-J. Wu and C.-Y. Wu), Allergy, Immunology and Rheumatology (Dr H.-H. Chen), Infection (Dr S.-P. Lin), Chest Medicine (Dr Chin), Hematology and Oncology (Dr C.-H. Lin), and Gastroenterology and Hepatology (Dr Shiu and Y.-C. Lin), Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Qual Manag Health Care. 2024;33(4):239-245. doi: 10.1097/QMH.0000000000000455. Epub 2024 Sep 30.
Huddles among members of interdisciplinary medical teams involve short stand-up sessions and allow team members to focus on existing or emerging patient safety issues, thereby facilitating team communication. Hospital managers are able to recognize the current situation of the organization through patient safety attitudes, strengthen team members' awareness of patient safety, and improve the quality of health care. The purpose of this study was to determine the effects of huddles on improving team members' attitudes toward patient safety.
We used a quasi-experimental design and selected 2 adult wards with similar properties as the experimental and comparison groups by convenience sampling. Data collection was from December 1, 2021, to June 30, 2022, at a teaching hospital in central Taiwan. Team members of the ward performing huddles formed the experimental group, and they participated 2 times per week in 15-minute huddles from 8:15 to 8:30 am for a total of 4 weeks. The comparison group adopted the routine team care process. Both groups completed the Safety Attitudes Questionnaire during the pre- and post-tests of the study.
The experimental group scored significantly higher in the post-test than in the pre-test in all aspects of safety attitudes, with the exception of stress recognition . These improved aspects were teamwork climate (76.47 ± 15.90 vs 83.29 ± 13.52, P < .001), safety climate (75.94 ± 16.14 vs 82.81 ± 13.74, P < .001), job satisfaction (74.34 ± 20.22 vs 84.40 ± 17.22, P <.001), perceptions of management (78.02 ± 19.99 vs 85.51 ± 15.97, P < .001), and working conditions (78.85 ± 17.87 vs 86.81 ± 14.74, P < .001).
Through the huddles, clinical team members improved their understanding of different aspects of safety attitudes. Such a study provided ward units with real-time improvement and adjustment in terms of patient safety during their medical work processes with better patient safety.
跨学科医疗团队成员间的碰头会包含简短的站立会议，能让团队成员专注于现存或新出现的患者安全问题，从而促进团队沟通。医院管理者能够通过患者安全态度了解组织的当前状况，增强团队成员的患者安全意识，并提高医疗质量。本研究的目的是确定碰头会对改善团队成员对患者安全态度的影响。
我们采用准实验设计，通过便利抽样选择了2个性质相似的成人病房作为实验组和对照组。数据收集时间为2021年12月1日至2022年6月30日，地点为台湾中部的一家教学医院。进行碰头会的病房团队成员组成实验组，他们每周参加2次，于上午8:15至8:30进行15分钟的碰头会，共持续4周。对照组采用常规团队护理流程。两组在研究的测试前和测试后均完成了安全态度问卷。
实验组在安全态度的各个方面，除压力认知外，测试后的得分均显著高于测试前。这些改善的方面包括团队合作氛围（76.47±15.90对83.29±13.52，P<.001）、安全氛围（75.94±16.14对82.81±13.74，P<.001）、工作满意度（74.34±20.22对84.40±17.22，P<.001）、对管理的看法（78.02±19.99对85.51±15.97，P<.001）以及工作条件（78.85±17.87对86.81±14.74，P<.001）。
通过碰头会，临床团队成员提高了对安全态度不同方面的理解。这样的研究为病房单元在医疗工作过程中提供了关于患者安全的实时改进和调整，具有更好的患者安全性。
