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The impact of safety huddles on staff perception of safety
Dissertation   Open access

The impact of safety huddles on staff perception of safety

Mary McTigue
Doctor of Nursing Practice (D.N.P.), Drexel University
Mar 2019
DOI:
https://doi.org/10.17918/d5na-p010
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Abstract

Nursing--Practice Hospital care--Safety measures Hospitals--Medical staff--Attitudes Nursing
Despite an organizational commitment to patient safety, the medical-surgical registered nursing staff at an urban community hospital had a less positive perception of its hospital's safety culture than Mid-Atlantic colleagues working in medical-surgical units at different hospitals within the geographic region. A quality improvement project was implemented utilizing unit-based safety huddles to address this gap. The huddles were implemented to improve staff perception in five selected composites of the Agency for Healthcare Quality and Research's Hospital Survey on Patient Safety Culture. The composites included: feedback/communication about errors, communication openness, non-punitive response to error, management support for patient safety, and supervisor/manager expectations and actions promoting patient safety. The survey's five composites were used as a baseline measure of the medical-surgical registered nurses' perception of safety. Safety huddles were then implemented at the start of each twelve-hour shift for a three-week period and staff completed a post-survey using the same five composites. Unit-based safety huddles resulted in increased percentages of positive perception in every composite and the corresponding composite items. Statistical analysis demonstrated a statistically significant (p<0.05) improvement in the composites of communication openness, non-punitive response to error and supervisor/manager expectations and actions promoting patient safety, and six composite items. Safety huddles improved the medical-surgical staff nurses' perception of key attributes of hospital safety culture in this project.

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