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Rodríguez-Fernández R, Sánchez-Barriopedro L, Merino-Hernández A, González-Sánchez MI, Pérez-Moreno J, Toledo Del Castillo B, González Martínez F, Díaz de Mera Aranda C, Eizaguirre Fernández-Palacios T, Dominguez Rodríguez A, Tierraseca Serrano E, Sánchez Jiménez M, Sanchez Lloreda O, Carballo Nuria M. [Impact of the "daily huddle" on the safety of pediatric hospitalized patients]. J Healthc Qual Res 2023; 38:268-276. [PMID: 37003929 DOI: 10.1016/j.jhqr.2023.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 02/05/2023] [Accepted: 03/06/2023] [Indexed: 06/19/2023]
Abstract
INTRODUCTION In 2017, the Joint Commission proposed daily meetings called "huddle" as an indicator of quality of care. They are brief daily meetings of the multidisciplinary team, where security problems of the last 24h are shared and risks are anticipated. The objectives were to describe the most frequent safety events in Pediatric wards, implement improvements in patient safety, improve team communication, implement international safety protocols, and measure the satisfaction of the staff involved. MATERIAL AND METHODS Prospective, longitudinal and analytical design (June 2020-February 2022), with previous educational intervention. Safety incidents, data related to unequivocal identification, allergy and pain records, data from the Scale for the Early Detection of Deficiencies (SAPI) and the Scale for the Secure Transmission of Information (SBAR) were collected. The degree of satisfaction of the professionals was evaluated. RESULTS Three hundred forty-eight security incidents were recorded. Medication prescription or administration errors stood out (n=103). Drug prescription or administration errors stood out (n=103), especially those related to high-risk medication: acetaminophen (n=14) (×10 doses of acetaminophen; n=6), insulin (n=6), potassium (n=5) and morphic (n=5). An improvement was observed in the pain record; 5% versus 80% (P<.01), in the SAPI registry 5% versus 70% (P<.01), in SBAER scale 40% vs 100% (P<.01), in unequivocal identification of the patient 80% versus 100%; (P<.01) and in the application of analgesic techniques 60% versus 85% (P=.01). In the survey of professionals, a degree of satisfaction of 8 (7-9.5)/10 was obtained. CONCLUSIONS Huddles made it possible to learn about security events in our environment and increase the safety of hospitalized patients, and improved communication and the relationship of the multidisciplinary team.
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Affiliation(s)
- R Rodríguez-Fernández
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España; Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, España.
| | | | - A Merino-Hernández
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España
| | - M I González-Sánchez
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España; Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, España
| | - J Pérez-Moreno
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España; Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, España
| | - B Toledo Del Castillo
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España; Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, España
| | - F González Martínez
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España; Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, España
| | | | | | | | | | - M Sánchez Jiménez
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España
| | - O Sanchez Lloreda
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España
| | - M Carballo Nuria
- Servicio de Pediatría, Hospital Infantil Gregorio Marañón, Madrid, España
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