Safety Huddle Improves Safety Culture Donna Crimmins-Bonnell, BSN, - - PowerPoint PPT Presentation

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Safety Huddle Improves Safety Culture Donna Crimmins-Bonnell, BSN, - - PowerPoint PPT Presentation

Jan 20, 2024 15 likes •269 views

Safety Huddle Improves Safety Culture Donna Crimmins-Bonnell, BSN, MHSM, CPHQ, HACP, LSSGB John Phillips, FACHE, President & CEO Methodist Mansfield Medical Center -254 beds Community Hospital -Full Service, Acute Care -51,000 ED Visits

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Safety Huddle Improves Safety Culture

Donna Crimmins-Bonnell, BSN, MHSM, CPHQ, HACP, LSSGB John Phillips, FACHE, President & CEO

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  • 254 beds Community Hospital
  • Full Service, Acute Care
  • 51,000 ED Visits
  • Part of the Methodist Health System
  • 11 years old
  • Magnet Facility

Methodist Mansfield Medical Center

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Objectives

  • Define Purpose of Safety Huddles
  • Describe at least 3 ways a Safety Huddle

could impact your organization’s Safety Culture

  • Describe how Safety Huddle and Patient

Flow work together

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  • Real Time Communication
  • Leadership Awareness
  • Problem Identification & Resolution-Improved

teamwork

  • Proactive approach to prevent harm to patients
  • Culture change, Accountability for Safety-

Transparency

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  • Decrease Serious Safety Events by

increasing “Days Since” serious safety event to 30 days by Feb. 2013

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  • Days since Serious Safety Events noted

daily

  • Survey Monkey Leadership Team in

Feb 2013

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  • CEO, CNO, CFO and Quality Director

did literature review

  • Committed to Culture change
  • Agreed to Trial Daily Safety Huddle
  • Educated manager & directors to

expectations

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What’s next? NOT this

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Barriers-address the “elephant”

  • “Another Meeting”
  • Share “issues” with all-Really? (Transparency)
  • Call in versus attending in person
  • Leaders concerned their work hours was in

question (trust)

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Barriers

  • Redundancy with Bed Board
  • What will I share/report?
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  • *3E, 4E, 5E
  • *ICU
  • *Emergency Department
  • *Surgical Services
  • *Women’s Services

– NICU, L & D, FCC

  • *Social Workers
  • *Hospitalists
  • *House Supervisors
  • *EVS
  • Patient Access
  • Bio Med
  • Care Management
  • Cardiopulmonary lab
  • Education
  • Facilities/Engineering
  • Food Svc.& Dietary
  • HIM
  • Human Resources
  • Infection

Prevention/Control

  • IS/IT
  • Lab, Blood Bank
  • Materials Management
  • Medical Staff Office
  • Pastoral Care
  • Pharmacy
  • Physical Medicine
  • Public Relations
  • Radiology-Transport
  • Respiratory
  • Risk Management
  • Quality Services
  • Police
  • Volunteer
  • *Bed Board Dept-30%
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Name Alert Forensic patient New codes-trauma alert, sepsis New Procedure-Robotics, Crani’s Potential concern: Malignant hypertension

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  • Daily

– 8:30 - 8:45 am

  • Who:

– All Leaders or designee

  • Led By:

– CEO, CNO, COO, Quality Director M-F – House Supervisor Saturday & Sunday

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Daily Report Form

GREAT CATCHES & KUDOS Days Since Employee Injury

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3 months post initiation

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Changes post survey

  • Stay within 15 minute timeframe
  • Revised agenda-Non-Critical areas do

not have to report everyday

– i.e. HR, Education, EVS, HIM

  • Remember the “follow-up” items
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MORE WINS

  • CPOE
  • Construction
  • Slips in Process-Clarification of Policy
  • Surveyors welcome to attend
  • Spread to MHS system
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AHRQ S Safety C Culture Survey

Management support for patient safety

  • 75%tile to 90% tile

Feedback & Communication about error

  • 75%tile to 90% tile

Communication Openness:

  • 75%tile to 90% tile

Non-Punitive Response to Error:

  • Median to 90% tile

Patient Safety Grade: benchmark 77%

  • 87%, Top Quartile
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Days Since SSE

200 days 132 >100

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Surveys-positive

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Next Generation

  • Patient Flow-ED throughput

– Holds, LWOBs, BIB, BOB, OR- late starts

  • Trauma

– #O negative blood on hand

  • Mindfulness exercise
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Next Generation-Daily Report Form

Daily Safety Huddle Date:

Department Safety Concerns (Previous/Future) 24 hours

House Supervisor+ ED+ ICU + CVICU+ IMC+ B3+ BOB: B4+ A3+ A4+ A5+ Women's Services+ L/D: N: Surgical Services + OR: GI: Cardiopulmonary CC: PCI: NM: Echo: Radiology+ Care Management Lab+ Pharmacy+ IT QS/RM/IC Police+ Facilities+ Admit ittin ing EV EVS Food S d Servi vices HI HIM Materia ials ls Med St Staff Physic ical M l Medic icin ine Educatio ion HR HR PR

Days since last patient serious safety event: Days since last patient serious CAUTI event: Days since last patient serious CLABSI event: ___ Census/Patient Flow

*BOB:1pm____; %final orders by noon___ *BIB: nurses_______ FCC: MD: Late Starts: proc: ReAdmits: O-neg units on hand _______ BIB: MD decsion______

weekly weekly weekly

BIB + Weekends BIB, BOB 0 –neg units on hand HR: employee injury OR: Late Start, beds needed

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