Implementation of Situational Awareness in the Pediatric Oncology Setting. Does a 'huddle' Work and Is it Sustainable?

Chapman, LR; Molloy, L; Wright, F; Oswald, C; Adnum, K; O'Brien, TA; Mitchell, R

Implementation of Situational Awareness in the Pediatric Oncology Setting. Does a 'huddle' Work and Is it Sustainable?

Chapman, LR Molloy, L Wright, F

Oswald, C Adnum, K O'Brien, TA Mitchell, R

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Journal of Pediatric Nursing, 2020, 50, pp. 75-80
Issue Date:: 2020-01

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Field	Value	Language
dc.contributor.author	Chapman, LR
dc.contributor.author	Molloy, L
dc.contributor.author	Wright, F https://orcid.org/0000-0003-2999-0856
dc.contributor.author	Oswald, C
dc.contributor.author	Adnum, K
dc.contributor.author	O'Brien, TA
dc.contributor.author	Mitchell, R
dc.date.accessioned	2021-06-21T23:38:05Z
dc.date.available	2019-10-30
dc.date.available	2021-06-21T23:38:05Z
dc.date.issued	2020-01
dc.identifier.citation	Journal of Pediatric Nursing, 2020, 50, pp. 75-80
dc.identifier.issn	0882-5963
dc.identifier.issn	1532-8449
dc.identifier.uri	http://hdl.handle.net/10453/149686
dc.description.abstract	Background Huddles are short, regular debriefings that are designed to engage clinical staff in discussions about existing or emerging safety issues. They allow a brief conversation to take place creating a ‘situational awareness’ about the complexities of the healthcare environment for that day. Methods The huddle was implemented in a pediatric oncology service as an intervention aimed at improving patient safety and staff communication to enhance situational awareness. To ensure an efficient format for each huddle a huddle observational tool (HOT) was developed. An initial electronic anonymous survey focusing on safety and situational awareness was distributed to all of the multi-disciplinary (MDT) team. A second survey was disseminated 18 months post huddle introduction to scrutinize its effectiveness. Sustainability was assessed using staff attendance and huddle numbers. Results Four key areas demonstrated high situational awareness; safety awareness, incident management, communication and teamwork. Positive/negative pooled responses from both survey time points demonstrated a high percentage of positive responses, particularly relating to teamwork enhancement. The overwhelming finding was sustainability of the intervention of the huddle. The pediatric oncology services have now conducted over 700 huddles events over a three-year period. Conclusion The initiation of the huddle has led to increased situational awareness and promotion of safety. It has been shown to be sustainable in the pediatric oncology setting, with durability and attendance of the huddle being the most significant outcome.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Journal of Pediatric Nursing
dc.relation.isbasedon	10.1016/j.pedn.2019.10.016
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine
dc.subject.classification	Nursing
dc.subject.mesh	Adolescent
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Awareness
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Cooperative Behavior
dc.subject.mesh	Efficiency, Organizational
dc.subject.mesh	Group Processes
dc.subject.mesh	Hospitals, Pediatric
dc.subject.mesh	Humans
dc.subject.mesh	Infant
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Interdisciplinary Communication
dc.subject.mesh	Medical Oncology
dc.subject.mesh	Models, Organizational
dc.subject.mesh	Patient Care Team
dc.subject.mesh	Patient Safety
dc.subject.mesh	Quality Improvement
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Interdisciplinary Communication
dc.subject.mesh	Cooperative Behavior
dc.subject.mesh	Group Processes
dc.subject.mesh	Awareness
dc.subject.mesh	Medical Oncology
dc.subject.mesh	Models, Organizational
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Infant
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Hospitals, Pediatric
dc.subject.mesh	Efficiency, Organizational
dc.subject.mesh	Patient Care Team
dc.subject.mesh	Quality Improvement
dc.subject.mesh	Patient Safety
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Adolescent
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Awareness
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Cooperative Behavior
dc.subject.mesh	Efficiency, Organizational
dc.subject.mesh	Group Processes
dc.subject.mesh	Hospitals, Pediatric
dc.subject.mesh	Humans
dc.subject.mesh	Infant
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Interdisciplinary Communication
dc.subject.mesh	Medical Oncology
dc.subject.mesh	Models, Organizational
dc.subject.mesh	Patient Care Team
dc.subject.mesh	Patient Safety
dc.subject.mesh	Quality Improvement
dc.subject.mesh	Surveys and Questionnaires
dc.title	Implementation of Situational Awareness in the Pediatric Oncology Setting. Does a 'huddle' Work and Is it Sustainable?
dc.type	Journal Article
utslib.citation.volume	50
utslib.location.activity	United States
utslib.for	1110 Nursing
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-06-21T23:38:04Z
pubs.publication-status	Published
pubs.volume	50

Abstract:

Background Huddles are short, regular debriefings that are designed to engage clinical staff in discussions about existing or emerging safety issues. They allow a brief conversation to take place creating a ‘situational awareness’ about the complexities of the healthcare environment for that day. Methods The huddle was implemented in a pediatric oncology service as an intervention aimed at improving patient safety and staff communication to enhance situational awareness. To ensure an efficient format for each huddle a huddle observational tool (HOT) was developed. An initial electronic anonymous survey focusing on safety and situational awareness was distributed to all of the multi-disciplinary (MDT) team. A second survey was disseminated 18 months post huddle introduction to scrutinize its effectiveness. Sustainability was assessed using staff attendance and huddle numbers. Results Four key areas demonstrated high situational awareness; safety awareness, incident management, communication and teamwork. Positive/negative pooled responses from both survey time points demonstrated a high percentage of positive responses, particularly relating to teamwork enhancement. The overwhelming finding was sustainability of the intervention of the huddle. The pediatric oncology services have now conducted over 700 huddles events over a three-year period. Conclusion The initiation of the huddle has led to increased situational awareness and promotion of safety. It has been shown to be sustainable in the pediatric oncology setting, with durability and attendance of the huddle being the most significant outcome.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/149686