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Interprofessional huddling

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https://www.readbyqxmd.com/read/29394480/interprofessional-huddle-one-children%C3%A2-s-hospital%C3%A2-s-approach-to-improving-patient-flow
#1
Cheryl L McBeth, Blythe Durbin-Johnson, Elena O Siegel
Admitting pediatric patients promptly to the appropriate unit where they can receive specialty care is of critical importance to safe, quality care. A daily morning huddle was implemented at one children’s hospital as a quality improvement project. The aim of this project was to improve patient flow throughout the children’s hospital by improving interprofessional and interdepartmental communication and collaboration. This article reports on changes in patient flow before and after implementation of the daily huddle, as measured by pediatric emergency department (ED) boarding times...
March 2017: Pediatric Nursing
https://www.readbyqxmd.com/read/29355080/gathering-strategizing-motivating-and-celebrating-the-team-huddle-in-a-teaching-general-practice
#2
Allyn Walsh, Ainsley Moore, Jennifer Everson, Katharine DeCaire
OBJECTIVES: To understand how implementing a daily team huddle affected the function of a complex interprofessional team including learners. DESIGN: A qualitative descriptive study using semi-structured interviews in focus groups. SETTING: An academic general practice teaching practice. PARTICIPANTS: All members of one interprofessional team, including nurses, general practitioners, junior doctors, and support staff...
March 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29219905/systems-addressing-frail-elder-care-description-of-a-successful-model
#3
REVIEW
Lianna Zaven Ansryan, Harriet Udin Aronow, Jeff Edward Borenstein, Viola Mena, Flora Haus, Katherine Palmer, Ellen Chan, Jane W Swanson, Sharon Mass, Bradley Rosen, Glenn David Braunstein, Linda Burnes Bolton
OBJECTIVE: The aim of this article is to describe the Systems Addressing Frail Elder (SAFE) Care model, features of the interprofessional team and reengineered workflow, and details of the intervention. BACKGROUND: Older inpatients are vulnerable to adverse events related to frailty. SAFE Care, an interprofessional team-based program, was developed and evaluated in a cluster randomized controlled trial (C-RCT). Results found reduced length of stay and complications...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29111835/improving-outcomes-in-adults-with-diabetes-through-an-interprofessional-collaborative-practice-program
#4
Jean Nagelkerk, Margaret E Thompson, Michael Bouthillier, Amy Tompkins, Lawrence J Baer, Jeff Trytko, Andrew Booth, Adam Stevens, Kayleah Groeneveld
In 2014, the Midwest Interprofessional Practice, Education and Research Center partnered with a Federally Qualified Health Center (FQHC) to implement an interprofessional collaborative practice (IPCP) education program to improve the health of adult patients with diabetes and to improve practice efficiency. This partnership included integrating an interprofessional team of students with the practice team. Twenty-five students and 20 staff engaged in the IPCP program, which included completion of educational modules on IPCP and implementation of daily huddles, focus patient visits, phone calls, team-based case presentations, medication reconciliation, and student-led group diabetes education classes...
January 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28790879/developing-and-implementing-a-community-based-model-of-care-for-fibromyalgia-a-feasibility-study
#5
Michelle Teo, Bindu Mohan, Nelly D Oelke
BACKGROUND: Fibromyalgia (FM) is a complex disease posing challenges for primary care providers and specialists in its management. AIM: To evaluate the development and implementation of a comprehensive, integrated, community-based model of care for FM. METHODS: A mixed methods feasibility study was completed in a small urban centre in southern British Columbia, Canada. Eleven adults with FM and a team of seven health care providers (HCPs) participated in a 10-week intervention involving education, exercise, and sleep management...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/28640053/team-huddles-a-winning-strategy-for-safety
#6
Priscilla Di Vincenzo
No abstract text is available yet for this article.
July 2017: Nursing
https://www.readbyqxmd.com/read/28599738/bedside-safety-huddles-to-manage-a-complex-obstetric-case
#7
Jennifer Doyle, Angela Silber, Amy Wilber
Multidisciplinary communication is essential to safety in health care. Safety huddles offer an opportunity to develop and implement a standardized care plan to improve outcomes. This is especially true for complex obstetric cases. By conducting huddles at the bedside, a health care team can receive useful input from women and their families. This article describes our team's use of safety huddles in the care of a woman with a complex health history and highlights the benefit of performing safety huddles at the bedside to improve team function and optimize outcomes...
June 2017: Nursing for Women's Health
https://www.readbyqxmd.com/read/28575891/using-simulation-as-an-investigational-methodology-to-explore-the-impact-of-technology-on-team-communication-and-patient-management-a-pilot-evaluation-of-the-effect-of-an-automated-compression-device
#8
RANDOMIZED CONTROLLED TRIAL
Matthew Gittinger, Sarah M Brolliar, James A Grand, Graham Nichol, Rosemarie Fernandez
INTRODUCTION: This pilot study used a simulation-based platform to evaluate the effect of an automated mechanical chest compression device on team communication and patient management. METHODS: Four-member emergency department interprofessional teams were randomly assigned to perform manual chest compressions (control, n = 6) or automated chest compressions (intervention, n = 6) during a simulated cardiac arrest with 2 phases: phase 1 baseline (ventricular tachycardia), followed by phase 2 (ventricular fibrillation)...
June 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28256931/barriers-to-discharge-from-inpatient-rehabilitation-a-teamwork-approach
#9
Lisanne Catherine Cruz, Jeffrey S Fine, Subhadra Nori
Purpose In order to prevent adverse events during the discharge process, coordinating appropriate community resources, medication reconciliation, and patient education needs to be implemented before the patient leaves the hospital. This coordination requires communication and effective teamwork amongst staff members. In order to address these concerns, the purpose of this paper is to incorporate the TeamSTEPPS principles to develop a discharge plan that would best meet the needs of the patients as they return to the community...
March 13, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28131120/huddles-and-debriefings-improving-communication-on-labor-and-delivery
#10
REVIEW
Emily McQuaid-Hanson, May C M Pian-Smith
Interprofessional teams work together on the labor and delivery unit, where clinical care is often unscheduled, rapidly evolving, and fast paced. Effective communication is key for coordinated delivery of optimal care and for fostering a culture of community and safety in the workplace. The preoperative huddle allows for information sharing, cross-checking, and preparation before the start of surgery. Postoperative debriefings allow the operative team to engage in ongoing process improvement. Debriefings after adverse events allow for shared understanding, mutual healing, and help mitigating the harm to potential "second victims...
March 2017: Anesthesiology Clinics
https://www.readbyqxmd.com/read/27669135/resisting-outdated-models-of-pedagogical-domination-and-subordination-in-health-professions-education
#11
Angel Chen, Maureen Brodie
This case highlights a dilemma for interprofessional trainees facing a traditional health professions hierarchy rather than an interprofessional collaborative practice culture within the clinical setting. In the case, the trainee must determine the best way to confront the attending physician, if at all, as well as the best way to mediate the situation with fellow health professions trainees and team members. The commentary provides guidelines for interprofessional collaborative practice as outlined by the Interprofessional Education Collaborative competencies, including determining team members' roles and responsibilities, providing clear communication, adopting clinical huddles, and embracing a sense of inquiry during times of conflict...
September 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27499364/what-and-how-do-students-learn-in-an-interprofessional-student-run-clinic-an-educational-framework-for-team-based-care
#12
Désirée A Lie, Christopher P Forest, Anne Walsh, Yvonne Banzali, Kevin Lohenry
BACKGROUND: The student-run clinic (SRC) has the potential to address interprofessional learning among health professions students. PURPOSE: To derive a framework for understanding student learning during team-based care provided in an interprofessional SRC serving underserved patients. METHODS: The authors recruited students for a focus group study by purposive sampling and snowballing. They constructed two sets of semi-structured questions for uniprofessional and multiprofessional groups...
2016: Medical Education Online
https://www.readbyqxmd.com/read/26956424/rates-of-icu-transfers-after-a-scheduled-night-shift-interprofessional-huddle
#13
Ross E Newman, Michael A Bingler, Paul N Bauer, Brian R Lee, Keith J Mann
OBJECTIVES: To evaluate a scheduled interprofessional huddle among pediatric residents, nursing staff, and cardiologists on the number of high-risk transfers to the ICU. METHODS: A daily, night-shift huddle intervention was initiated between the in-house pediatric residents and nursing staff covering the cardiology ward patients with the at-home attending cardiologist. Retrospective cohort chart review identified high-risk transfers from the inpatient floor to the ICU over a 24-month period (eg, inotropic support, intubation, and/or respiratory support within 1 hour of ICU transfer)...
April 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/26137759/healthcare-utilizing-deliberate-discussion-linking-events-huddle-a-systematic-review
#14
REVIEW
Derrick C Glymph, Maria Olenick, Salvatore Barbera, Ellen Leslie Brown, Lauren Prestianni, Crystal Miller
The phenomenon, "huddle moments," can be described as a preparatory briefing among healthcare providers for the purpose of collaborating, exchanging information, and bringing awareness to patient safety concerns. A historical background of huddle communication is described and a systematic literature review was conducted on preoperative briefing and huddle communication. The article also describes a need for increased interprofessional collaboration education in anesthesia and a need for leadership to support initiatives that improve patient safety...
June 2015: AANA Journal
https://www.readbyqxmd.com/read/25936415/improving-attending-rounds-qualitative-reflections-from-multidisciplinary-providers
#15
Nader Najafi, Bradley Monash, Michelle Mourad, Yile Ding, Marcia Glass, Gregory J Burrell, James D Harrison
BACKGROUND: Attending rounds, the time for the attending physician and the team to discuss the team's patients, take place at teaching hospitals every day, often with little standardization. OBJECTIVE: This hypothesis-generating qualitative study sought to solicit improvement recommendations for standardizing attending rounds from the perspective of a multi-disciplinary group of providers. METHODS: Attending physicians, housestaff (residents and interns), medical students, nurses and pharmacists at an academic medical center participated in a quality improvement initiative between January and April 2013...
2015: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/25189797/preparing-trainees-to-deliver-patient-centered-care-in-an-ambulatory-cancer-clinic
#16
Polly Mazanec, Lisa Arfons, Jennifer Smith, Sonya Curry, Susan Berman, Jennifer Dimick, Melanie Lynch, Nannette Alvarado, David M Latini
The purpose of this paper is to describe how an interprofessional cancer care clinic at the Cleveland Veteran's Affairs Medical Center (VAMC) is training health care professionals in patient-centered care. Teaching strategies included patient huddle discussions pre- and post-clinic, role-play, noon "lunch and learn" conferences, and, most importantly, patient interactions, which were evaluated with the patient perception of patient centeredness (PPPC) instrument. This instrument is designed to capture patient and provider perceptions of the provider's patient centeredness...
September 2015: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/25143410/improved-knowledge-attitudes-and-behaviors-after-implementation-of-teamstepps-training-in-an-academic-emergency-department-a-pilot-report
#17
David Lisbon, Dennis Allin, Carol Cleek, Lori Roop, Michael Brimacombe, Courtney Downes, Susan K Pingleton
TeamSTEPPS is a validated, formal patient safety curriculum created by the Agency for Healthcare Research and Quality (AHRQ) for the development of high-functioning multidisciplinary teams. TeamSTEPPS was implemented in an academic emergency department (ED), including all ED hospital staff as well as physicians and residents. It was hypothesized that extensive interprofessional education combined with implementation of specific tools would increase knowledge of TeamSTEPPS principles, attitudes, and behaviors...
January 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/25124090/norwegian-nursing-and-medical-students-perception-of-interprofessional-teamwork-a-qualitative-study
#18
Ingunn Aase, Britt Sæthre Hansen, Karina Aase
BACKGROUND: Little is known about the ways in which nursing and medical students perceive and understand their roles in interprofessional teamwork. A 2010 report by the World Health Organization highlights the importance of students' understanding of teamwork in healthcare, and their ability to be effective team players. This study aims at describing nursing and medical students' perceptions of interprofessional teamwork, focusing on experiences and recommendations that can be used to guide future educational efforts...
2014: BMC Medical Education
https://www.readbyqxmd.com/read/24362383/huddle-coaching-a-dynamic-intervention-for-trainees-and-staff-to-support-team-based-care
#19
Rebecca Shunk, Maya Dulay, Calvin L Chou, Susan Janson, Bridget C O'Brien
Many outpatient clinics where health professionals train will transition to a team-based medical home model over the next several years. Therefore, training programs need innovative approaches to prepare and incorporate trainees into team-based delivery systems. To address this need, educators at the San Francisco Veterans Affairs (VA) Medical Center included trainees in preclinic team "huddles," or briefing meetings to facilitate care coordination, and developed an interprofessional huddle-coaching program for nurse practitioner students and internal medicine residents who function as primary providers for patient panels in VA outpatient primary care clinics...
February 2014: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/24261433/practice-improvement-part-ii-collaborative-practice-and-team-based-care
#20
REVIEW
Michelle A Roett, Mary Thoesen Coleman
The Institute of Medicine recommends interprofessional teams to address patients' complex needs. Team care should be structured in a way that uses the highest training levels of its members. Team communication is enhanced through regular meetings (eg, team huddles), and office efficiency is improved through identifying and solving underlying system-level issues (ie, second-order problem solving). Inclusive leadership principles are used to strengthen team practices and meet chronic care model goals. Setting clear goals with measurable outcomes, creating clinical and administrative systems, establishing a clear division of labor among team members who have occupational diversity, and providing ongoing training all facilitate team building...
November 2013: FP Essentials
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