Standardizing nightly huddles with surgical residents and nurses to improve interdisciplinary communication and teamwork - 15/05/20
, Kathryn M. Stadeli a , Kavita Pandit a , Jennifer Zech a , Andrew Ludwig a , Kathryn Harris a , Hannah Naughton b , Jonathan Yi b , Giana H. Davidson a , Patricia A. Kritek c Abstract |
Background |
Clear and effective communication supports interdisciplinary teamwork and prevents adverse patient events. At our academic teaching hospital, poor communication between surgical residents and nurses was identified as a recurring problem, particularly on the inpatient general surgery night float rotation.
Methods |
A standardized nightly huddle with surgical residents and nurses was developed and implemented as a resident-led quality improvement initiative on two acute care units. The huddle was evaluated with pre/post surveys of nurses and residents, as well as analysis of paging volume and rapid response events.
Results |
Nightly huddles significantly improved nurses’ perception of interdisciplinary teamwork and communication (p < 0.00005). With nightly huddles, significantly more nurses were able to identify and name the on-duty night float resident at the end of a 4-week rotation (p < 0.00005). Nurses perceived a positive impact on patient care and work environment. There were no changes in the number of nighttime pages or rapid responses.
Conclusion |
With night float rotations becoming a standard part of residency training, standardized huddles can enhance nighttime collaboration between residents and nurses.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Standardized evening huddles improve nurses’ perception of resident communication and teamwork on a surgical night float rotation. |
• | Nightly huddles promote face-to-face interactions, helping to contextualize clinical information exchanged between residents and nurses. |
• | This project provides an example of residents leading and implementing quality improvement work within a surgical training program. |
Keywords : Interdisciplinary communication, Physician nurse collaboration, Handoffs, Quality improvement, Night float
Plan
Vol 219 - N° 5
P. 769-775 - mai 2020 Retour au numéro
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