Patient Safety
Conditions
Keywords
Quality Improvement, Patient Safety, Physician Engagement, Huddles
Brief summary
This quality improvement project will implement and evaluate the impact of physician-specific huddles, termed medical safety huddles on patient safety within four programs/sites at Sinai Health Systems, St. John's Rehab (Sunnybrook) and University Health Network.
Interventions
These short, virtual huddles are led by a huddle leader and occur on a weekly or once every two week basis. Each site will be adapting the Medical Safety Huddles for their context and workflow to specifically engage physicians.
Sponsors
Study design
Intervention model description
The multi-centre QI project will use a stepped wedge cluster randomized design
Eligibility
Inclusion criteria
\- Any staff physicians, residents or medical students working at the four programs/sites
Exclusion criteria
None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | 19 months | We will examine whether the huddles impact the frequency and severity of adverse events experienced by patients. We will also determine if the huddles specifically impact certain types of adverse events in terms of frequency and severity. We will also perform analysis specific for each program/site. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Process measure - Attendance rate | 15 months | The number of physicians attending each huddle will be monitored to ensure the fidelity of implementation |
| Process measure - Safety issues | 15 months | The type and number of safety issues brought up during huddles will be monitored on a monthly basis to ensure the fidelity of implementation |
| Process measure - Actions taken to address safety issues | 15 months | The number of actions taken to address safety issues will be monitored on a monthly basis to ensure the fidelity of implementation |
Countries
Canada