Jay Zhu1, Kathryn M Stadeli2, Kavita Pandit3, Jennifer Zech4, Andrew Ludwig5, Kathryn Harris6, Hannah Naughton7, Jonathan Yi8, Giana H Davidson9, Patricia A Kritek10. 1. Department of Surgery, Seattle, WA, USA. Electronic address: jayzhu@uw.edu. 2. Department of Surgery, Seattle, WA, USA. Electronic address: stadeli@uw.edu. 3. Department of Surgery, Seattle, WA, USA. Electronic address: panditk@uw.edu. 4. Department of Surgery, Seattle, WA, USA. Electronic address: jenniferzech14@gmail.com. 5. Department of Surgery, Seattle, WA, USA. Electronic address: ludwiga@uw.edu. 6. Department of Surgery, Seattle, WA, USA. Electronic address: kateyh55@uw.edu. 7. University of Washington School of Medicine, Seattle, WA, USA. Electronic address: hrn@uw.edu. 8. University of Washington School of Medicine, Seattle, WA, USA. Electronic address: jonyi@uw.edu. 9. Department of Surgery, Seattle, WA, USA. Electronic address: ghd@uw.edu. 10. Department of Medicine, Seattle, WA, USA. Electronic address: pkritek@uw.edu.
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. Published by Elsevier Inc.
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. Published by Elsevier Inc.
Authors: Emily C Cleveland Manchanda; Anita N Chary; Noor Zanial; Lauren Nadeau; Jennifer Verstreken; Eric Shappell; Wendy Macias-Konstantopoulos; Valerie Dobiesz Journal: West J Emerg Med Date: 2021-07-19