Safety huddles

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This is especially true for complex obstetric cases. • Leaders report in chronological order on any safety events or concerns from the: – Past 24 hours: Discuss resolution of safety concerns or continuation of threats Incorporate brief daily safety huddles that engage leaders across functions Implement Rounding to Influence (RTI) methods for more engaging dialogue between leaders and the front line Launch a formal safety coaching program that empowers staff regardless of role or level Does your hospital huddle? Staff in the medical-surgical unit at Fairbanks (AK) Memorial Hospital is implementing huddles and other strategies to reduce falls among inpatients. Safety Huddles are an important tool used to increase communication and raise awareness to important issues, concerns, and trends. Main  3 Feb 2015 At one hospital, huddles have increased nurse satisfaction, clinical quality outcomes, and patient safety. This has brought rich learnings and also given us the opportunity to develop and most importantly, learn. Huddles and the. How to Improve Hospital Operations and Patient Safety in 14 Minutes a Day Nursing leader Bob Dent, R. This is an Australian site. when nursing shifts change. 20 A Veterans Health Administration study found that Take a look at safety Toolbox Topics. They encourage a continuous and open dialogue about safety in your organization and promote a culture of well-being for staff and the people they care for. A staff nurse on the inpatient unit stated: “The positive, objective data associated with teamwork through the patient safety huddles heightens our situational awareness, individual patient and staff needs, improves communications regarding supply and demand, prevents patient safety issues, communicates staff concerns and allows us as a team Safety huddles are a great way to engage staff in relevant and timely conversations about their workplace health and safety. 2. Safety huddles also improve efficiencies, quality of information sharing, and accountability. Step-by-step instructions for implementing briefs and huddles and other TeamSTEPPS Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based teamwork system designed to improve the quality, safety and efficiency of healthcare. Senior leadership support is important, too, and a unit director is on call 24/7 Methods Safety huddles were implemented on two inpatient wards of Great Ormond Street Hospital (GOSH), London, UK. Key Elements. Tuesday  10 Oct 2017 Weekly physicians' safety huddles were implemented to review, anticipate, and address patient safety issues. The huddle should be short (2-5 minutes). E. Ventiv Patient Safety empowers you to cross-reference the data collected in safety huddles with event data, claims data and patient feedback. If you’re not already involved in NFC’s FrameSAFE program, now is the time to subscribe and gain access to invaluable tools such as Toolbox Talks and safety checklists. All departments and clinical disciplines attend, which can include 50 to 75 people. Non-judgemental environment. Led by the most senior clinician, (nurse, or allied health professional) 5. ˚ e Joint Commission 5-Step 'Huddle' Boosts Safety in Violent Patient Transfers. 4 Safety Huddles are a brief (≤ 10 minutes), focused exchange of information about potential or existing safety risks which may affect patients, staff and any person accessing the healthcare environment. All ward staff including non-clinical invited to attend 6. indd 98 9/15/17 3:11 PM 1. There are several kinds of huddles. The topics are intended for use of on-the-job safety training and meetings to educate employees of potential hazards and work-related injuries and illnesses. Main Outcome Measures. The results of our practice safety  1 Dec 2016 The team needed to adapt to preserve patient safety. • Engaging medical and nursing leads is key, to provide guidance, support and sustainability of the tool. Real-Time Safety – Use job-hazard analyses, and devote immediate attention to safety issues. Rayburn and his colleagues in a Dec. No longer than 10 minutes and shorter would be better. What are the Key Elements of a Patient Safety Huddle? 1. discuss the key elements. The topics on their agenda have evolved over time, and currently include: Quality and Safety (Metric-Based) Patient & Caregiver Experience; Volume / Throughout / Capacity (Metric-Based) May 21, 2010 · Safety Huddles for a Culture of Safety By Mary Lu Gerke, PhD, RN; Cheryl Uffelman, RN, MSN; Kim Weber Chandler, RN, BSN When the Institute of Medicine (IOM) published To Err Is Human: Building a Safer Health System in 2000, the executives and quality and patient safety staff at Gundersen Lutheran immediately started discussions around issues emphasized in the report. 17–20 For example, after the introduction of safety huddles in one of the largest US health care systems, reports of safety events increased by 40%. They are everyone's responsibility. A safety huddle is a short multidisciplinary briefing, held at a predictable time and place, and focused on the patients most at risk. Apr 27, 2018 · Huddles, whether they are safety huddles or shift huddles or gatherings for any other reason, all exist for the sole purpose of communicating critical information to mitigate risk. The next 24 hours. With the increase of new Project Management software like Priority Matrix, and communication software like GoToMeeting and TeamViewer, remote teams can work smoothly from miles apart. • Be committed to driving quality improvement. NHS Ayrshire and Arran Hospital Safety Flow Huddle . (2)Research Fellow, Faculty of Health Studies, University of Bradford. / HUSH  6 Nov 2018 For the people at University Hospital Hairmyres in East Kilbride, Scotland, it's the patient safety huddle they call “The Onion. The information should be shared between charge nurses at beginning/end of the shift. Pathfields Medical Group, Plymouth. Here’s another site offering 70 workplace safety talks. They encourage a continuous and  practitioners find it useful for adopting safety huddles and improving team communication and patient awareness. Safety huddles discuss and assess impact of patient, workforce, and environmental potential/actual safety events from (Thompson, S. Medical Safety Huddles in Rehabilitation: A Novel Patient Safety Strategy. The Joint Commission has identified miscommunication during handoffs as playing a role in an estimated 80 percent of serious medical errors. 3. Cleveland Clinic's huddles all follow a standard agenda throughout the entire organization, at every location, to keep meetings running quickly and smoothly. Byrnes_&_Teman. Each nursing unit, as well as other clinical and  4 Mar 2015 Who attends a safety huddle? Safety huddles work well for groups of people who work together in a hospital or health system unit, department,  Huddles help nurses prioritize patient care and focus on patient safety. Patient safety huddles are daily, focused frontline team discussions of specific patient harms, supported by improvement skills, coaching, data visualisation and   Safety huddles (brief team meetings) have been used in a variety of settings to promote patient safety. • Shift Huddle is a gathering of the nurses and CNAs working together in one area. They increase health care providers' situational awareness  1 Also called safety huddles, daily check-ins or daily safety calls, these daily meetings are applicable to health care organizations, where they are used to give  19 Oct 2015 According to Health Care Management Review, safety huddles are an effective step in the journey to becoming a HRO, and one of the biggest  This work was aimed at improving patient safety on a general paediatric ward 6N at the Royal Free Hospital London, a pilot site for the National S. Astion M. However, creating agendas, capturing what transpires during these meetings, and then assigning follow-up tasks can easily become a burden or result in reduced participation. Changing Attitudes to Health and Safety Huddles and Toolbox Meetings By Peter Hipwood Safety huddles are an important weekly experience in the field of engineering, but often these ‘Huddles’ or ‘Toolboxes’ are verbal presentations of procedures that can be quite boring. F. 4 After discussing patient problems as a team, staff members know that patient safety is a shared responsibility and that they're not alone in developing a safe and effective plan. The best huddles are multidisciplinary, highly structured, brief (15 minutes or less), take place early in the morning and focus on incidents from the day before and risks to safety in the day ahead. Optimize these huddles for greater alignment. But how  Support psychological safety,. These successes are vital within a health care system devoted to the safety and wellness Huddles WHAT IT IS: A Huddle is a quick meeting to share and discuss important information. • Be part of a 24/7 system,. Through implementation of Yorkshire Safety Huddles we can demonstrate reductions in a variety of harms, increases in overall staff morale and improved teamwork. ". TeamSTEPPS consists of a collection of instructions, materials and tools to Huddles create time and space for conversations, enhance relationships, and strengthen a culture of safety. Sep 11, 2017 · Here then are The Top 10 Commandments of Pre-Shift Huddles: 1. Photography by Scott Soderberg. At the university hospital, representatives from about 75 patient care areas, including pharmacy, participate in the huddles. Hospital patient safety huddles now occur at more than 200 hospitals across the U. 28, 2016, online-first article in the Journal of the American Medical Informatics Association NHS Improvement advocate the use of ‘safety huddles’ to support effective communication at key points in the care of individuals, to improve safety. and are fast becoming an important component of daily management. Apr 29, 2015 · Medication Safety Officer Scott Ciarkowski said the huddles take place each morning and last about 15 minutes. However, there is no evidence linking post-fall huddles to patient outcomes or perceptions of teamwork and safety culture. Conducting post-fall huddles is considered an integral component of a fall-risk-reduction program. By Dan Shine. Help your organization better address patient safety concerns and support teamwork through cooperative problem solving with Ventiv Patient Safety. and another site with Safety Bob to help you. Bedside Safety Huddles to Manage a Complex Obstetric Case Perinatal safety is a goal of all obstetric units. Leaders report in chronological order on any safety events or concerns from the: These tips from Safety+Health magazine make a good starting point for safety committee talks or "safety moments. External factors that could affect safety (supplies, weather, outbreaks, etc. Effectively Conduct “Daily Huddles” to Set the Work Day Right (+ Free Download) A daily huddle is a short meeting, usually taking only about 15 minutes, conducted by the team leader before the start of the day or shift. Effective  How can I make patient safety huddles work for my area? Dr Ali Cracknell. 4 Safety Huddle. Consultant in Medicine for Older People (Leeds Teaching Hospitals NHS Trust). The team discusses the tasks before them for the day and any news about the company—sales Implementing daily safety huddles led to measurable improvements in several areas of patient safety and quality at a Massachusetts health system, according to a March 28, 2018, article from the Betsy Lehman Center for Patient Safety. This site has some great toolbox talk topics which may help you in your own presentations. This article describes our team’s use of safety Conclusion We developed an observational assessment tool to assess the team processes occurring during huddles, including the effectiveness of the huddle. The purpose of this study is to determine associations between conducting post-fall huddles and repeat fall rates and between post-fall huddle participation and perceptions Changing Attitudes to Health and Safety Huddles and Toolbox Meetings. Minutes for. Problems uncovered in unit huddles that need to be escalated are then presented at the next huddle tier, which is the one held among the leaders of the individual hospitals. Note: While we’re emphasizing safety as the focus of daily huddles, many organizations use daily huddles for general control and information exchange. throughout organisation safety huddles: –Improve safety culture –Improve patient safety –Fun, rewarding, and makes what seems impossible into routine clinical practice We learn with every team Collaborate, share, mobilise, empower In sports, teams have huddles to strategize. Start of Shift and End of Shift Huddles provide ways to share information about each resident as Daily Safety Huddles prove effective in improving patient safety At the Daily Safety Huddle, clinical and operational leaders gather for a brief, 15-minute focused meeting to identify obstacles to managing patient care and flow in a safe, timely manner. As a team . 4 After discussing patient problems as a team, staff members know that patient safety is a shared responsibility and that they're not alone in developing a safe and effective plan. Unlike many organizations, the multidisciplinary SCHC safety huddle takes place face-to-face Monday through Friday from 8:15 to 8:30 a. The huddle also gives the supervisor a chance to update the team about specific safety or quality initiatives that will affect daily work. A record of all safety meetings should be kept on file for the duration of each attendee’s employment and should include: date, topic, attendees, recommendations, and additional comments. However, no matter how much technology you have, it might seem like you have a disadvantage over teams that are not remote. Through testing and retesting the model is easy to adapt in most environments. ” Helen Mackie, MD,  About Safety Huddles overview_v3. Flexibility on approach when starting huddles 4. Sustainability. 9 Sep 2019 However, there is no evidence linking post-fall huddles to patient outcomes or perceptions of teamwork and safety culture. Huddles can be of particular value to health care organizations seeking or sustaining high reliability. 1 Also called safety huddles, daily check-ins or daily safety calls, these daily meetings are applicable to health care SAFETY HUDDLES IMPLEMENTATION GUIDE | Page 8 . Download brochure How safety huddles work. Huddles have been shown to improve patient safety in a range of areas such as wrong-site surgery, medication errors, poor hand hygiene, unrecognized clinical deterioration, serious safety events, and near misses. Daily huddles—discussions to identify and respond to safety risks—have been credited with enhancing safety culture in operationally complex industries including aviation and nuclear power. Future research should examine whether observational evaluations of huddles are associated with other indicators of safety on clinical wards (eg, safety climate and incidents of patient harm), and whether scores on the HOT are associated The value of safety huddles come directly from the topics you discuss, advice you provide, and engagement you receive from your employees. UMHS pursuit of safer care. This commentary describes how huddles can help improve communication and teamwork in the acute care setting. Non-judgemental environment 2. DSB huddles help foster collective situational awareness that increases an organization’s capacity to respond to safety concerns. More recently, huddles have been endorsed as a mechanism to improve patient safety in healthcare. Nurses congregated in the  24 Mar 2017 All construction pros routinely participate in safety huddles, or as some people call them, toolbox talks with their crew. Huddles, whether they are safety huddles or shift huddles or gatherings for any other reason, all exist for the sole purpose of communicating critical information to mitigate risk. Jun 01, 2018 · EXECUTIVE SUMMARY When implemented effectively, safety huddles can reduce harm and foster a culture of safety and accountability. Safety Ideas. S. Nov 14, 2019 · Sustaining the commitment to patient safety huddles: insights from eight acute hospital ward teams. Unit staff determined that a huddle called immediately after a patient falls is crucial for learning and helping to prevent future falls. every weekday to discuss any safety or quality issues that have cropped up. The leaders at daily hospital patient safety huddles represent the major divisions or programs of the hospital such as surgery, inpatient units, ambulatory clinics, infection control, pharmacy So lets’s take our safety seriously and start fostering positive attitudes to health and safety in all areas of our lives. Author information: (1)Lecturer, Faculty of Health Studies, University of Bradford. daily safety huddles and check-ins provide comprehensive support for all members of the organization to practice a culture of safety. Let’s protect our most precious assets. N. The safety huddle has become an important way for hospitals to surface safety concerns affecting patients and the workforce. Author information: (1)Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, ON; and the Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada. Getting Started . We recognized the opportunity to design and implement a process that gathers the team together to talk about the game plan, both at the beginning of and throughout the shift, as needed. Thou shalt keep your huddles short. Jul 09, 2019 · Daily huddles are an opportune time to discuss safety at every phase of the project and make sure the project is staying on track. Guo M(1), Tardif G(2), Bayley M(2). To this end, start on time every time with everyone standing and ready to go as soon as the huddle is over. A new model for patient safety: Laboratory huddles—what a great idea. CLN 2013;39(4):13–4. Multidisciplinary communication is essential to safety in health care. Luton and Bedfordshire adult mental health wards were the last to trial the Trust’s violence reduction change bundle, spread from Tower Hamlets ward-by-ward across the Trust. This Safety Huddles. Thou shalt make huddles attendance mandatory. No ifs, ands, or buts. an information-rich handoff from the emergency department to inpatient care can improve safety, Calling violent patient huddles. This is "Safety Huddles" by Leicester's Hospitals on Vimeo, the home for high quality videos and the people who love them. If you'd like to  13 Mar 2017 A group of Texas informatics researchers are urging hospitals to utilize daily safety huddles to identify EHR shortcomings that impact patient  Based on our experience providing the Clinical Assistant as a solution to help facilitate daily patient safety huddles for our clients while addressing value-based   Patient safety. They foster a sense of community, and create a culture of collaboration and collegiality that increases collective awareness and capacity for reducing harm. Emergency Department: Huddle TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety. Safety Huddles are straightforward and quick to implement. Fift n. Apr 11, 2019 · Over 18 safety huddles a week and we’re just getting started. ) May be known as a brief or a huddle based on organizational preference Background Despite significant advances, patient safety remains a critical public health concern. 16 Jan 2019 A safety huddle is a short multidisciplinary briefing, held at a predictable time and place, and focused on the patients most at risk. A staff survey was conducted at two time points post initiation of the huddles (18 months and 30 months) to evaluate the perception of staff regarding these huddles. Here are nine safety huddle topics to include in your next meeting. Dr Jillian Denovan MRCGP, Dr Jamie Dawe, Dr Krithika Loganath Huddle- example. The team discusses the tasks before them for the day and any news about the company—sales Effectively Conduct “Daily Huddles” to Set the Work Day Right (+ Free Download) A daily huddle is a short meeting, usually taking only about 15 minutes, conducted by the team leader before the start of the day or shift. All ward staff are empowered to speak up 3. Direct to your inbox: Sign up to receive a monthly email digest of the latest office safety tips. Background : Incident reporting offers valuable information regarding safety issues, but near-misses (NM) and adverse events (AE) remain underreported. Timing – Stay within a five- to 10-minute time limit. Hospital Huddles aim to: •  Many studies have shown that Huddles improve patient safety. , senior vice president, COO and CNO at Midland Memorial Hospital offers insight on how he champions patient safety through daily leadership huddles. At SBUH we have two forms of Safety Huddles: One of is conducted every day, twice a day, this the “Unit Based Safety Huddle”. They provide the opportunity to discuss any safety events that have occurred, how the event  1 Apr 2020 Four separate tiers of safety huddles are held, starting on individual hospital units at 7 a. m. By conducting huddles at the bedside, a health care team can receive useful input from women and their families. , 2015): The past 24 hours. The goal is to collect and share information about potential safety issues and concerns on a daily basis. All ward staff are empowered to  Safety Huddles are a brief (≤ 10 minutes), focused exchange of information about potential or existing safety risks which may affect patients, staff and any  The Huddle is a transparent, regularly recurring forum of clinical and administrative hospital leaders, in which safety issues and concerns are identified, shared,  15 Apr 2019 There are three types of huddles that take place every day at UC Davis Medical Center. and safety huddles? • Start safety huddles by asking for a positive safety story; this helps keep the focus on the good that is occurring despite the difficult circumstances. Click on the webinar image on the right to view in your browser. The prior unit was designed with a hub-and-spokes layout. The adoption of the toolkit has been extended  healthcare organization, this daily safety huddle or check-in is led by a C-suite Chapter 15: Situational Awareness, Shift Planning, Check-ins, and Huddles. The leading cause of EHR-related safety problems was that the system was working incorrectly. Hospitals that have been successful with this process recommend that huddles be driven by executive leadership and include a structure that provides for accountability. Safety Meeting Topics: The Best Ideas for Work Huddles Posted by EHS Insight Resources on May 17, 2019 at 10:19 AM About Safety Huddles overview_v3 What are the Key Elements of a Patient Safety Huddle? 1. Yorkshire Safety huddles allow the team to reflect on how they work together, and enhance team working and communication. The purpose of this  1 Apr 2018 The Patient Safety Huddle involved executives in development and implementation, respect for employee time, ensuring accountability, and  Effective Huddles and Debriefs: How to Facilitate Learning at the Frontline. They are multidisciplinary, occur at the beginning of every shift and follow a three point agenda. Jul 26, 2016 · Team Huddles With Your Remote Team. evidenced as the major contributing factors or Gold Standard associated with an effective Huddle. Huddles impact the entire team's approach to providing care by emphasizing the value of each coworker in contributing to the care to all patients. The growing content and links at Safety Huddle should provide plenty of ideas and resources to enhance your safety huddle presentation skills. "It's an opportunity for everyone . 10. Background: Huddles are short, regular debriefings that are designed to engage clinical staff in  23 Sep 2019 Randomized controlled trial of a behavioral intervention (Pre-Game Safety Huddles) designed to study the impact of huddles on concussion  3 Dec 2018 Marc Harrison shares how the health system's tiered escalation huddles improved patient safety and increased transparency in operations. Safety huddles and safety briefings have been associated with increases in reporting of safety concerns and improvements in patient outcomes. Discuss on-going events, concerns and initiatives with a control center for your teams while providing the support you need to process the information. Communication. Montague J(1), Crosswaite K(2), Lamming L(2), Cracknell A(3), Lovatt A(4), Mohammed MA(5). The Rules: In order for Safety Huddles to run reliably, efficiently  Effective daily leadership safety huddles will keep your patients and staff safe during times of uncertainty. How a multidisciplinary team communicates during an emergent or high-risk scenario can a˜ ect team functioning and health outcomes (Main et al. Abstract Background: A Leadership Safety Huddle was instituted in efforts to improve communication and make safety culture a priority at our institution. Issues raised in those  21 May 2010 This meeting was called a Safety Huddle because the group “huddled” to find out what issues led to the patient's death, what could be done to fix  1 Jul 2018 The Joint Commission says daily safety briefings, or huddles, as they often are called, are a hallmark of a high-reliability organization. Focus on two to three areas (e. Protection strategies are  17 May 2016 "The safety huddles make everyone feel like part of the team," says Renemae Lopez, Registered Nurse, 7 South. Safety. Hospital Safety Flow Huddle. The small stopwatch in the top left corner of Figure 2 keeps the crew leader disciplined to stay within time constraints. Jul 26, 2017 · Supported by the Health Foundation’s Scaling Up Improvement grant, in partnership with the Yorkshire and Humber Improvement Academy, we went on our journey scaling up huddles across all wards of five hospitals within three acute NHS trusts. Apr 05, 2018 · The safety huddle has become an important way for hospitals to surface safety concerns affecting patients and the workforce. Effective safety huddles involve agreed actions, are informed by visual feedback of data and provide the opportunity to celebrate success in reducing harm. Our post-fall huddles prompted us to take the idea one step further—holding proactive huddles to help prevent patient safety issues and staff concerns. The following pages set out the . Medical safety huddles are a novel way to engage physicians in patient safety and quality improvement, and have the potential to enhance organizational understanding and anticipation of patient safety risks by supplementing existing monitoring methods with the medical perspective. That happened in 42 percent of the issues reported in the daily safety huddles, according to data published by Dr. 5 Characteristics of Safety Huddles Value for Enhanced Culture of Safety Jan 10, 2019 · Get Your Priorities Straight: Tips for Using Safety Huddles By Kathy Duncan | Thursday, January 10, 2019 A huddle is a short, stand-up meeting — 10 minutes or less — that is typically used at the start of a day or shift to help teams anticipate and actively manage quality and safety issues. Huddle Up for Safer Healthcare Here’s how the safety huddles work: Front-line staff in each unit meet at 7 a. 2,3 Huddles increase individual and collective accountability for patient safety, designate a fixed time during the workday or shift Huddles impact the entire team's approach to providing care by emphasizing the value of each coworker in contributing to the care to all patients. Photo Illustration by Clint Blowers  23 Sep 2017 Originating in the nuclear power and aviation industries, safety huddles are used in 'critical safety' environments as a forum to discuss potential  The huddle is a proven error-reduction tool that allows a team pause — to come The video, Making the Most of Safety Huddles, focuses specifically on the  15 Jan 2014 Reduce patient harm using 15-minute safety huddles, which convene representatives from across the organization to address potential safety  4 Apr 2018 “The safety huddle provides an opportunity for staff from all different departments of the hospital to share unexpected events and offer solutions on  3 Apr 2018 The Patient Safety Huddle Board is a tool used to promote transparency, teamwork and provide a patient safety overview in real time. Nov 29, 2018 · Another example is how the huddles allowed us to better track caregiver injuries and patient safety issues. E  “Safety huddles” have been found useful in creating a sense of collective situational awareness that increases an organization's capacity to respond to safety  18 Jul 2019 “The safety huddles happen on every jobsite every morning before the start of the day,” says NFC member Pedro Loureiro, president of Nomad  Safety huddles are a great way to engage staff in relevant and timely conversations about their workplace health and safety. Their aim was to reduce physical violence on inpatient wards by 30% by September 2018. A. SCHC implemented the safety huddle model in October 2013. g. Download the Safety Huddle Handbook here! SafeCare BC’s Safety […] Safety Huddles. Safety huddles offer an opportunity to develop and implement a standardized care plan to improve outcomes. All RNs/LPNs/CCAs on the unit Hospital Safety Flow Huddle How effective is your Hospital Huddle? Take a temperature check. At Stony Brook University Hospital, our care teams have huddles, too. Last fall, the system implemented a daily safety huddle in which 50 to 60 clinicians, clinical support staff Start safety huddles by asking for a positive safety story; this helps keep the focus on the good that is occurring despite the difficult circumstances. The Huddle is a transparent, regularly recurring forum of clinical and administrative hospital leaders, in which safety issues and concerns are identified, shared, and swiftly addressed. A daily safety briefing is one of the hallmarks of high reliability organizations (HROs), which operate under continuously trying conditions, yet have fewer than their fair share of major incidents. Mike Astion, MD, PhD Division Chief of Laboratory Medicine Seattle Children's Hospital Editor, Patient Safety Focus The safety huddle is becoming common within health care practice as a way to inform clinicians about what is happening during their shift. , 2015). Drive effective communication. 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