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A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital
Michele Saysana1, Marjorie McCaskey, Elaine Cox
1From the Department of Pediatrics, Indiana University School of Medicine, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana.
Insights
Implementing a daily safety brief in a children's hospital significantly improved interdepartmental communication and awareness of daily events. This initiative is a key step toward achieving a high reliability organization in healthcare.
Area of Science:
- Healthcare Management
- Patient Safety
- Organizational Communication
Background:
- Healthcare is an inherently high-risk industry.
- Effective communication is crucial for patient safety and operational efficiency.
- Hospitals often face challenges in coordinating daily events across departments.
Purpose of the Study:
- To assess the impact of a daily safety brief on communication and awareness in a children's hospital.
- To evaluate the feasibility of implementing a daily safety brief as a step towards becoming a high reliability organization.
Main Methods:
- A daily safety brief was implemented involving various hospital departments.
- Participants completed pre- and post-implementation surveys assessing communication and event awareness.
- Key metrics included brief duration and the percentage of departments reporting unexpected outcomes.
Main Results:
- Statistically significant improvements were observed in awareness of daily events and interdepartmental communication.
- The average duration of the daily safety brief was 15 minutes or less per month.
- Unexpected outcomes were reported by 50% of participating departments for eight months.
Conclusions:
- Daily safety briefs are a viable and effective strategy for children's hospitals.
- The implementation successfully enhanced communication and awareness, contributing to a safer healthcare environment.
- This practice represents a tangible move towards establishing a high reliability organization within the hospital setting.
Objectives:
Health care is a high-risk industry. To improve communication about daily events and begin the journey toward a high reliability organization, the Riley Hospital for Children at Indiana University Health implemented a daily safety brief.
Methods:
Various departments in our children's hospital were asked to participate in a daily safety brief, reporting daily events and unexpected outcomes within their scope of responsibility. Participants were surveyed before and after implementation of the safety brief about communication and awareness of events in the hospital. The length of the brief and percentage of departments reporting unexpected outcomes were measured.
Results:
The analysis of the presurvey and the postsurvey showed a statistically significant improvement in the questions related to the awareness of daily events as well as communication and relationships between departments. The monthly mean length of time for the brief was 15 minutes or less. Unexpected outcomes were reported by 50% of the departments for 8 months.
Conclusions:
A daily safety brief can be successfully implemented in a children's hospital. Communication between departments and awareness of daily events were improved. Implementation of a daily safety brief is a step toward becoming a high reliability organization.
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