Management Practices for Sustainability - Module 2: Daily Huddles
Slide 1: Management Practices for Sustainability Module 2: Daily Huddles
Management Practices for Sustainability
Module 2: Daily Huddles
Slide 2: A Frontline Management System To Promote Safety Standard Work
Image: This image shows the interactions between the different elements of the frontline management system. The elements include standard safety work by staff, the daily safety huddle, visual management, escalation, observation of safety work, problem solving, and integration with leaders. The image shows how these elements are mutually reenforcing to effect sustained improvement.
Slide 3: What Is a Daily Huddle and Why Is It Important?
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WHAT? |
WHY? |
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Slide 4: Who Is the Huddle For?
Consider these business units in your ASC:
- Operating room team
- Preoperative team
- Postoperative team
- Front office and scheduling team
- Sterilization team
Consider these staff roles:
- Staff nurses
- Charge nurses
- Nurse managers
- Administrators
- Anesthesia staff
- Technicians
- Schedulers
- Physicians
Slide 5: A Simple Huddle Agenda
Agenda
- 1.Safety concerns observed in past day
- Patients
- Staff
- Physicians
- Issues for today
- Review of tracked issues
- Input from staff
- Announcements
Tips:
✓ Brief (5-10 min)
✓ Standard
✓ Stay on topic
Slide 6: Apply the Model for Improvement To Introduce Daily Huddles
- Aims: Introduce daily huddle into practice to promote safety standard work
- Measures: Are huddles supported by staff? Do you see movement in key measures like the patient safety culture survey?
- Changes: Introduce short standup meeting for key units (e.g., operating room, preoperative/postoperative)
- Plan: Lay out the specifications of your test
- Do: Conduct the test
- Study: Review how the test went and what lessons were learned
- Act: Integrate learning into your next test or into daily practice
Slide 7: Details To Consider for Your First Test
Image: Flowchart showing details to consider in your first test
Box 1: Select the appropraite testing unit
Box 2: Determine who should attend the huddle from your staff
Box 3: Determine who should lead the huddle
Box 4: Determine when and where the test will take place
Box 5: Review the template agenda
Box 6: Identify a 'recorder' who will write down problems
Box 7: Plan to give notification to all relevant parties one day before test
Box 8: Schedule a 10-minute 'debrief'
Slide 8: Practical Tips To Remember for Your First Test
Image: Graphic showing four practical tips to inform your first test
1. Time the test
2. Debrief with your staff
3. Follow up on issues
4. Debrief after the huddle
Slide 9: Additional Tests To Hardwire Huddles Into Daily Practice
Image: Arrow pointing diagonally up and right, pointing from text box reading "five consecutive days" to text box reading "four weeks"
Additional tests to consider:
- Alternative staff lead huddle
- Introduce to more than one department
Slide 10: Testing and Implementation: Common Problems and Tips
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Problem #1: Huddles don’t take place when facilitator is absent or busy |
Problem #2: Staff turnover has made sustaining the huddle difficult |
Problem #3: Staff seem not to see the benefit of the huddle |
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Solution #1: Cross-train multiple staff |
Solution #2: Ensure that understanding of purpose and structure of huddle is part of staff onboarding materials |
Solution #3: Be sure to follow through on problems identified during huddle; over time, solved problems will win staff over |
Slide 11: Testimonials About the Benefits of Daily Huddles in the ASC Environment
“Prior to the implementation of daily huddles our employees rated the facility Safety Culture Survey as 82.5% (2014).
Two months after initiating the huddle format throughout our facility, we surveyed our employees again and experienced a 10.83 percentage-point increase (93.33%).
Daily huddles have given employees a role and a voice! Thank you, IHI, for sharing your expertise in improving our facility safety culture!”
