Dingley et al, 2008 |
Uncontrolled pre-post study |
University-based hospital (USA) |
2 hospital units (495 communication
events) |
Analysis of 495 communication events |
Structured
communication tool including huddle during each shift |
Goldenhar et al, 2013 |
Qualitative study using semi-structured
interviews and focus groups |
University-based hospital (USA) |
10 key
informants, 21 focus group participants |
Analysis of interview and
focus group data |
3-level huddle system operating at different levels
of the staff structure. Group training to implement
huddling |
Hastings et al, 2016 |
Mixed methods using interviews and
uncontrolled pre-post surveys of staff and patients, plus administrative
records |
University-based hospital (USA) |
15 interviews with staff
post, 25 staff surveys pre- and post-, 26 patient surveys pre-, 37
patient surveys post-intervention |
Qualitative analysis of interview
data, qualitative analysis of staff and patient surveys, quantitative
analysis of key indicators from administrative data. |
New model on
delivering care including regular huddles during the day |
Jain et al, 2015 |
Pilot study |
University-based hospital (USA) |
3 surgeons, plus surgical teams (totalling 65 operations) |
Baseline
and timepoint measurement of surgical outcomes, interruptions, and
questions from a worksheet completed by surgeons for each day’s cases. |
Daily pre-operative huddle using template with entire surgical
team |
Monash et al, 2017
|
Cluster RCT
|
University-based hospital (USA)
|
Intervention arm: 19 attendings + 60 trainees; 595 patients.
Control arm: 17 attendings + 61 trainees; 605 patients.
|
Audit of adherence to practice recommendations; patient satisfaction
questionnaires using Likert-type scales; staff questionnaires based on
previously-published work
|
Workshop to train teams on daily pre-round huddle as part of a package
of 5 Attending Round practices
|
Newman et al, 2016 |
Retrospective cohort study |
University-based hospital (USA) |
Resident (n= 26 Pre and 25 Post),
Cardiologist (n= 14 pre and 17 post) and Nursing (n= 14 pre and 15 post) |
Retrospective chart review + retrospective pre-post survey on
satisfaction with the intervention and impact of the intervention on
team-based communication |
Intervention arm teams were trained in 5
Attending Round practices: 1) pre-rounds huddle; 2) bedside rounds; 3)
nurse integration; 4) real-time order entry; 5) whiteboard updates. The
control arm continued normal practices.. |
O’Malley et al, 2015 |
Qualitative study using in-depth
interviews |
Community-based facilities (USA) |
63 respondents ranging
from physicians to front-desk staff. |
In-depth interviews using
standardised protocol followed by qualitative analysis. |
Team huddles
to support communications (exact type not specified as this paper
accessed a large number of organisations/teams) |
Pannick et al, 2017 |
Prospective stepped-wedge non-randomised
cluster controlled trial |
University-based hospital (UK) |
85 staff
members from 7 interdisciplinary medical ward teams |
Anonymised patient
and ward level outcomes extracted from routinely collected data sets.
Anonymous staff surveys were administered at baseline and 6 month
timepoint. |
Prospective Clinical Team Surveillance (PCTS) -
Intervention program comprised structured team briefing, facilitation,
and feedback |
Rodriguez et al, 2015 |
Mixed methods study using interviews and
surveys of staff |
Community-based facilities (USA) |
79 teamlet member
interviews + 418 clinician and staff PCMH survey responses (total number
of individuals unclear) |
Analysis of interview and survey data followed
by qualitative and quantitative analysis. |
Patient Aligned Care Teams
(PACT) initiative including structural reorganisation of
teams |
Scotten et al, 2015 |
Uncontrolled pre-post study |
University-based hospital (USA) |
65 faculties –number of participants
unclear |
Analysis of questionnaire data completed at baseline and
timepoints, with providers using T-TAQ†,
T-TPQ‡, ITPS§,
AITCS¶, and patients using EHCPS#
|
TeamSTEPPS introduced with in situ simulations and development of an
interprofessional transitional care model intervention which included
telehealth approaches for patient / provider
communication |
Stapley et al, 2018 |
Qualitative study using semi-structured
interviews |
University-based hospital (UK) |
76 staff |
Qualitative
analysis of interview data. |
‘SAFE’ (Situation Awareness for Everyone)
programme which incorporates huddling |
Thomas et al, 2013 |
Quality improvement report |
Community-based
facilities (USA) |
Whole system (1300 staff) |
Adoption of TeamSTEPPS
competencies was assessed using direct observation and anecdotes.
Effects of the training was evaluated, using Hospital Survey on Patient
Safety Culture and targeted variables. |
TeamSTEPPS training was
implemented across the system after piloting. |