Medical Safety Huddles - a Multi-site QI Project

Medical Safety Huddles - a Multi-site QI (Quality Improvement) Project

This quality improvement project will implement and evaluate the impact of physician-specific huddles, termed "medical safety huddles" on patient safety within four programs/sites at Sinai Health Systems, St. John's Rehab (Sunnybrook) and University Health Network.

Study Overview

• Status: Completed
• Conditions: Patient Safety
• Intervention / Treatment: Other: Implementing medical safety huddles

• Study Type: Interventional
• Enrollment (Actual): 4
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • Ontario
    • Toronto, Ontario, Canada, M5G 1X5
      • Mount Sinai Hospital
    • Toronto, Ontario, Canada, M2M 2G1
      • St John's Rehab
    • Toronto, Ontario, Canada, M4M 2B5
      • Bridgepoint Active Health
  • Ontario1
    • Toronto, Ontario1, Canada, M5G2A2
      • Princess Margaret Hospital - UHN

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion criteria:

- Any staff physicians, residents or medical students working at the four programs/sites

Exclusion criteria:

None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Sequential Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Medical Safety Huddles - Pre-implementation
Experimental: Medical Safety Huddles - Post-implementation	Other: Implementing medical safety huddles; These short, virtual huddles are led by a huddle leader and occur on a weekly or once every two week basis. Each site will be adapting the Medical Safety Huddles for their context and workflow to specifically engage physicians.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Adverse events	We will examine whether the huddles impact the frequency and severity of adverse events experienced by patients. We will also determine if the huddles specifically impact certain types of adverse events in terms of frequency and severity. We will also perform analysis specific for each program/site.	19 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Process measure - Attendance rate	The number of physicians attending each huddle will be monitored to ensure the fidelity of implementation	15 months
Process measure - Safety issues	The type and number of safety issues brought up during huddles will be monitored on a monthly basis to ensure the fidelity of implementation	15 months
Process measure - Actions taken to address safety issues	The number of actions taken to address safety issues will be monitored on a monthly basis to ensure the fidelity of implementation	15 months

Collaborators and Investigators

• Sponsor: University Health Network, Toronto
• Collaborators: Sunnybrook Health Sciences Centre; Sinai Health System
• Investigators: Principal Investigator: Meiqi Guo, MD, University Health Network, Toronto

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2020
• Primary Completion (Actual): October 31, 2022
• Study Completion (Actual): January 30, 2023

Study Registration Dates

• First Submitted: April 20, 2022
• First Submitted That Met QC Criteria: May 3, 2022
• First Posted (Actual): May 9, 2022

Study Record Updates

• Last Update Posted (Actual): May 25, 2023
• Last Update Submitted That Met QC Criteria: May 24, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Keywords: Patient Safety; Quality Improvement; Physician Engagement; Huddles
• Other Study ID Numbers: 19-6357

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No