The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

Karthik Adapa; Thomas Ivester; Christopher M. Shea; Bret Shultz; Darren DeWalt; Matthew Pearsall; Cristie Dangerfield; Erin Burgess; Lawrence B. Marks; Lukasz M. Mazur

Study

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

Adapa K, Ivester T, Shea CM, et al. Jt Comm J Qual Patient Saf. 2022;48(12):642-652.

View more articles from the same authors.

Tiered huddle systems (THS) include staff at all levels of the organization- frontline healthcare workers, managers, directors, and executives- and have been shown to increase adverse event reporting and improve safety culture. This US health system implemented a three-level THS in hospital and ambulatory settings to increase event reporting. Based on an interrupted time series analysis, reporting increased for total safety events, including near misses.

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