Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Implementing Daily Leadership Safety Huddles in a Public Hospital

Bridging the Gap

Castaldi, Maria, MD, FACS; Kaban, Jody M., MD, FACS; Petersen, Martina, RN; George, Geena, MPH; O'Neill, Andrea, RN; Mullaney, Kathi, RN; Pennacchio, Suzanne, RN; Morley, John, MD

Quality Management in Healthcare: April/June 2019 - Volume 28 - Issue 2 - p 108–113
doi: 10.1097/QMH.0000000000000207
Quality Management Applications

Background: A Leadership Safety Huddle was instituted in efforts to improve communication and make safety culture a priority at our institution. The Huddle is a transparent, regularly recurring forum of clinical and administrative hospital leaders, in which safety issues and concerns are identified, shared, and swiftly addressed.

Methods: Metrics regarding huddle effectiveness in 3 areas are studied: information technology (IT) services ticket resolution time, bladder catheterization, and one-to-one inpatient monitoring.

Results: Analysis revealed effectiveness of the huddle on quality of inpatient care and cost savings. Survey revealed 75% or higher favorable responses to huddle improving communication, transparency, time to resolution of issues, ability to voice concerns, and patient safety. As a result of huddle implementation, metrics showed 46% reduction in IT ticket turnaround time (P = .0001), 28% reduction in non–intensive care unit bladder catheter days (P = .011), and 10% decrease in continuous observations (P = .008), allowing a 24% reduction in cost (P = .001) with quarterly savings of $139 107.00.

Conclusion: These metrics demonstrate how huddles are instrumental in infusing and sustaining a culture of patient safety in hospitals.

Jacobi Medical Center, Bronx, NY (Drs Castaldi, Kaban and Morley and Mss Petersen, O'Neill, Mullaney, and Pennacchio); and Westchester County Medical Center, Valhalla, NY (Dr Castaldi and Ms George).

Correspondence: Maria Castaldi, MD, FACS, Jacobi Medical Center, Department of Surgery, 1400 Pelham Parkway South, Bronx, NY 10461 (

The authors thank Mr M. Alam and Ms B. Wikoren for their help in data compilation. Adherence to ethical standards has been upheld.

The authors report no conflicts, financial or commercial.

© 2019Wolters Kluwer Health | Lippincott Williams & Wilkins