[Walkrounds and briefings in the improvement of the patient safety]

Rev Calid Asist. May-Jun 2010;25(3):153-60. doi: 10.1016/j.cali.2009.12.008. Epub 2010 Apr 8.
[Article in Spanish]

Abstract

Objective: Training, to increase the safety culture, the reporting of adverse events, and to implement improvements using WalkRounds and Briefings.

Material and methods: Monte Naranco Hospital, hospital with 200 beds and mainly with geriatric patients.

Method: Patient safety surveys and evaluations of the leaders.

Design: face-to-face 1/2h interviews with the healthworkers (3-5 people), and in the changes of shifts from 2004-2009. Analysis tools: a) Patient safety surveys (University of Texas and Agency for Healthcare Research and Quality - AHRQ); b) WalkRounds and Briefings forms; c) classification of contributory factors, and the severity of adverse events.

Results: Surveys were conduted on 36.9% and 33.8% of the healthworkers, respectively). WalkRounds training: 84 healthworkers. Number of WalkRounds: with Pharmacy Service (493), and with Patient Complaints Service (147), and Briefings: 307. Reporting of adverse events: Medication errors (71.1%), equipment (7.2%), others (21.7%). Contributory factors Working environment (30.1%), work team (29.2%), others (40.7%). In the post-briefing survey 86.7% of the healthworkers thought that it was a useful tool. New needs: feedback of the personnel with control charts.

Conclusions: WalkRounds and Briefings allow a higher number of adverse events (more than 20%) to be detected, and are useful for the training of healthworkers. There is better feedback and there was less problems with equipment and outpatient units. Face-to-face communication with the healthworkers is a key element in patient safety and helps to know the needs to the front line wards.

Publication types

  • English Abstract

MeSH terms

  • Hospitals / standards*
  • Humans
  • Prospective Studies
  • Quality Assurance, Health Care*
  • Retrospective Studies
  • Safety / standards*
  • Surveys and Questionnaires