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Menéndez MD, Martínez AB, Fernandez M, et al. Walkrounds y Briefings en la mejora de la seguridad de los pacientes. [Walkrounds and briefings in the improvement of the patient safety]. Rev Calid Asist. 2010;25(3):153-60doi: 10.1016/j.cali.2009.12.008.
Menéndez, M. D., Martínez, A. B., Fernandez, M., Ortega, N., Díaz, J. M., & Vazquez, F. (2010). Walkrounds y Briefings en la mejora de la seguridad de los pacientes. [Walkrounds and briefings in the improvement of the patient safety]. Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial, 25(3), 153-60. https://doi.org/10.1016/j.cali.2009.12.008
Menéndez, M D, et al. "Walkrounds y Briefings en la mejora de la seguridad de los pacientes." [Walkrounds and briefings in the improvement of the patient safety]. Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial vol. 25,3 (2010): 153-60. doi: https://doi.org/10.1016/j.cali.2009.12.008
Menéndez MD, Martínez AB, Fernandez M, Ortega N, Díaz JM, Vazquez F. Walkrounds y Briefings en la mejora de la seguridad de los pacientes. [Walkrounds and briefings in the improvement of the patient safety]. Rev Calid Asist. 2010 May-Jun;25(3):153-60. doi: 10.1016/j.cali.2009.12.008. Epub 2010 Apr 08. Spanish. PMID: 20381395.
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Rev Calid Asist. 2010 May-Jun;25(3):153-60. doi: 10.1016/j.cali.2009.12.008. Epub 2010 Apr 08.

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

Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial

[Article in Spanish]
M D Menéndez, A B Martínez, M Fernandez, N Ortega, J M Díaz, F Vazquez

Affiliations

  1. Unidad de Calidad y Gestión del Riesgo Clínico, Hospital Monte Naranco, Oviedo, España.

PMID: 20381395 DOI: 10.1016/j.cali.2009.12.008

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.

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