医療システムと政策研究

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The Daily Readiness Huddle – A Key Component to a System of Care

Lane F Donnelly

One of the most helpful tools identified during the quality revolution in health care has been the process of huddling. We describe a defined process for conducting a Daily Readiness Huddle (DRH). The DHR has defined components including a volume assessment, readiness assessment, problem accountability system, and metrics review. We have found that having a defined DRH process has greatly increases our ability to rapidly identify and solve problems. It has also helped with team-building and improved coordination of our medical services. We have also found that running an area via this process helps unite those with roles primarily in operations with those with roles primarily in quality and safety as one coherent team as opposed to two separate entities. This has been a critical aspect to optimizing our performance. We have found this process helpful at both the unit and institutional levels. Keywords: Quality; Daily management systems