Preoperative Multidisciplinary Team Huddle Improves Communication and Safety for Unscheduled Cesarean Deliveries: A System Redesign Using Improvement Science
Authors' conclusion
Implementation of a bedside multidisciplinary pre-CD huddle improved communication between teams and contributed to creating a culture of safety without causing significant delays in care.
Study context
- Population
- Care teams and patients undergoing unscheduled cesarean delivery (CD) in a 13-bed L&D unit of an academic level 4 maternal care center
- Comparison
- Bedside multidisciplinary pre-CD huddle vs baseline
- Outcome
- Satisfaction of care team members with communication around unscheduled CD
Methodological detailsiterative plan-do-study-act (PDSA) cycles, before-after comparison, single-centre
- Iterative PDSA cycles
- Before-after comparison
- Single-centre
Main finding
As reported in the abstract
Satisfaction score, unscheduled CD communication (combined anesthesia, nursing, obstetrics survey)
Baseline
3.3/5
Huddle
4.7/5
Secondary outcomes
| Outcome | Values |
|---|---|
| Huddle adherence (process measure) · within 6 months | Huddle 96% |
General anesthesia (GA) rate for unscheduled CD
- Unchanged
Patient experience
- Patients felt more engaged and reported positive experiences
Safety
Median decision-to-incision interval (balancing measure)
- Unchanged
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Preoperative Multidisciplinary Team Huddle Improves Communication and Safety for Unscheduled Cesarean Deliveries: A System Redesign Using Improvement Science. Anesth Analg. Published 13 September 2024. doi:10.
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