CtG Huddle

• Research type

  Research Study

• Full title

  Closing the gap in paediatric safety: An evaluation of situational awareness and 'the Huddle' as a means to redirect the clinical gaze to reduce harm and drive cultural change through better communication in children’s wards.

• IRAS ID

  148767

• Contact name

  Jessica Deighton

• Contact email

  Jessica.DeightonPhD@annafreud.org

• Sponsor organisation

  University College London

• Clinicaltrials.gov Identifier

  Z6364106/2014/05/08, UCL Data Protection Number

• Research summary

  The research will assess the 'Huddle' approach for increasing situational awareness across 12 sites that have begun implementation of this approach as part of a wider quality improvement project. This will be examined through; the association with improvements in patient safety outcomes, patient/parent reported quality of life and experience of care, and the barriers and facilitators to implementation. This evaluation is the first of its kind in the UK; bringing together every major children’s hospital in England as well as a range of DGHs: Great Ormond Street, Sheffield Children’s Hospital, Alder Hey, Birmingham Children’s Hospital, Manchester Children’s Hospital, North Middlesex Hospital, Barts Health NHS Trust, the Royal Free, the Whittington, Evelina Children's Hospital, Watford General, Luton and Dunstable.

  The research will be carried out over a period of 28 months, drawing on qualitative and quantitative data from these sites iteratively across a 20 month period. Specifically it will consider:

  1) What increased situational awareness (SA) in clinicians working with children in inpatient care looks like in different contexts;
  2) Whether SA is associated with improvements in safety outcomes, and patient reported quality of life and experience of the care;
  3) What the contextual factors are within which an increase in SA can lead to improved safety outcomes for children;
  4) What mechanisms explain how improved SA leads to improvements in safety outcomes
  5) What the barriers and facilitators are to implementation in different settings

  This information will be captured through qualitative interviews, focus groups and observations, and through routinely collected data on a range of safety aspect and incidents, patient reported experience of care and quality of life.
  

• REC name

  London - Dulwich Research Ethics Committee

• REC reference

  14/LO/0875

• Date of REC Opinion

  4 Jul 2014

• REC opinion

  Further Information Favourable Opinion