Safety huddle in healthcare settings: a concept analysis.

Ibrahim Ghoul, Abdullah Abdullah, Fateh Awwad, Latefa Ali Dardas
Author Information
  1. Ibrahim Ghoul: Oncology and Hematology Department, An-Najah National University Hospital, An-Najah National University, Nablus, Palestine. i.ghoul@najah.edu.
  2. Abdullah Abdullah: Quality and Patient Safety Department, An-Najah National University Hospital, An-Najah National University, Nablus, Palestine.
  3. Fateh Awwad: Department of Cardiology, An-Najah National University Hospital, An-Najah National University, Nablus, Palestine.
  4. Latefa Ali Dardas: School of Nursing, The University of Jordan, Amman, 11942, Jordan.

Abstract

BACKGROUND: Safety huddles, brief interdisciplinary meetings aimed at proactive risk mitigation, are increasingly adopted in healthcare to enhance communication and patient safety. Despite their recognized benefits, inconsistent definitions, variable implementation, and conceptual ambiguity persist, hindering standardization and scalability. This study clarifies the concept of "safety huddle" through a rigorous concept analysis.
METHODS: Rodgers and Knafl's evolutionary concept analysis methodology was applied. A systematic search of CINAHL, Medline, and PubMed (2013-January 2025) identified 32 relevant studies. Data were analyzed to delineate core attributes, antecedents, consequences, and contextual variations of safety huddles.
RESULTS: Five core attributes emerged: (1) structured communication (e.g., SBAR, checklists), (2) interdisciplinary collaboration, (3) time-bound, goal-oriented design, (4) proactive risk prediction, and (5) contextual adaptability. Key antecedents included leadership support, psychological safety, and dedicated resources. Consequences encompassed enhanced teamwork, situational awareness, and safety culture. Contextual variations revealed adaptability across settings (e.g., maternity care, ICUs), though and inconsistent participation posed challenges.
CONCLUSIONS: Safety huddles are a dynamic, multifaceted intervention with significant potential to reduce medical errors and foster collaborative safety practices. However, conceptual inconsistencies and methodological gaps limit generalizability. Future efforts should prioritize standardized yet flexible frameworks, leadership training, and policy reforms to optimize huddle efficacy. This analysis provides a foundational model for advancing research, education, and practice in patient safety.

Keywords

References

  1. BMJ Qual Saf. 2013 Nov;22(11):899-906 [PMID: 23744537]
  2. J Clin Nurs. 2017 Oct;26(19-20):2891-2906 [PMID: 27874980]
  3. AANA J. 2015 Jun;83(3):183-8 [PMID: 26137759]
  4. Am J Health Syst Pharm. 2015 May 15;72(10):766, 768 [PMID: 25941247]
  5. J Am Med Inform Assoc. 2017 Mar 01;24(2):261-267 [PMID: 28031286]
  6. J Eval Clin Pract. 2022 Jun;28(3):382-393 [PMID: 35174941]
  7. BMJ Qual Saf. 2020 Oct;29(10):1-2 [PMID: 32265256]
  8. Health Care Manage Rev. 2015 Jan-Mar;40(1):2-12 [PMID: 24589926]
  9. J Nurs Care Qual. 2023 Jan-Mar 01;38(1):26-32 [PMID: 35984709]
  10. Jt Comm J Qual Patient Saf. 2018 Apr;44(4):219-226 [PMID: 29579447]
  11. Rev Esc Enferm USP. 2024 Feb 12;57:e20230270 [PMID: 38358114]
  12. Br J Nurs. 2019 Nov 14;28(20):1316-1324 [PMID: 31714819]
  13. BMJ Qual Saf. 2023 Dec 14;33(1):7-9 [PMID: 37714700]
  14. Pediatr Radiol. 2017 Jan;47(1):22-30 [PMID: 27771747]
  15. Health Care Manag (Frederick). 2014 Oct-Dec;33(4):335-41 [PMID: 25350023]
  16. MCN Am J Matern Child Nurs. 2025 Mar-Apr 01;50(2):92-98 [PMID: 39724547]
  17. Pediatrics. 2013 Jan;131(1):e298-308 [PMID: 23230078]
  18. BMC Health Serv Res. 2021 Oct 1;21(1):1038 [PMID: 34598704]
  19. BMC Health Serv Res. 2022 Aug 30;22(1):1101 [PMID: 36042516]
  20. Worldviews Evid Based Nurs. 2023 Oct;20(5):513-518 [PMID: 37497767]
  21. Laryngoscope. 2021 Jun;131(6):E1811-E1815 [PMID: 33438757]
  22. Int J Qual Health Care. 2018 Feb 01;30(1):44-49 [PMID: 29244168]
  23. AORN J. 2019 Jan;109(1):111-118 [PMID: 30592514]
  24. Br J Community Nurs. 2020 Sep 2;25(9):446-450 [PMID: 32881616]
  25. NASN Sch Nurse. 2022 Mar;37(2):76-78 [PMID: 34889130]
  26. BMJ Qual Saf. 2018 May;27(5):365-372 [PMID: 28928167]
  27. Rev Bras Enferm. 2020 Dec 21;73(suppl 6):e20190788 [PMID: 33338149]
  28. BMJ Open. 2017 Dec 14;7(12):e018367 [PMID: 29247103]

MeSH Term

Humans
Patient Safety
Patient Care Team
Safety Management
Leadership
Medical Errors
Group Processes
Organizational Culture
Cooperative Behavior
Interdisciplinary Communication
Concept Formation

Word Cloud

Created with Highcharts 10.0.0safetyanalysisSafetyconcepthuddlescommunicationhuddleinterdisciplinaryproactiveriskhealthcarepatientinconsistentconceptualcoreattributesantecedentscontextualvariationsegadaptabilityleadershipBACKGROUND:briefmeetingsaimedmitigationincreasinglyadoptedenhanceDespiterecognizedbenefitsdefinitionsvariableimplementationambiguitypersisthinderingstandardizationscalabilitystudyclarifies"safetyhuddle"rigorousMETHODS:RodgersKnafl'sevolutionarymethodologyappliedsystematicsearchCINAHLMedlinePubMed2013-January2025identified32relevantstudiesDataanalyzeddelineateconsequencesRESULTS:Fiveemerged:1structuredSBARchecklists2collaboration3time-boundgoal-orienteddesign4prediction5KeyincludedsupportpsychologicaldedicatedresourcesConsequencesencompassedenhancedteamworksituationalawarenesscultureContextualrevealedacrosssettingsmaternitycareICUsthough andparticipationposedchallengesCONCLUSIONS:dynamicmultifacetedinterventionsignificantpotentialreducemedicalerrorsfostercollaborativepracticesHoweverinconsistenciesmethodologicalgapslimitgeneralizabilityFutureeffortsprioritizestandardizedyetflexibleframeworkstrainingpolicyreformsoptimizeefficacyprovidesfoundationalmodeladvancingresearcheducationpracticesettings:ConceptHealthcarequalityInterdisciplinaryPatient

Similar Articles

Cited By