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Summa Health System Department of Pharmacy Services performs a workshop based competency program to assess the ability of our clinical staff pharmacists to perform both clinical and distributive functions that are required for practice in our institutions. One day each month is devoted to this program, which consists of several modules designed to measure, sharpen, and update skills. Pharmacists are scheduled to attend one of the sessions each year. The topics change yearly to include current issues in disease state management, patient safety, clinical skills, and pharmacy technology. Modules are led by clinical lead pharmacists and department management.
A daily huddle was tested in an academic medical center pharmacy department to see if it resulted in a positive impact on the safety culture and communication. The huddle is a short daily briefing conducted at shift change in a main pharmacy area with a dial in number for those not present in the main pharmacy area. The purpose of the huddle is to raise awareness of any current safety or operational issues. The effectiveness of the huddle was primarily tested through a targeted survey and the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Culture Survey results. A survey evaluating daily huddle effectiveness had a 24% response rate. The majority of respondents indicated positive feelings towards the huddle: 58.7% indicated effective communication of information between shifts, 67% indicated effective communication of safety events, and 63% indicated effective communication of daily operational issues. Additionally, the department's AHRQ Patient Safety Culture Survey results improved following the huddle implementation. Departmental staff gave their work unit an overall safety score of the top possible answer, excellent, (vs. very good, acceptable, poor, failing) 11% of the time before the huddle began. Eight months after the huddle started, the number of respondents answering with the top possible score increased to 23% (p<0.05). This positive impact sustained to the next year as well (25% top possible score). Additional positive results are discussed. Implementation of a safety huddle positively influenced measures of communication and safety culture in the Department of Pharmacy Services.
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