HUDDLE, ROUND AND THERAPEUTIC PLAN AS TOOLS FOR IMPROVING COMMUNICATION

• DOI: 10.22533/at.ed.1593392331057

• Palavras-chave: Communication; Intensive care units; Patient safety.

• Keywords: Communication; Intensive care units; Patient safety.

• Abstract:

  Introduction: Health systems are complex and have increasingly incorporated technologies and elaborate techniques, but these are accompanied by additional risks in patient care. The adoption of simple measures can prevent and reduce risks and damage to health services, one of which is improving communication between health professionals. The lack of processes for communication is one of the causes of failures in customer service, and several tools can be used to exchange information, which are fundamental to ensure the continuity and safety of the care provided.¹ Goal: Report the experience in the implementation of huddle, round and therapeutic plan communication tools. Methodology: This is an experience report on the implementation of the huddle, round and therapeutic plan at the bedside, focusing on effective communication between professionals of the interprofessional team, in a neonatal intensive care unit of a university hospital in the interior of São Paulo.  The daily huddle, consists of a quick meeting of up to ten minutes, where the team reports the occupation of the unit, team sizing, characteristics of hospitalized patients and main demands of the day. The round is a weekly meeting with all team members, so that they can express their opinions on the patient's case, thus building a shared care plan focused on the therapeutic plan. Results: After the implementation of the tools, a greater approximation of the multidisciplinary team was observed, better accuracy of the therapeutic plan and a reduction in the average stay below the historical reference target of 14 days. Conclusion: Implementation of communication tools huddle, round and therapeutic plan were essential for approaching the team, the accuracy of the therapeutic plan, the engagement of family members in the treatment and preparation for discharge and reduction of neonatal hospitalization time.