Table 1 Frequency of nine PSH characteristics observed on embedded wards
Fidelity criteria for PSHs | Number of PSHs observed with each criteria (66 observations on 64 wards) |
|---|---|
1. Same place and time | 53 (80%) |
2. Led by most senior clinician | 6 (9%) |
3. Review of number of days since last harm conducted | 18 (28%) |
4. Review of improvement run chart conducted | 0 (0%) |
5. Debrief of any harm since last huddle | 23 (35%) |
6. Discussion of who is at risk today and what needs to be put in place | 63 (95%) |
7. Participants asked if anyone has any other concerns about patients | 37 (56%) |
8. Is PSH short and sweet | 61 (92%) |
9. Non-judgemental ‘fear-free’ space | 64 (97%) |