Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Sinai Health System | OTHER |
| Sunnybrook Health Sciences Centre | OTHER |
Not provided
Not provided
Not provided
Not provided
This quality improvement project will implement and evaluate the impact of physician-specific huddles, termed "medical safety huddles" on patient safety within four programs/sites at Sinai Health Systems, St. John's Rehab (Sunnybrook) and University Health Network.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Medical Safety Huddles - Pre-implementation | No Intervention | ||
| Medical Safety Huddles - Post-implementation | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Implementing medical safety huddles | Other | These short, virtual huddles are led by a huddle leader and occur on a weekly or once every two week basis. Each site will be adapting the Medical Safety Huddles for their context and workflow to specifically engage physicians. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | We will examine whether the huddles impact the frequency and severity of adverse events experienced by patients. We will also determine if the huddles specifically impact certain types of adverse events in terms of frequency and severity. We will also perform analysis specific for each program/site. | 19 months |
| Measure | Description | Time Frame |
|---|---|---|
| Process measure - Attendance rate | The number of physicians attending each huddle will be monitored to ensure the fidelity of implementation | 15 months |
| Process measure - Safety issues | The type and number of safety issues brought up during huddles will be monitored on a monthly basis to ensure the fidelity of implementation |
Not provided
Inclusion criteria:
- Any staff physicians, residents or medical students working at the four programs/sites
Exclusion criteria:
None
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Meiqi Guo, MD | University Health Network, Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St John's Rehab | Toronto | Ontario | M2M 2G1 | Canada | ||
| Bridgepoint Active Health |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41027730 | Derived | Guo M, Bayley M, Ye XY, Dunbar-Yaffe R, Fortin C, Go K, Macedo A, Matelski J, Mayo A, Pelc J, Robinson LR, Rotteau L, Wolfstadt J, Cram P, Linett L, Soong C. Impact of medical safety huddles on patient safety: a stepped-wedge cluster randomised study. BMJ Qual Saf. 2026 Apr 21;35(5):326-333. doi: 10.1136/bmjqs-2025-019170. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The multi-centre QI project will use a stepped wedge cluster randomized design
Not provided
Not provided
Not provided
| 15 months |
| Process measure - Actions taken to address safety issues | The number of actions taken to address safety issues will be monitored on a monthly basis to ensure the fidelity of implementation | 15 months |
| Toronto |
| Ontario |
| M4M 2B5 |
| Canada |
| Mount Sinai Hospital | Toronto | Ontario | M5G 1X5 | Canada |
| Princess Margaret Hospital - UHN | Toronto | Ontario1 | M5G2A2 | Canada |