Debriefing after Critical Incidents for Anaesthetic Trainees

H, Tan

doi:10.1177/0310057x0503300611

Cited by 21 publications

(27 citation statements)

References 12 publications

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“…19 Our results indicate that despite the value placed on PRD by health care providors, PRD in Canadian pediatric EDs is underdeveloped, infrequently used, and insufficiently supported. Although there is growing evidence of the positive effect of debriefing after surgical, anesthetic, or critical care-based simulation events, [20][21][22][23][24][25][26][27][28] there is a lack of evidence on how PRD impacts teamwork and patient care in the ED. Our findings are consistent with an Australian study of pediatric ED physicians and nurses that identified a perceived need but a lack of a structured debriefing process.…”

Section: Current Practice and Identified Obstaclesmentioning

confidence: 99%

“…The effectiveness of debriefing on achieving learning objectives has been studied, mostly outside the ED. [20][21][22][23][24][25][26][27][28] Simulation provides an active learning environment for health care providers to experience clinical situations and use cognitive, technical, and affective skills, such as those used in real-life resuscitation scenarios. 7,35 Systematic reviews of simulation literature identified feedback as the most important feature of simulation-based medical education.…”

Section: Training In Debriefingmentioning

confidence: 99%

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Postresuscitation debriefing in the pediatric emergency department: a national needs assessment

Sandhu

Eppich²,

Mikrogianakis

et al. 2014

CJEM

117

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Objectives: The objectives of this study were to assess current postresuscitation debriefing (PRD) practices in Canadian pediatric emergency departments (EDs) and identify areas for improvement. Methods: A national needs assessment survey was conducted to collect information on current PRD practices and perspectives on debriefing practice in pediatric EDs. A questionnaire was distributed to ED nurses, fellows, and attending physicians at 10 pediatric tertiary care hospitals across Canada. Summary statistics are reported. Results: Data were analyzed from 183 participants (48.7% response rate). Although 88.8% of the participants believed that debriefing is an important process, 52.5% indicated that debriefing after real resuscitations occurs less than 25% of the time and 68.3% indicated that no expectation exists for PRD at their institution. Although 83.7% of participants believed that facilitators should have a specific skill set developed through formal training sessions, 63.4% had no previous training in debriefing. Seventy-two percent felt that medical and crisis resource management issues are dealt with adequately when PRD occurs, and 90.4% indicated that ED workload and time shortages are major barriers to effective debriefing. Most responded that a debriefing tool to guide facilitators might aid in multiple skills, such as creating realistic debriefing objectives and providing feedback with good judgment. Conclusion: PRD in Canadian pediatric EDs occurs infrequently, although most health care providers agreed on its importance and the need for skilled facilitators. RÉ SUMÉObjectifs: L'é tude avait pour objectifs d'é valuer les pratiques actuelles concernant les ré unions-bilan aprè s ré animation (RBAR) dans les services d'urgences (SU) pé diatriques au Canada, et de cerner les domaines susceptibles d'amélioration. Mé thode: Nous avons mené une enquê te sur l'é valuation nationale des besoins afin de recueillir des renseignements sur les pratiques actuelles concernant les RBAR et les points de vue sur la tenue de ces ré unions dans les SU pé diatriques. Un questionnaire a é té envoyé à des infirmiè res et infirmiers travaillant dans des SU, à des stagiaires et à des mé decins traitants, dans 10 hô pitaux pé diatriques, de soins tertiaires, partout au Canada. Des statistiques sommaires ont é té noté es. Ré sultats: Ont fait l'objet d'analyse les donné es de 183 participants (taux de ré ponse: 48.7%). Bien que 88.8% d'entre eux considè rent que les ré unions-bilan sont un processus important, 52.5% ont indiqué que ce genre de ré union aprè s des ré animations ré elles se tenaient dans moins de 25% des cas, et 68.3% ont indiqué qu'ils n'avaient pas d'attentes à l'é gard des RBAR dans leur é tablissement. De plus, 83.7% des ré pondants estimaient que les animateurs devraient avoir des compé tences particuliè res, acquises dans le cadre de sé ances de formation structuré e, mais 63.4% des animateurs n'avaient pas de formation en matiè re de ré union-bilan. Par ailleurs, 72% des participants é taient d'avis que l...

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Section: Current Practice and Identified Obstaclesmentioning

confidence: 99%

Section: Training In Debriefingmentioning

confidence: 99%

Postresuscitation debriefing in the pediatric emergency department: a national needs assessment

Sandhu

Eppich²,

Mikrogianakis

et al. 2014

CJEM

117

View full text Add to dashboard Cite

show abstract

“…Anesthesia departments in developing countries should have protocol or guidelines on how to deal with catastrophes affecting both consultant and trainee anesthetists. [ 17 18 ]…”

Section: Subsequent Actions or Delayed Actionsmentioning

confidence: 99%

Perioperative death: Its implications and management

et al. 2016

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Death to most people is a major life event. Nothing in this world prepares us to face and manage the perioperative death although the majority of anesthesiologists will be involved in an intraoperative death during the course of their careers. Whether death on the table was expected or occurred when least expected or may be even later, the anesthesiologist is most likely to be affected emotionally, physically in his personal life, and as well as will have an influence on his professional career. Anesthesiologists as perioperative physicians are likely to experience death on the operating table at some time in their careers. In case of perioperative death, meticulous record keeping including time of occurrence of event and methods and medications used during resuscitation, nature of the problem, and all sequence of events should be adopted to breaking bad news with relatives and blame game should be avoided. The anesthesiologist and the relatives of the patient should also be given emotional support to come out of this untoward event. In this article, we have highlighted the various factors and causes leading on to perioperative death and if in case such an event occurs, what are the protocols to be followed, including medicolegal aspects, giving emotional support to the concerned anesthesiologist, dealing with the relatives of the patient sympathetically, etc. We have also enumerated the various precautions to be taken to prevent perioperative mortality in this article.

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“…If the time is taken to debrief after normal events, then debriefing is more likely to happen after critical events 20) . In a study by Tan 29) , a postal survey was conducted after debriefing of critical incidents for anesthetic trainees. Debriefing after a critical incident was perceived by most trainees to be useful.…”

Section: Debriefing To Improve Clinical Outcomesmentioning

confidence: 99%

Debriefing in pediatrics

Cho

2015

Korean J Pediatr

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Debriefing is a conversational session that revolves around the sharing and examining of information after a specific event has taken place. Debriefing may follow a simulated or actual experience and provides a forum for the learners to reflect on the experience and learn from their mistakes. Originating from the military and aviation industry, it is used on a daily basis to reflect and improve the performance in other high-risk industries. Expert debriefers may facilitate the reflection by asking open-ended questions to probe into the framework of the learners and apply lessons learned to future situations. Debriefing has been proven to improve clinical outcomes such as the return of spontaneous circulation after cardiac arrest and the teaching of teamwork and communication in pediatrics. Incorporating debriefing into clinical practice would facilitate the cultural change necessary to talk more openly about team performance and learn from near misses, errors, and successes that will improve not only clinical outcome but also patient safety.

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Debriefing after Critical Incidents for Anaesthetic Trainees

Cited by 21 publications

References 12 publications

Postresuscitation debriefing in the pediatric emergency department: a national needs assessment

Postresuscitation debriefing in the pediatric emergency department: a national needs assessment

Perioperative death: Its implications and management

Debriefing in pediatrics

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