STOP5: a hot debrief model for resuscitation cases in the emergency department

Walker, Craig; McGregor, Laura; Taylor, Cameron; Robinson, Sara

doi:10.15441/ceem.19.086

Cited by 22 publications

(23 citation statements)

References 12 publications

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“… 17 It can encourage post-event ‘hot debriefs’ between team members to identify points of improvement for future interventions. 18 Furthermore, since feedback and repetitive practice are key factors for training NTS, every real-life resuscitation provides an opportunity to observe, discuss and improve NTS. 2 …”

Section: Discussionmentioning

confidence: 99%

Measuring non-technical skills during prehospital advanced cardiac life support: A pilot study

et al. 2021

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Aim To analyse non-technical skills of mobile medical teams during out-of-hospital cardiac arrests (OHCA) using the validated Team Emergency Assessment Measure (TEAM) tool. To research the correlation between non-technical skills and patient outcome. Methods Adult patients who experienced an out-of-hospital cardiac arrest between July 2016, and June 2018, and were treated by a mobile medical team from the University Hospital Leuven, were eligible for the study. Resuscitations were video recorded from the team leader’s perspective. Video recordings were reviewed and scored by emergency physicians, using the TEAM evaluation form. Results In total 114 OHCAs were analysed. The mean TEAM score was 34.4/44 (SD = 5.5). The mean item score was 3.1/4 (SD = 0.8). On average, ‘effective team communication’ had the lowest score (2.4), while ‘acting with composure and control’ and ‘following of approved standards/guidelines’ scored the highest (3.4). The average non-technical skills theme scores were 2.9 (SD = 0.9) for ‘Leadership’, 3.1 (SD = 0.8) for ‘Teamwork’ and 3.3 (SD = 0.7) for ‘Task management’. ‘Leadership’ was rated significantly lower than ‘Teamwork’ (p = 0.004) and ‘Task management’ (p < 0.001). No significant correlation was found between TEAM and return of spontaneous circulation (p = 0.574) or one month survival (p = 0.225). Conclusion The mean overall TEAM score was categorized as good. Task management scored high, while leadership and team communication received lower scores. Future training programs should thus focus on improving leadership and communication. In this pilot study no correlation was found between non-technical skills and survival.

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Section: Discussionmentioning

confidence: 99%

Measuring non-technical skills during prehospital advanced cardiac life support: A pilot study

et al. 2021

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“…Posters teaching and encouraging mindfulness were hung throughout the unit. We used Walker et al 40 STOP 5 (Summarize, Things that went well, Opportunities for improvement, Points for action) debrief method and provided copies for the charge nurse to use for debriefing sessions (see Figure ). ED administrative staff designated and transformed an unused room in the emergency department to a serenity room.…”

Section: Methodsmentioning

confidence: 99%

Implementing a Resilience Bundle for Emergency Nurses: An Evidence-Based Practice Project

Haugland¹,

Gilder²

2023

Journal of Emergency Nursing

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“…Indeed, the STOP 5 model is intended to enable any member of the resuscitation team to initiate the hot debrief, starting with statements that seek to establish a psychologically safe environment through shared debrief principles such as confidentiality, the voluntary nature of participation and that the process is not about blaming but intended to improve patient care. The team then progresses through guided group discussion: ‘S, summarize the case; T, things that went well; O, opportunities to improve; and P, points to action and responsibilities’ 8 . Application of action‐research cycles may yield frameworks that are more locally tailored, such as the TAKE STOCK framework 9 .…”

Section: What Should a Hot Debrief Involve?mentioning

confidence: 99%