DEBRIEFING
AND
CARDIAC ARREST
QUALITY
IMPROVEMENT
OBJECTIVES
PROBLEMS AT A GLANCE PART 1
PROBLEMS AT A GLANCE PART 2
SURVIVAL TO DISCHARGE
“IS ALL OVER THE MAP”
DEVELOPING A CULTURE OF
EXCELLENCE
BASTARD
LIFESAVERS
I HATE
WAITING! DAMN EMTS
A NECESSARY COMBINATION!
DEBRIEFING IS CHEAP!
Debriefing of cardiac arrest events, either
in isolation or as part of an organized
response system, improves subsequent
C...
Innovative concepts to reduce the decay of
skills and knowledge may include continuous
maintenance of competency programs ...
Debriefing is a learner-focused,
nonthreatening technique to assist individual
rescuers or teams to reflect on, and improv...
Our Definition!
A provider‐centric process
designed to standardize the
debriefing process to assist
clinicians in thinking...
A provider-centered approach
emphasizes self-discovery and
self-critique.
A provider-centered
approach also draws upon
pro...
Thoughtful discussion after an attempted
resuscitation is important to facilitate the
sorting out of events as well as gai...
PROVIDERS NEED TO
EXPRESS
THEMSELVES AND
THEIR FEELINGS…
AND THIS IS A GREAT
FORUM FOR THAT!
•Have long term view
•Patients and patience
•INSTANT GRATIFICATION!
IMPLEMENTATION
Supported elements include both interpersonal
support as well as use of protocols, algorithms, and
best evidence to inform...
Structured elements include three specific debriefing
phases with related goals, actions, and time
estimates.
Structured a...
Team leader
trained in
Structured
and
Supported
Debriefings
ROLE OF FACILITATOR
•PROVIDE SAFE ENVIRONMENT FOR
SHARING EXPERIENCES
•DRAW OUT INFORMATION AND
EXPERIENCES
•CONTENT DIREC...
Gather, Analyze, Summarize
USE UNTAPPED
DATA!
NOT PUNATIVE!
PIZZA DIPLOMACY!
BOY, I AM
REALLY
LOOKING
FORWARD TO
THE DEBRIEFING
ON THIS CASE!
Debriefing and QI Compressed
Debriefing and QI Compressed
Debriefing and QI Compressed
Debriefing and QI Compressed
Upcoming SlideShare
Loading in …5
×

Debriefing and QI Compressed

461 views
293 views

Published on

Published in: Education, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
461
On SlideShare
0
From Embeds
0
Number of Embeds
16
Actions
Shares
0
Downloads
4
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Debriefing and QI Compressed

  1. 1. DEBRIEFING AND CARDIAC ARREST QUALITY IMPROVEMENT
  2. 2. OBJECTIVES
  3. 3. PROBLEMS AT A GLANCE PART 1
  4. 4. PROBLEMS AT A GLANCE PART 2
  5. 5. SURVIVAL TO DISCHARGE “IS ALL OVER THE MAP”
  6. 6. DEVELOPING A CULTURE OF EXCELLENCE
  7. 7. BASTARD LIFESAVERS I HATE WAITING! DAMN EMTS
  8. 8. A NECESSARY COMBINATION!
  9. 9. DEBRIEFING IS CHEAP!
  10. 10. Debriefing of cardiac arrest events, either in isolation or as part of an organized response system, improves subsequent CPR performance in-hospital and results in higher rate of return of spontaneous circulation (ROSC). Debriefing of actual resuscitation events can be a useful strategy to improve future performance (Class IIa, LOE C).
  11. 11. Innovative concepts to reduce the decay of skills and knowledge may include continuous maintenance of competency programs that employ frequent short-duration interactions with content and skills after an initial course, or they may include guided debriefings after real-life events that focus on response improvement.
  12. 12. Debriefing is a learner-focused, nonthreatening technique to assist individual rescuers or teams to reflect on, and improve, performance. In manikin-based studies, debriefing as part of the learning strategy resulted in improved performance in post-debriefing simulated scenarios, and it improved adherence to resuscitation guidelines in clinical settings. Debriefing as a technique to facilitate learning should be included in all advanced life support courses (Class I, LOE B).
  13. 13. Our Definition! A provider‐centric process designed to standardize the debriefing process to assist clinicians in thinking about what they did, how they did it, and how they can improve. Structured and Supported Debriefing
  14. 14. A provider-centered approach emphasizes self-discovery and self-critique. A provider-centered approach also draws upon professional experience and motivation to perform well to enhance performance and outcomes.
  15. 15. Thoughtful discussion after an attempted resuscitation is important to facilitate the sorting out of events as well as gaining insight on what happened and why We often learn better through self‐discovery and self‐analysis than by other methods!
  16. 16. PROVIDERS NEED TO EXPRESS THEMSELVES AND THEIR FEELINGS… AND THIS IS A GREAT FORUM FOR THAT!
  17. 17. •Have long term view •Patients and patience •INSTANT GRATIFICATION! IMPLEMENTATION
  18. 18. Supported elements include both interpersonal support as well as use of protocols, algorithms, and best evidence to inform debriefing statements/questions. Structured and Supported Debriefing
  19. 19. Structured elements include three specific debriefing phases with related goals, actions, and time estimates. Structured and Supported Debriefing
  20. 20. Team leader trained in Structured and Supported Debriefings
  21. 21. ROLE OF FACILITATOR •PROVIDE SAFE ENVIRONMENT FOR SHARING EXPERIENCES •DRAW OUT INFORMATION AND EXPERIENCES •CONTENT DIRECTED BY THE CREW •NEVER JUDGE!
  22. 22. Gather, Analyze, Summarize
  23. 23. USE UNTAPPED DATA!
  24. 24. NOT PUNATIVE!
  25. 25. PIZZA DIPLOMACY!
  26. 26. BOY, I AM REALLY LOOKING FORWARD TO THE DEBRIEFING ON THIS CASE!

×