The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

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Hiltz and Baumrind discuss the use of the American Heart Association's Structured and Supported Debriefing program and how it can be used in a clinical environment as part of strategies to improve resuscitation quality.

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  • Address minutes
  • Punative
  • Hard data and anecdotal
  • The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

    1. DEBRIEFINGANDCARDIAC ARRESTQUALITY IMPROVEMENT David Baumrind, EMT-CC David Hiltz, NREMT-P
    2. Baumrind has no conflicts to declare Hiltz works for the American Heart Associationand their product is discussed in this presentation
    3. ANOBVIOUS INFLUENCE
    4. HOUSTON, WE DO HAVE A PROBLEM!
    5. PROBLEMS AT A GLANCE PART 1
    6. PROBLEMS AT A GLANCE PART 2
    7. SURVIVAL TO DISCHARGE
    8. The DISPARITY
    9. BUT NOT ANUNSOLVABLEPROBLEM!
    10. DEVELOPING A CULTURE OF EXCELLENCE
    11. A NECESSARY COMBINATION!
    12. CAN’T WE SOLVE OURPROBLEMS WITH TECHNOLOGY?
    13. Structured and Supported DebriefingOur Definition!A provider‐centric processdesigned to standardize thedebriefing process to assistclinicians in thinking about whatthey did, how they did it, and howthey can improve.
    14. DEBRIEFING IS CHEAP!
    15. Structured and Supported DebriefingStructured elements include three specific debriefing phases with related goals, actions, and time estimates.
    16. Structured and Supported Debriefing Supported elements include both interpersonal support as well as use of protocols, algorithms, and best evidence to inform debriefing statements/questions.
    17. Thoughtful discussion after an attempted resuscitation is important to facilitate the sorting out of events as well as gaining insight on what happened and whyWe often learn better through self‐discovery and self‐analysis than by other methods!
    18. IMPLEMENTATION •Have long term view •Patients and patience•INSTANT GRATIFICATION!
    19. BOY, I AM REALLY LOOKING FORWARD TO THEDEBRIEFING ON THIS CASE!
    20. PROVIDERS NEED TO EXPRESS THEMSELVES AND THEIR FEELINGS…AND THIS IS A GREAT FORUM FOR THAT!
    21. Team leader trained in Structured and SupportedDebriefings
    22. PIZZA DIPLOMACY!
    23. NOT PUNATIVE!
    24. ROLE OF FACILITATOR•PROVIDE SAFE ENVIRONMENT FOR SHARING EXPERIENCES •DRAW OUT INFORMATION AND EXPERIENCES•CONTENT DIRECTED BY THE CREW •NEVER JUDGE!
    25. Gather, Analyze, Summarize
    26. ANECDOTAL EVIDENCE NUMERICAL DATA
    27. UNTAPPED!
    28. PRACTICE MAKES PERFECT!
    29. INSTRUMENTEDMANIKINS
    30. THROUGH TEAMWORK, TRAINING AND EDUCATION,TRY TO GET AS CLOSE AS POSSIBLE!

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