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

DEBRIEFINGANDCARDIAC ARRESTQUALITY IMPROVEMENT David Baumrind, EMT-CC David Hiltz, NREMT-P

Baumrind has no conflicts to declare Hiltz works for the American Heart Associationand their product is discussed in this presentation

ANOBVIOUS INFLUENCE

HOUSTON, WE DO HAVE A PROBLEM!

PROBLEMS AT A GLANCE PART 1

PROBLEMS AT A GLANCE PART 2

SURVIVAL TO DISCHARGE

The DISPARITY

BUT NOT ANUNSOLVABLEPROBLEM!

DEVELOPING A CULTURE OF EXCELLENCE

A NECESSARY COMBINATION!

CAN’T WE SOLVE OURPROBLEMS WITH TECHNOLOGY?

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.

DEBRIEFING IS CHEAP!

Structured and Supported DebriefingStructured elements include three specific debriefing phases with related goals, actions, and time estimates.

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.

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!

IMPLEMENTATION •Have long term view •Patients and patience•INSTANT GRATIFICATION!

BOY, I AM REALLY LOOKING FORWARD TO THEDEBRIEFING ON THIS CASE!

PROVIDERS NEED TO EXPRESS THEMSELVES AND THEIR FEELINGS…AND THIS IS A GREAT FORUM FOR THAT!

Team leader trained in Structured and SupportedDebriefings

PIZZA DIPLOMACY!

NOT PUNATIVE!

ROLE OF FACILITATOR•PROVIDE SAFE ENVIRONMENT FOR SHARING EXPERIENCES •DRAW OUT INFORMATION AND EXPERIENCES•CONTENT DIRECTED BY THE CREW •NEVER JUDGE!

Gather, Analyze, Summarize

ANECDOTAL EVIDENCE NUMERICAL DATA

UNTAPPED!

PRACTICE MAKES PERFECT!

INSTRUMENTEDMANIKINS

THROUGH TEAMWORK, TRAINING AND EDUCATION,TRY TO GET AS CLOSE AS POSSIBLE!

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

by David Hiltz on Sep 16, 2012

Accessibility

Categories

Upload Details

Usage Rights

2 Embeds 3

Statistics

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

http://kred.com	2
http://www.onlydoo.com	1