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

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David Hiltz
David Hiltz

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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DEBRIEFING AND CARDIAC ARREST QUALITY IMPROVEMENT David Baumrind, EMT-CC David Hiltz, NREMT-P
Baumrind has no conflicts to declare Hiltz works for the American Heart Association and their product is discussed in this presentation
AN OBVIOUS 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 AN UNSOLVABLE PROBLEM!
DEVELOPING A CULTURE OF EXCELLENCE
A NECESSARY COMBINATION!
CAN’T WE SOLVE OUR PROBLEMS WITH TECHNOLOGY?
Structured and Supported Debriefing 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.
DEBRIEFING IS CHEAP!
Structured and Supported Debriefing Structured 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 why We 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 THE DEBRIEFING 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 Supported Debriefings
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!
INSTRUMENTED MANIKINS
THROUGH TEAMWORK, TRAINING AND EDUCATION, TRY TO GET AS CLOSE AS POSSIBLE!
The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement
The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement
The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement
The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

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

Editor's Notes

  1. Address minutes
  2. Punative
  3. Hard data and anecdotal