SynthesisIntensive care medicine2013
Debriefing to improve outcomes from critical illness: a systematic review and meta-analysis.
Synthesis in Intensive care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Part 4: Systems of Care: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.Circulation · 2025Guideline
- The System-Wide Effect of Real-Time Audiovisual Feedback and Postevent Debriefing for In-Hospital Cardiac Arrest: The Cardiopulmonary Resuscitation Quality Improvement Initiative.Critical care medicine · 2015Trial
- Implementing a Cold Debrief Program in the Emergency Department: A Framework for Reflection and System Improvement.Emergency medicine Australasia : EMA · 2026Article
- Improving bystander CPR and AED training among college students: strategies and barriers.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Non-technical skills in the management of endoscopic adverse events.Translational gastroenterology and hepatology · 2026Review
- Open-access healthcare debriefing videos need to incorporate more Safety-II learnings.Advances in simulation (London, England) · 2025Article
- Tracheal intubation in critically ill adults with a physiologically difficult airway. An international Delphi study.Intensive care medicine · 2024Article
- Trainee-supervisor collaboration, progress-visualisation, and coaching: a survey on challenges in assessment of ICU trainees.BMC medical education · 2024Article
- Data-informed debriefing for cardiopulmonary arrest: A randomized controlled trial.Resuscitation plus · 2023Article
- Have you ACED it? How to successfully implement performance-oriented, Acute Critical Event Debriefing.Paediatrics & child health · 2023Article
- Team FIRST framework: Identifying core teamwork competencies critical to interprofessional healthcare curricula.Journal of clinical and translational science · 2023Article
- A success story of clinical debriefings: lessons learned to promote impact and sustainability.Frontiers in public health · 2023Article
- Advanced and Invasive Cardiopulmonary Resuscitation (CPR) Techniques as an Adjunct to Advanced Cardiac Life Support.Journal of clinical medicine · 2022Review
- Teaching, coaching, or debriefing With Good Judgment: a roadmap for implementing "With Good Judgment" across the SimZones.Advances in simulation (London, England) · 2022Article
- What the curtains do not shield: A phenomenological exploration of patient-witnessed resuscitation in hospital. Part 2: Healthcare professionals' experiences.Journal of advanced nursing · 2022Article
- Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats.Advances in simulation (London, England) · 2022Article
- Improving Newborn Resuscitation by Making Every Birth a Learning Event.Children (Basel, Switzerland) · 2021Review
- Team debriefs during the COVID-19 pandemic in long-term care homes: Essential elements.Canadian family physician Medecin de famille canadien · 2021Article
- Clinical debriefing during the COVID-19 pandemic: hurdles and opportunities for healthcare teams.Advances in simulation (London, England) · 2021Article
- Debrief it all: a tool for inclusion of Safety-II.Advances in simulation (London, England) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
purposeIntensive care clinicians play a central role in the co-ordination and treatment of patients that develop life-threatening emergencies. This review evaluates the effect of debriefing after life-threatening emergencies and considers the implications for intensive care training and practice.
methodsStudies were identified by searching electronic databases, citation tracking, and contact with subject specialists. Studies evaluating the effect of debriefing after life-threatening emergencies on clinician performance (process) and/or patient outcomes were eligible for inclusion. Study quality was assessed and summarised using the GRADE system.
resultsThe search identified 2,720 studies. After detailed review, 27 studies were included of which 20 supported the use of debriefing. Debriefing was viewed positively (n = 3), improved learning (n = 1), enhanced non-technical performance (n = 4) and technical performance (n = 16), and improved patient outcomes (n = 2). Four cardiac arrest studies were suitable for meta-analysis. This found evidence of improved resuscitation process outcomes [compression fraction (mean difference 6.80, 95 % CI 4.19-9.40, p < 0.001)] and short-term patient outcome [return of spontaneous circulation (OR 1.46, 95 % CI 1.01-2.13, p = 0.05)]. There was no effect on survival to hospital discharge (OR 0.80, 95 % CI 0.38-1.67, p = 0.55).
conclusionsThis review supports the use of structured debriefing as an educational strategy to improve clinician knowledge and skill acquisition and implementation of those skills in practice. However, the effect of debriefing on long-term patient outcomes is uncertain. There remains a need for further high-quality research, which seeks to identify the optimal method for debriefing delivery and effect on patient outcomes.
Indexed as
Identifiers
23754132What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.