ArticleAdvances in simulation (London, England)2020
Development and implementation of an end-of-shift clinical debriefing method for emergency departments during COVID-19.
Article in Advances in simulation (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Comparing two post-resuscitation debriefing frameworks: a randomized cross-over simulation study.Advances in simulation (London, England) · 2026Article
- Article
- Prevalence and factors associated with academic burnout risk among nursing and midwifery students during the COVID-19 pandemic: A cross-sectional study.Nursing open · 2023Article
- Association of burnout and intention-to-leave the profession with work environment: A nationwide cross-sectional study among Belgian intensive care nurses after two years of pandemic.International journal of nursing studies · 2023Article
- Survey of Pediatric Critical Care Fellows on Postresuscitation Debriefing.Journal of patient-centered research and reviews · 2023Article
- A success story of clinical debriefings: lessons learned to promote impact and sustainability.Frontiers in public health · 2023Article
- Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content.Advances in simulation (London, England) · 2022Article
- Importance of high-performing teams in the cardiovascular intensive care unit.The Journal of thoracic and cardiovascular surgery · 2022Article
- "Debriefing and Organizational Lessons Learned" (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing Results.Frontiers in medicine · 2022Article
- Telesimulation about home visits and child care: facilitators, barriers and perception of Nursing students.Revista latino-americana de enfermagem · 2022Article
- Clinical debriefing during the COVID-19 pandemic: hurdles and opportunities for healthcare teams.Advances in simulation (London, England) · 2021Article
- "A debriefer must be neutral" and other debriefing myths: a systemic inquiry-based qualitative study of taken-for-granted beliefs about clinical post-event debriefing.Advances in simulation (London, England) · 2021Article
- Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultiple guidelines recommend debriefing after clinical events in the emergency department (ED) to improve performance, but their implementation has been limited. We aimed to start a clinical debriefing program to identify opportunities to address teamwork and patient safety during the COVID-19 pandemic.
methodsWe reviewed existing literature on best-practice guidelines to answer key clinical debriefing program design questions. An end-of-shift huddle format for the debriefs allowed multiple cases of suspected or confirmed COVID-19 illness to be discussed in the same session, promoting situational awareness and team learning. A novel ED-based clinical debriefing tool was implemented and titled Debriefing In Situ COVID-19 to Encourage Reflection and Plus-Delta in Healthcare After Shifts End (DISCOVER-PHASE). A facilitator experienced in simulation debriefings would facilitate a short (10-25 min) discussion of the relevant cases by following a scripted series of stages for debriefing. Data on the number of debriefing opportunities, frequency of utilization of debriefing, debriefing location, and professional background of the facilitator were analyzed.
resultsDuring the study period, the ED treated 3386 suspected or confirmed COVID-19 cases, with 11 deaths and 77 ICU admissions. Of the 187 debriefing opportunities in the first 8-week period, 163 (87.2%) were performed. Of the 24 debriefings not performed, 21 (87.5%) of these were during the four first weeks (21/24; 87.5%). Clinical debriefings had a median duration of 10 min (IQR 7-13). They were mostly facilitated by a nurse (85.9%) and mainly performed remotely (89.8%).
conclusionDebriefing with DISCOVER-PHASE during the COVID-19 pandemic were performed often, were relatively brief, and were most often led remotely by a nurse facilitator. Future research should describe the clinical and organizational impact of this DISCOVER-PHASE.
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