Evidence map›Paper›PMID 39891891›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2025

Comparative analysis of routine clinical debriefings and incident reports: insights for patient safety and teamwork enhancement.

Méryl Paquay, Michaela Kolbe, Sophie Klenkenberg, Clément Buléon, Audrey Bertrand, Robert Simon, Alexandre Ghuysen

Abstract readComparative Study
In one paragraph

Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Méryl PaquayEmergency Department, University Hospital of Liege, Avenue de l'hopital, 1, Liege 4000, Belgium.ORCID 0000-0002-3979-558X
Michaela KolbeSimulation Center, University Hospital Zurich, Huttenstrasse 46, Zurich 8091, Switzerland.
Sophie KlenkenbergCenter for Medical Simulation of Liege, Public Health Department, University of Liege, Quartier Hôpital, Av. Hippocrate 13, CHU B23, Liege 4000, Belgium.
Clément BuléonCenter for Medical Simulation of Liege, Public Health Department, University of Liege, Quartier Hôpital, Av. Hippocrate 13, CHU B23, Liege 4000, Belgium.
Audrey BertrandCenter for Medical Simulation of Liege, Public Health Department, University of Liege, Quartier Hôpital, Av. Hippocrate 13, CHU B23, Liege 4000, Belgium.
Robert SimonEmergency Department, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States.
Alexandre GhuysenEmergency Department, University Hospital of Liege, Avenue de l'hopital, 1, Liege 4000, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine clinical debriefings (RCDs) have been shown to improve communication, team reflexivity, and safety in clinical settings. When combined with incident reports (IRs), RCDs offer a potential tool for enhancing quality improvement frameworks. This study aimed to identify and compare healthcare safety-related information captured through RCDs and IRs in a Belgian emergency department operating across two distinct facilities.

methodsThis study employed a quasi-mixed-method design with a monostrand conversion approach. Information was collected from 90 RCDs and 263 IRs. Data were analyzed using two frameworks: the World Health Organization's Incident Report Classification Grid and the Debriefing and Organizational Lessons Learned Grid.

resultsThe findings revealed significant differences in the types of information captured by RCDs and IRs. RCDs predominantly highlighted teamwork, internal organization, and procedural issues, while IRs focused more on care processes, patient concerns, and patient flow. These complementary insights demonstrate the value of integrating RCDs and IRs to create a comprehensive understanding of patient and clinician safety.

conclusionsThis study highlights the complementary nature of RCDs and IRs in addressing healthcare safety. RCDs foster team reflexivity and promote open discussions about systemic challenges, directly improving team cohesion, resilience, and learning. Combining RCDs and IRs provides actionable insights for enhancing safety and driving organizational improvements.

Indexed as

Emergency Service, HospitalPatient Care TeamPatient SafetyRisk ManagementBelgiumCommunicationHumansQuality Improvementdebriefingemergency servicehospitalmanagementpatientpractice communityrisksafety

Identifiers

PMID39891891
PMCPMC11833459

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.