Evidence map›Paper›PMID 40221611›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Implementation of a nurse facilitated, structured, clinical event debriefing initiative in four neonatal intensive care units.

Krystyna Ediger, Vanessa Godbout, Faith Trinh, Shannon Bartlett, Patricia Peckham, Stuart Rose, Brenda Hiu Yan Law

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Analysis of neonatal resuscitation debriefings: mixed-methods results from a multicenter pilot study.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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.

Krystyna EdigerDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada. kediger@ualberta.ca.ORCID http://orcid.org/0000-0002-5389-9393
Vanessa GodboutAlberta Health Services, Edmonton, AB, Canada.
Faith TrinhDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Shannon BartlettCovenant Health, Edmonton, AB, Canada.
Patricia PeckhamCovenant Health, Edmonton, AB, Canada.ORCID http://orcid.org/0009-0001-4259-5327
Stuart RoseAlberta Health Services, Edmonton, AB, Canada.
Brenda Hiu Yan LawDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal intensive care units (NICUs) often experience high acuity clinical events and can benefit from clinical event debriefing. Post-event team debriefs can reinforce success, identify areas for improvement, and support healthcare providers' (HCP) psychological coping. However, barriers exist to debriefing regularly.

objectiveTo implement and evaluate a structured clinical event debriefing program in four NICUs within a regional neonatal program.

methodsWe assembled a multi-disciplinary team of clinicians and debriefing specialists, adapted an existing tool, and identified site champions. A database, debrief triggers, and feedback processes were developed. We chose charge nurses as facilitators. Facilitators were trained in 2-h virtual sessions. Debriefs were started and tracked. A post-implementation survey was conducted after 6 months.

resultsEighty-one HCPs responded to the pre survey. Respondents identified time constraints and skill /availability of facilitators as barriers to clinical event debriefs. Most were comfortable with debriefs prior to implementation. Ninety-five debriefs were conducted over 6 months. Median 7 (IQR 5-8) HCPs attended. Most were led by trained nurse facilitators. Debriefs took a median 12 min (IQR 8-17), and generated recommendations for equipment, teamwork, and process issues. Barriers to implementation included availability of trained facilitators, time constraints and competing quality improvement (QI) priorities. The post-implementation survey showed positive views of structured debriefs. Participants still listed time constraints as the main barrier to debriefs, although less than prior.

conclusionNurse-led, structured clinical event debriefing can be implemented in NICUs. Clinical event debriefs allow HCPs to participate in identifying systems issues and solutions.

Indexed as

Intensive Care Units, NeonatalPatient Care TeamHumansInfant, NewbornQuality Improvement

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.