Post-crisis debriefing: A tool for improving quality in the medical emergency team system |
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| Affiliation: | 1. Infectious Disease and Infection Control Service, ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione), Palermo, Italy;2. Department of Anesthesia and Intensive Care, ISMETT, Palermo, Italy;3. Research Office, ISMETT, Palermo, Italy;4. Quality and Patient Safety Department, ISMETT, Palermo, Italy;5. Department of Nursing and Healthcare Professionals, ISMETT, Palermo, Italy;6. Internal Medicine Department, Ghent University, Belgium;7. Director, ISMETT, Palermo, Italy;1. School of Nursing, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil;2. School of Nursing, Faculty of Medicine of São José do Rio Preto, São José do Rio Preto, SP, Brazil;1. Johns Hopkins Hospital, 1800 Orleans Ave, Baltimore, MD, 21224, USA;2. Johns Hopkins Hospital, 600 N. Wolfe St., Billings Administration 220, Baltimore, MD, 21224, USA;3. Johns Hopkins Department of Emergency Medicine, 5801 Smith Ave Ste 3220, Baltimore, MD, 21209, USA;1. Emergency Medical Services Copenhagen, University of Copenhagen, Capital Region of Denmark, Telegrafvej 5, opgang 2,3, DK-2750 Ballerup, Denmark;2. Danish Institute for Medical Simulation, University of Copenhagen, Capital Region of Denmark Herlev Ringvej 75,25, DK-2730 Herlev, Denmark;3. Copenhagen University Hospital Gentofte, Department of Cardiology, Niels Andersens vej 65, DK-2900 Hellerup, Denmark;4. Centre for Clinical Education, University of Copenhagen, Capital Region of Denmark, Blegdamsvej 9, DK-2100 København, Denmark;1. Division of Emergency Medicine, Children’s Hospital of the King’s Daughters, Eastern Virginia Medical School, Norfolk, VA;2. Georgetown University School of Medicine, Washington, DC;3. Division of Emergency Medicine, Children’s National Health System, Washington, DC;4. Division of Trauma and Burn Surgery, Children’s National Health System, Washington, DC;5. George Washington University School of Medicine and Health Sciences, Washington, DC;6. Division of Emergency Medicine, Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA |
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| Abstract: | ObjectivesTo examine clinicians’ perception of quality of technical and non-technical response to emergencies and application of post crisis debriefing.DesignDescriptive, anonymous, self-reporting survey on the needs and perception of a post-crisis debriefing implementation.SettingMulti-specialist medical institute in Italy focused on solid organ transplantation and organ failure support.Main outcomesPerception of application of guidelines and evaluation of debriefing implementation during in-hospital emergencies.ResultsResponse rate to the survey was 25% (148 health care workers). Of all respondents, 86% were employed >10 years, 75% were involved in ≤5 emergencies over the previous year. Resuscitation guidelines were considered fully applied by 55%; 64% of respondents considered the teaching programme as sufficient. Of all participants, 97% were aware of the importance of teamwork dynamics, 79% were aware of the importance of the personal performance, and 52% considered emergencies as valid opportunities for professional growth. Leadership was considered important by 45% of respondents; debriefing implemented by 41%, and considered a potentially useful tool by 85%.ConclusionPost-crisis debriefing is a way to diffuse self-reflective and life-long learning culture; it is perceived as a powerful tool for improving quality of the rapid response system by the vast majority of those surveyed. |
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| Keywords: | Emergency ICU Intensive care medicine Communication Leadership Teamwork Crisis resource management Patient safety |
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