BACKGROUND: Debriefing after pediatric rapid response team activations (RRT-As) in a tertiary care children's hospital was identified to occur only sporadically. The lack of routine debriefing after RRT-As was identified as a missed learning opportunity. OBJECTIVE: We implemented a formal debriefing program and assessed staff attitudes toward and experiences with debriefing after pediatric RRT-As. METHODS: Real-time feedback for pediatrics residents captured clinical and debriefing data for each RRT-A from July 2014 to June 2016. The debriefing on physiology, team communication, and anticipation of clinical deterioration was introduced in July 2015. To assess debriefing perceptions, residents, intensive care fellows, nurses, and respiratory therapists participated in anonymous preintervention and postintervention surveys. We also developed a workshop to teach residents how to lead debriefing. RESULTS: Debriefing after RRT-As increased from 26% preintervention to 46% postintervention (P < .0001). A total of 43 of 76 pediatrics residents (57%) attended at least 1 of 4 debriefing workshops. Both preintervention and postintervention, more than 80% (70 of 78 preintervention and 54 of 65 postintervention) of health professionals surveyed strongly agreed or agreed that there was a benefit to debriefing after RRT-As. Postintervention, 65% (26 of 40) of respondents strongly agreed or agreed that debriefing improved their understanding of the RRT-A process. The rate of debriefing was sustained at 46% (6 months after the end of the study period). CONCLUSIONS: Debriefing frequency after pediatric RRT-As significantly increased with the introduction of a formal debriefing program. A majority of health professionals and trainees reported this practice was a valuable experience.
BACKGROUND: Debriefing after pediatric rapid response team activations (RRT-As) in a tertiary care children's hospital was identified to occur only sporadically. The lack of routine debriefing after RRT-As was identified as a missed learning opportunity. OBJECTIVE: We implemented a formal debriefing program and assessed staff attitudes toward and experiences with debriefing after pediatric RRT-As. METHODS: Real-time feedback for pediatrics residents captured clinical and debriefing data for each RRT-A from July 2014 to June 2016. The debriefing on physiology, team communication, and anticipation of clinical deterioration was introduced in July 2015. To assess debriefing perceptions, residents, intensive care fellows, nurses, and respiratory therapists participated in anonymous preintervention and postintervention surveys. We also developed a workshop to teach residents how to lead debriefing. RESULTS: Debriefing after RRT-As increased from 26% preintervention to 46% postintervention (P < .0001). A total of 43 of 76 pediatrics residents (57%) attended at least 1 of 4 debriefing workshops. Both preintervention and postintervention, more than 80% (70 of 78 preintervention and 54 of 65 postintervention) of health professionals surveyed strongly agreed or agreed that there was a benefit to debriefing after RRT-As. Postintervention, 65% (26 of 40) of respondents strongly agreed or agreed that debriefing improved their understanding of the RRT-A process. The rate of debriefing was sustained at 46% (6 months after the end of the study period). CONCLUSIONS: Debriefing frequency after pediatric RRT-As significantly increased with the introduction of a formal debriefing program. A majority of health professionals and trainees reported this practice was a valuable experience.
Authors: Farhan Bhanji; Mary E Mancini; Elizabeth Sinz; David L Rodgers; Mary Ann McNeil; Theresa A Hoadley; Reylon A Meeks; Melinda Fiedor Hamilton; Peter A Meaney; Elizabeth A Hunt; Vinay M Nadkarni; Mary Fran Hazinski Journal: Circulation Date: 2010-11-02 Impact factor: 29.690
Authors: C Zebuhr; R M Sutton; W Morrison; D Niles; L Boyle; A Nishisaki; P Meaney; J Leffelman; R A Berg; V M Nadkarni Journal: Resuscitation Date: 2012-02-03 Impact factor: 5.262
Authors: Adam Cheng; Elizabeth A Hunt; Aaron Donoghue; Kristen Nelson-McMillan; Akira Nishisaki; Judy Leflore; Walter Eppich; Mike Moyer; Marisa Brett-Fleegler; Monica Kleinman; Jodee Anderson; Mark Adler; Matthew Braga; Susanne Kost; Glenn Stryjewski; Steve Min; John Podraza; Joseph Lopreiato; Melinda Fiedor Hamilton; Kimberly Stone; Jennifer Reid; Jeffrey Hopkins; Jennifer Manos; Jonathan Duff; Matthew Richard; Vinay M Nadkarni Journal: JAMA Pediatr Date: 2013-06 Impact factor: 16.193
Authors: Bradford D Winters; Sallie J Weaver; Elizabeth R Pfoh; Ting Yang; Julius Cuong Pham; Sydney M Dy Journal: Ann Intern Med Date: 2013-03-05 Impact factor: 25.391
Authors: Shiva Zargham; Amy Hanson; Megan Laniewicz; Mary Sandquist; David O Kessler; Gregory E Gilbert; Aaron W Calhoun Journal: AEM Educ Train Date: 2020-06-17
Authors: Álvaro Clemente Vivancos; Esther León Castelao; Álvaro Castellanos Ortega; Maria Bodi Saera; Federico Gordo Vidal; Maria Cruz Martin Delgado; Cristina Jorge-Soto; Felipe Fernandez Mendez; Jose Carlos Igeño Cano; Josep Trenado Alvarez; Jesus Caballero Lopez; Manuel Jose Parraga Ramirez Journal: Int J Environ Res Public Health Date: 2022-10-03 Impact factor: 4.614