Elena Conoscenti1, Gennaro Martucci2, Marcello Piazza2, Fabio Tuzzolino3, Barbara Ragonese4, Gaetano Burgio2, Giuseppe Arena5, Stijn Blot6, Angelo Luca7, Antonio Arcadipane2, Giuseppe Chiaramonte8. 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. 8. Department of Anesthesia and Intensive Care, ISMETT, Palermo, Italy. Electronic address: gchiaramonte@ismett.edu.
Abstract
OBJECTIVES: To examine clinicians' perception of quality of technical and non-technical response to emergencies and application of post crisis debriefing. DESIGN: Descriptive, anonymous, self-reporting survey on the needs and perception of a post-crisis debriefing implementation. SETTING: Multi-specialist medical institute in Italy focused on solid organ transplantation and organ failure support. MAIN OUTCOMES: Perception of application of guidelines and evaluation of debriefing implementation during in-hospital emergencies. RESULTS: Response 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%. CONCLUSION: Post-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.
OBJECTIVES: To examine clinicians' perception of quality of technical and non-technical response to emergencies and application of post crisis debriefing. DESIGN: Descriptive, anonymous, self-reporting survey on the needs and perception of a post-crisis debriefing implementation. SETTING: Multi-specialist medical institute in Italy focused on solid organ transplantation and organ failure support. MAIN OUTCOMES: Perception of application of guidelines and evaluation of debriefing implementation during in-hospital emergencies. RESULTS: Response 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%. CONCLUSION: Post-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.
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