The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement
36
David Baumrind, EMT-CC David Hiltz, NREMT-P DEBRIEFING AND CARDIAC ARREST QUALITY IMPROVEMENT
-
Upload
david-hiltz -
Category
Business
-
view
3.162 -
download
1
description
Hiltz and Baumrind discuss the use of the American Heart Association's Structured and Supported Debriefing program and how it can be used in a clinical environment as part of strategies to improve resuscitation quality.
Transcript of The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement
David Baumrind, EMT-CCDavid Hiltz, NREMT-P
DEBRIEFING ANDCARDIAC ARRESTQUALITY IMPROVEMENT
Hiltz works for the American Heart Association and their product is discussed in this presentation
Baumrind has no conflicts to declare
ANOBVIOUS INFLUENCE
HOUSTON, WE DO HAVE A PROBLEM!
PROBLEMS AT A GLANCE PART 1
PROBLEMS AT A GLANCE PART 2
SURVIVAL TO DISCHARGE
The DISPARITY
BUT NOT ANUNSOLVABLE PROBLEM!
DEVELOPING A CULTURE OF EXCELLENCE
A NECESSARY COMBINATION!
CAN’T WE SOLVE OUR PROBLEMS WITH TECHNOLOGY?
Our Definition!
A provider‐centric process designed to standardize the debriefing process to assist clinicians in thinking about what they did, how they did it, and how they can improve.
Structured and Supported Debriefing
B
DEBRIEFING IS CHEAP!
B
Structured elements include three specific debriefing phases with related goals, actions, and
time estimates.
Structured and Supported Debriefing
B
B
Supported elements include both interpersonal support as well as use of protocols, algorithms, and
best evidence to inform debriefing statements/questions.
Structured and Supported Debriefing
Thoughtful discussion after an attempted resuscitation is important to facilitate the sorting out of events
as well as gaining insight on what happened and why
We often learn better through self‐discovery
and self‐analysis than by other methods!
•Have long term view•Patients and patience•INSTANT GRATIFICATION!
IMPLEMENTATION
BOY, I AM REALLY
LOOKING FORWARD TO
THE DEBRIEFING
ON THIS CASE!
PROVIDERS NEED TO EXPRESS
THEMSELVES AND THEIR FEELINGS…
AND THIS IS A GREAT FORUM FOR
THAT!
B
B
Team leader trained in Structured
and Supported Debriefings
B
PIZZA DIPLOMACY!
B
NOT PUNATIVE!
B
ROLE OF FACILITATOR
•PROVIDE SAFE ENVIRONMENT FOR SHARING EXPERIENCES
•DRAW OUT INFORMATION AND EXPERIENCES
•CONTENT DIRECTED BY THE CREW
•NEVER JUDGE!B
Gather, Analyze, Summarize
B
ANECDOTAL EVIDENCE NUMERICAL DATA
B
UNTAPPED!
B
PRACTICE MAKES PERFECT!
B
INSTRUMENTED MANIKINS
B
THROUGH TEAMWORK, TRAINING AND EDUCATION,
TRY TO GET AS CLOSE AS POSSIBLE!
B
B
