Post-crisis debriefing: A tool for improving quality in the medical emergency team system. (April 2021)

• Record Type: Journal Article
• Authors: Conoscenti, Elena; Martucci, Gennaro; Piazza, Marcello; Tuzzolino, Fabio; Ragonese, Barbara; Burgio, Gaetano; Arena, Giuseppe; Blot, Stijn; Luca, Angelo; Arcadipane, Antonio; Chiaramonte, Giuseppe
• Is Part Of: Intensive and critical care nursing. Volume 63(2021)
• Publication Date: 2021-04
• Subjects: Emergency -- ICU -- Intensive care medicine -- Communication -- Leadership -- Teamwork -- Crisis resource management -- Patient safety; Intensive care nursing -- Periodicals; Critical Illness -- nursing -- Periodicals; Intensive Care -- Periodicals; Nursing Care -- Periodicals; Intensive care nursing; Periodicals; Electronic journals; 616.028
• DOI: 10.1016/j.iccn.2020.102977
• Languages: English
• ISSNs: 0964-3397

Abstract

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.