The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

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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.

Empresariales Tecnología

DEBRIEFING
AND
CARDIAC ARREST
QUALITY IMPROVEMENT
David Baumrind, EMT-CC
David Hiltz, NREMT-P

Baumrind has no conflicts to declare

Hiltz works for the American Heart Association
and their product is discussed in this presentation

CAN’T WE SOLVE OUR
PROBLEMS WITH TECHNOLOGY?

Structured and Supported Debriefing

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
Structured elements include three specific debriefing
phases with related goals, actions, and time
estimates.

Structured and Supported Debriefing
Supported elements include both interpersonal
support as well as use of protocols, algorithms, and
best evidence to inform debriefing
statements/questions.

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!

IMPLEMENTATION

•Have long term view
•Patients and patience
•INSTANT GRATIFICATION!

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!

Team leader
trained in
Structured
and
Supported
Debriefings

ROLE OF FACILITATOR
•PROVIDE SAFE ENVIRONMENT FOR
SHARING EXPERIENCES

•DRAW OUT INFORMATION AND
EXPERIENCES

•CONTENT DIRECTED BY THE CREW

•NEVER JUDGE!

THROUGH TEAMWORK,
TRAINING AND EDUCATION,
TRY TO GET AS CLOSE AS POSSIBLE!

The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

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The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

1. DEBRIEFING AND CARDIAC ARREST QUALITY IMPROVEMENT David Baumrind, EMT-CC David Hiltz, NREMT-P

2. Baumrind has no conflicts to declare Hiltz works for the American Heart Association and their product is discussed in this presentation

3. AN OBVIOUS INFLUENCE

4. HOUSTON, WE DO HAVE A PROBLEM!

5. PROBLEMS AT A GLANCE PART 1

6. PROBLEMS AT A GLANCE PART 2

7. SURVIVAL TO DISCHARGE

8. The DISPARITY

9. BUT NOT AN UNSOLVABLE PROBLEM!

10. DEVELOPING A CULTURE OF EXCELLENCE

11. A NECESSARY COMBINATION!

12. CAN’T WE SOLVE OUR PROBLEMS WITH TECHNOLOGY?

13. Structured and Supported Debriefing 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.

14. DEBRIEFING IS CHEAP!

15. Structured and Supported Debriefing Structured elements include three specific debriefing phases with related goals, actions, and time estimates.

16.

17. Structured and Supported Debriefing Supported elements include both interpersonal support as well as use of protocols, algorithms, and best evidence to inform debriefing statements/questions.

18. 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!

19. IMPLEMENTATION •Have long term view •Patients and patience •INSTANT GRATIFICATION!

20. BOY, I AM REALLY LOOKING FORWARD TO THE DEBRIEFING ON THIS CASE!

21. PROVIDERS NEED TO EXPRESS THEMSELVES AND THEIR FEELINGS… AND THIS IS A GREAT FORUM FOR THAT!

22.

23. Team leader trained in Structured and Supported Debriefings

24. PIZZA DIPLOMACY!

25. NOT PUNATIVE!

26. ROLE OF FACILITATOR •PROVIDE SAFE ENVIRONMENT FOR SHARING EXPERIENCES •DRAW OUT INFORMATION AND EXPERIENCES •CONTENT DIRECTED BY THE CREW •NEVER JUDGE!

27. Gather, Analyze, Summarize

28. ANECDOTAL EVIDENCE NUMERICAL DATA

29. UNTAPPED!

30. PRACTICE MAKES PERFECT!

31. INSTRUMENTED MANIKINS

32. THROUGH TEAMWORK, TRAINING AND EDUCATION, TRY TO GET AS CLOSE AS POSSIBLE!

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Address minutes
Punative
Hard data and anecdotal

The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

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The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

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