Conoscenti E, Martucci G, Piazza M, Tuzzolino F, Ragonese B, Burgio G, Arena G, Blot S, Luca A, Arcadipane A, Chiaramonte G. Post-crisis debriefing: A tool for improving quality in the medical emergency team system.
Intensive Crit Care Nurs 2020;
63:102977. [PMID:
33358133 DOI:
10.1016/j.iccn.2020.102977]
[Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 11/06/2020] [Accepted: 11/11/2020] [Indexed: 10/22/2022]
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.
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