The impact of a fellow-driven debriefing program after pediatric cardiac arrests

Autor: Rebecca F. Hough, Anita Patel, Anita I. Sen, Cheryl Lin, Tarif Choudhury, Ariel Daube, Sirisha Yalamanchi, Kathryn Palumbo, Monica L. Koncicki, Amy Chirico, Jennifer Gillen, Linda Aponte-Patel
Rok vydání: 2019
Předmět:
Zdroj: BMC Medical Education
BMC Medical Education, Vol 19, Iss 1, Pp 1-8 (2019)
ISSN: 1472-6920
DOI: 10.1186/s12909-019-1711-y
Popis: Background In the United States, post-cardiac arrest debriefing has increased, but historically it has occurred rarely in our pediatric intensive care unit (PICU). A fellow-led debriefing tool was developed as a tool for fellow development, as well as to enhance communication amongst a multidisciplinary team. Methods A curriculum and debriefing tool for fellow facilitators was developed and introduced in a 41-bed cardiac and medical PICU. Pre- and post-intervention surveys were sent to multidisciplinary PICU providers to assess effectiveness of debriefings using newly-trained leaders, as well as changes in team communication. Results Debriefing occurred after 84% (63/75) of cardiac arrests post-intervention. Providers in various team roles participated in pre-intervention (129 respondents/236 invitations) and post-intervention (96 respondents /232 invitations) surveys. Providers reported that frequently occurring debriefings increased from 9 to 58%, pre- and post-intervention respectively (p
Databáze: OpenAIRE