Columbia University Medical Center, New York Presbyterian Morgan Stanley Children's Hospital of New York, New York, NY.
KidSIM Simulation Program, Alberta Children's Hospital, University of Calgary, Calgary, Alberta, Canada.
Ann Emerg Med. 2015 Jun;65(6):690-8. doi: 10.1016/j.annemergmed.2014.10.019. Epub 2014 Nov 15.
One vital aspect of emergency medicine management is communication after episodes of care to improve future performance through group reflection on the shared experience. This reflective activity in teams is known as debriefing, and despite supportive evidence highlighting its benefits, many practitioners experience barriers to implementing debriefing in the clinical setting. The aim of this article is to review the current evidence supporting postevent debriefing and discuss practical approaches to implementing debriefing in the emergency department. We will address the who, what, when, where, why, and how of debriefing and provide a practical guide for the clinician to facilitate debriefing in the clinical environment.
在急救医学管理中,一个至关重要的方面是在医疗护理事件后进行沟通,以便通过团队对共享经验进行反思来提高未来的表现。这种团队内的反思活动被称为“演练后讨论”(debriefing),尽管有支持性证据强调了其益处,但许多从业者在临床环境中实施演练后讨论时会遇到障碍。本文旨在回顾目前支持事后演练后讨论的证据,并讨论在急诊部门实施演练后讨论的实际方法。我们将讨论演练后讨论的“何人、何事、何时、何地、为何以及如何”,并为临床医生提供在临床环境中促进演练后讨论的实用指南。