Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; Ariadne Labs, Boston, MA, USA; Center for Surgery and Public Health, Boston, MA, USA.
Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; Center for Medical Simulation, Boston, MA, USA. Electronic address: https://twitter.com/debriefmentor.
Anesthesiol Clin. 2020 Dec;38(4):801-820. doi: 10.1016/j.anclin.2020.08.003. Epub 2020 Oct 13.
Debriefing after perioperative crises (eg, cardiac arrest, massive hemorrhage) is a well-described practice that can provide benefits to individuals, teams, and health systems. Debriefing has also been embraced by high-stakes industries outside of health care. Yet, in studies of actual clinical practice, there are many critical events that do not get debriefed. This article explores the gap that exists between principle and reality and the factors and strategies to offer opportunities to reflect on actual critical events, when indicated, across the increasing scope of environments where anesthesia care is provided.
术后危机（如心脏骤停、大量出血）后的汇报是一种行之有效的做法，可为个人、团队和医疗体系带来益处。这种做法也已被医疗保健领域以外的高风险行业所接受。然而，在实际临床实践的研究中，许多关键事件并未进行汇报。本文探讨了原则与现实之间存在的差距，以及在提供麻醉护理的环境范围不断扩大的情况下，提供机会反思实际关键事件的因素和策略。
