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A success story of clinical debriefings: lessons learned to promote impact and sustainability

The COVID-19 crisis impacted emergency departments (ED) unexpectedly and exposed teams to major issues within a constantly changing environment. We implemented post-shift clinical debriefings (CDs) from the beginning of the crisis to cope with adaptability needs. As the crisis diminished, clinicians...

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Autores principales: Paquay, Méryl, Simon, Robert, Ancion, Aurore, Graas, Gwennaëlle, Ghuysen, Alexandre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354544/
https://www.ncbi.nlm.nih.gov/pubmed/37475771
http://dx.doi.org/10.3389/fpubh.2023.1188594
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author Paquay, Méryl
Simon, Robert
Ancion, Aurore
Graas, Gwennaëlle
Ghuysen, Alexandre
author_facet Paquay, Méryl
Simon, Robert
Ancion, Aurore
Graas, Gwennaëlle
Ghuysen, Alexandre
author_sort Paquay, Méryl
collection PubMed
description The COVID-19 crisis impacted emergency departments (ED) unexpectedly and exposed teams to major issues within a constantly changing environment. We implemented post-shift clinical debriefings (CDs) from the beginning of the crisis to cope with adaptability needs. As the crisis diminished, clinicians voiced a desire to maintain the post-shift CD program, but it had to be reshaped to succeed over the long term. A strategic committee, which included physician and nurse leadership and engaged front-line staff, designed and oversaw the implementation of CD. The CD structure was brief and followed a debriefing with a good judgment format. The aim of our program was to discover and integrate an organizational learning strategy to promote patient safety, clinicians' wellbeing, and engagement with the post-shift CD as the centerpiece. In this article, we describe how post-shift CD process was performed, lessons learned from its integration into our ED strategy to ensure value and sustainability and suggestions for adapting this process at other institutions. This novel application of debriefing was well received by staff and resulted in discovering multiple areas for improvement ranging from staff interpersonal interactions and team building to hospital wider quality improvement initiatives such as patient throughput.
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spelling pubmed-103545442023-07-20 A success story of clinical debriefings: lessons learned to promote impact and sustainability Paquay, Méryl Simon, Robert Ancion, Aurore Graas, Gwennaëlle Ghuysen, Alexandre Front Public Health Public Health The COVID-19 crisis impacted emergency departments (ED) unexpectedly and exposed teams to major issues within a constantly changing environment. We implemented post-shift clinical debriefings (CDs) from the beginning of the crisis to cope with adaptability needs. As the crisis diminished, clinicians voiced a desire to maintain the post-shift CD program, but it had to be reshaped to succeed over the long term. A strategic committee, which included physician and nurse leadership and engaged front-line staff, designed and oversaw the implementation of CD. The CD structure was brief and followed a debriefing with a good judgment format. The aim of our program was to discover and integrate an organizational learning strategy to promote patient safety, clinicians' wellbeing, and engagement with the post-shift CD as the centerpiece. In this article, we describe how post-shift CD process was performed, lessons learned from its integration into our ED strategy to ensure value and sustainability and suggestions for adapting this process at other institutions. This novel application of debriefing was well received by staff and resulted in discovering multiple areas for improvement ranging from staff interpersonal interactions and team building to hospital wider quality improvement initiatives such as patient throughput. Frontiers Media S.A. 2023-07-05 /pmc/articles/PMC10354544/ /pubmed/37475771 http://dx.doi.org/10.3389/fpubh.2023.1188594 Text en Copyright © 2023 Paquay, Simon, Ancion, Graas and Ghuysen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Paquay, Méryl
Simon, Robert
Ancion, Aurore
Graas, Gwennaëlle
Ghuysen, Alexandre
A success story of clinical debriefings: lessons learned to promote impact and sustainability
title A success story of clinical debriefings: lessons learned to promote impact and sustainability
title_full A success story of clinical debriefings: lessons learned to promote impact and sustainability
title_fullStr A success story of clinical debriefings: lessons learned to promote impact and sustainability
title_full_unstemmed A success story of clinical debriefings: lessons learned to promote impact and sustainability
title_short A success story of clinical debriefings: lessons learned to promote impact and sustainability
title_sort success story of clinical debriefings: lessons learned to promote impact and sustainability
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354544/
https://www.ncbi.nlm.nih.gov/pubmed/37475771
http://dx.doi.org/10.3389/fpubh.2023.1188594
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