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Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events

Innovation in the education and training of healthcare staff is required to support complementary approaches to learning from patient safety and everyday events in healthcare. Debriefing is a commonly used learning tool in healthcare education but not in clinical practice. Little is known about how...

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Autores principales: McCarthy, Siobhán E, Hogan, Catherine, Jenkins, Loretta, Schwanberg, Lorraine, Williams, David J, Mellon, Lisa, Walsh, Aisling, Keane, Theresa, Rafter, Natasha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10414102/
https://www.ncbi.nlm.nih.gov/pubmed/37553274
http://dx.doi.org/10.1136/bmjoq-2023-002270
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author McCarthy, Siobhán E
Hogan, Catherine
Jenkins, Loretta
Schwanberg, Lorraine
Williams, David J
Mellon, Lisa
Walsh, Aisling
Keane, Theresa
Rafter, Natasha
author_facet McCarthy, Siobhán E
Hogan, Catherine
Jenkins, Loretta
Schwanberg, Lorraine
Williams, David J
Mellon, Lisa
Walsh, Aisling
Keane, Theresa
Rafter, Natasha
author_sort McCarthy, Siobhán E
collection PubMed
description Innovation in the education and training of healthcare staff is required to support complementary approaches to learning from patient safety and everyday events in healthcare. Debriefing is a commonly used learning tool in healthcare education but not in clinical practice. Little is known about how to implement debriefing as an approach to safety learning across a health system. After action review (AAR) is a debriefing approach designed to help groups come to a shared mental model about what happened, why it happened and to identify learning and improvement. This paper describes a digital-based implementation strategy adapted to the Irish healthcare system to promote AAR uptake. The digital strategy aims to assist implementation of national level incident management policies and was collaboratively developed by the RCSI University of Medicine and Health Sciences and the National Quality and Patient Safety Directorate of the Health Service Executive. During the COVID-19 pandemic, a well-established in-person AAR training programme was disrupted and this led to the development of a series of open access videos on AAR facilitation skills (which accompany the online version of this paper). These provide: (1) an introduction to the AAR facilitation process; (2) a simulation of a facilitated formal AAR; (3) techniques for handling challenging situations that may arise in an AAR and a (4) reflection on the benefits of the AAR process. These have the potential to be used widely to support learning from patient safety and everyday events including excellent care.
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spelling pubmed-104141022023-08-11 Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events McCarthy, Siobhán E Hogan, Catherine Jenkins, Loretta Schwanberg, Lorraine Williams, David J Mellon, Lisa Walsh, Aisling Keane, Theresa Rafter, Natasha BMJ Open Qual Quality Education Report Innovation in the education and training of healthcare staff is required to support complementary approaches to learning from patient safety and everyday events in healthcare. Debriefing is a commonly used learning tool in healthcare education but not in clinical practice. Little is known about how to implement debriefing as an approach to safety learning across a health system. After action review (AAR) is a debriefing approach designed to help groups come to a shared mental model about what happened, why it happened and to identify learning and improvement. This paper describes a digital-based implementation strategy adapted to the Irish healthcare system to promote AAR uptake. The digital strategy aims to assist implementation of national level incident management policies and was collaboratively developed by the RCSI University of Medicine and Health Sciences and the National Quality and Patient Safety Directorate of the Health Service Executive. During the COVID-19 pandemic, a well-established in-person AAR training programme was disrupted and this led to the development of a series of open access videos on AAR facilitation skills (which accompany the online version of this paper). These provide: (1) an introduction to the AAR facilitation process; (2) a simulation of a facilitated formal AAR; (3) techniques for handling challenging situations that may arise in an AAR and a (4) reflection on the benefits of the AAR process. These have the potential to be used widely to support learning from patient safety and everyday events including excellent care. BMJ Publishing Group 2023-08-08 /pmc/articles/PMC10414102/ /pubmed/37553274 http://dx.doi.org/10.1136/bmjoq-2023-002270 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Quality Education Report
McCarthy, Siobhán E
Hogan, Catherine
Jenkins, Loretta
Schwanberg, Lorraine
Williams, David J
Mellon, Lisa
Walsh, Aisling
Keane, Theresa
Rafter, Natasha
Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events
title Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events
title_full Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events
title_fullStr Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events
title_full_unstemmed Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events
title_short Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events
title_sort videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events
topic Quality Education Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10414102/
https://www.ncbi.nlm.nih.gov/pubmed/37553274
http://dx.doi.org/10.1136/bmjoq-2023-002270
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