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

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 multidiscipl...

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Autores principales: Gillen, Jennifer, Koncicki, Monica L., Hough, Rebecca F., Palumbo, Kathryn, Choudhury, Tarif, Daube, Ariel, Patel, Anita, Chirico, Amy, Lin, Cheryl, Yalamanchi, Sirisha, Aponte-Patel, Linda, Sen, Anita I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6647321/
https://www.ncbi.nlm.nih.gov/pubmed/31331310
http://dx.doi.org/10.1186/s12909-019-1711-y
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author Gillen, Jennifer
Koncicki, Monica L.
Hough, Rebecca F.
Palumbo, Kathryn
Choudhury, Tarif
Daube, Ariel
Patel, Anita
Chirico, Amy
Lin, Cheryl
Yalamanchi, Sirisha
Aponte-Patel, Linda
Sen, Anita I.
author_facet Gillen, Jennifer
Koncicki, Monica L.
Hough, Rebecca F.
Palumbo, Kathryn
Choudhury, Tarif
Daube, Ariel
Patel, Anita
Chirico, Amy
Lin, Cheryl
Yalamanchi, Sirisha
Aponte-Patel, Linda
Sen, Anita I.
author_sort Gillen, Jennifer
collection PubMed
description 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 < .0001). Providers reported frequent identification and discussion of learning points increased from 32% pre- to 63% post-intervention. In the 12 months post-intervention, 62% of providers agreed that the overall quality of communication during arrests had improved, and 61% would be more likely to request a debriefing after cardiac arrest. CONCLUSION: The introduction of a fellow-led debriefing tool resulted in regularly performed debriefings after arrests. Despite post-intervention debriefings being led by newly-trained facilitators, the majority of PICU staff expressed satisfaction with the quality of debriefing and improvement in communication during arrests, suggesting that fellow facilitators can be effective debrief leaders.
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spelling pubmed-66473212019-07-31 The impact of a fellow-driven debriefing program after pediatric cardiac arrests Gillen, Jennifer Koncicki, Monica L. Hough, Rebecca F. Palumbo, Kathryn Choudhury, Tarif Daube, Ariel Patel, Anita Chirico, Amy Lin, Cheryl Yalamanchi, Sirisha Aponte-Patel, Linda Sen, Anita I. BMC Med Educ Research Article 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 < .0001). Providers reported frequent identification and discussion of learning points increased from 32% pre- to 63% post-intervention. In the 12 months post-intervention, 62% of providers agreed that the overall quality of communication during arrests had improved, and 61% would be more likely to request a debriefing after cardiac arrest. CONCLUSION: The introduction of a fellow-led debriefing tool resulted in regularly performed debriefings after arrests. Despite post-intervention debriefings being led by newly-trained facilitators, the majority of PICU staff expressed satisfaction with the quality of debriefing and improvement in communication during arrests, suggesting that fellow facilitators can be effective debrief leaders. BioMed Central 2019-07-22 /pmc/articles/PMC6647321/ /pubmed/31331310 http://dx.doi.org/10.1186/s12909-019-1711-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Gillen, Jennifer
Koncicki, Monica L.
Hough, Rebecca F.
Palumbo, Kathryn
Choudhury, Tarif
Daube, Ariel
Patel, Anita
Chirico, Amy
Lin, Cheryl
Yalamanchi, Sirisha
Aponte-Patel, Linda
Sen, Anita I.
The impact of a fellow-driven debriefing program after pediatric cardiac arrests
title The impact of a fellow-driven debriefing program after pediatric cardiac arrests
title_full The impact of a fellow-driven debriefing program after pediatric cardiac arrests
title_fullStr The impact of a fellow-driven debriefing program after pediatric cardiac arrests
title_full_unstemmed The impact of a fellow-driven debriefing program after pediatric cardiac arrests
title_short The impact of a fellow-driven debriefing program after pediatric cardiac arrests
title_sort impact of a fellow-driven debriefing program after pediatric cardiac arrests
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6647321/
https://www.ncbi.nlm.nih.gov/pubmed/31331310
http://dx.doi.org/10.1186/s12909-019-1711-y
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