Debriefing in der Kindernotfallversorgung. Grundlage einer verbesserten Patientenversorgung

Heimberg, E.; Daub, J.; Schmutz, J. B.; Eppich, W. und Hoffmann, F. (2020): Debriefing in der Kindernotfallversorgung. Grundlage einer verbesserten Patientenversorgung. In: Monatsschrift Kinderheilkunde, Bd. 168, Nr. 2: S. 130-139

Abstract

Regular debriefings after critical events positively impact teamwork and patient outcomes in pediatric emergency care. Team reflection promotes learning, helps teams to improve, and prevents repeating mistakes in the future. Nevertheless, debriefings in daily practice may not exemplify quality standards. Reasons include lack of time, lack of experienced debriefers and lack of support from the key stakeholders. Debriefings can take place at different timepoints with variable duration as needed. Relatively short "hot debriefings" happen on the same day as events while longer "cold debriefings" occur several days later. Debriefings should focus on collaborative learning and future-oriented improvements. Not only acute life-threatening events may trigger debriefings, also potentially critical situations such as routine intubations warrant debriefing. Debriefing scripts promote a structured approach and allow even inexperienced moderators to navigate all aspects. In addition to areas of challenge, debriefings should explore and reinforce positive performance to facilitate learning from success. Debriefers should discuss not only obvious observable accomplishments, but also motivations behind key behaviors. This strategy promotes needs-based learning and focuses on solutions. Helpful strategies include specific questioning techniques, genuine interest and a positive safety culture.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0026-9298
• Sprache: Deutsch