Article (Scientific journals)
A success story of clinical debriefings: lessons learned to promote impact and sustainability.
Paquay, Méryl; Simon, Robert; Ancion, Aurore et al.
2023In Frontiers in Public Health, 11, p. 1188594
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Keywords :
clinician wellbeing; debriefing; organizational learning; quality improvement; teamwork; Humans; Leadership; COVID-19/epidemiology; COVID-19/prevention & control; Physicians; COVID-19; Public Health, Environmental and Occupational Health
Abstract :
[en] 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.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Paquay, Méryl  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences
Simon, Robert ;  Université de Liège - ULiège > Département des sciences de la santé publique > Médecine d'urgence ; Retired, Boston, MA, United States
Ancion, Aurore ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences
Graas, Gwennaëlle ;  Université de Liège - ULiège > Département des sciences de la santé publique > Simulation médicale en situation critique
Ghuysen, Alexandre ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences
Language :
English
Title :
A success story of clinical debriefings: lessons learned to promote impact and sustainability.
Publication date :
2023
Journal title :
Frontiers in Public Health
eISSN :
2296-2565
Publisher :
Frontiers Media SA, Switzerland
Volume :
11
Pages :
1188594
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 23 August 2023

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