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Okay, let's talk - short debriefings in the operating room
Anna Sofie Mundt1, Kirsten Gjeraa1, Lene Spanager2
1Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources and Education, Capital Region of Denmark, Denmark.
Heliyon
|July 17, 2020
Summary
Short debriefings in the operating room (OR) are feasible and enhance patient safety. These five-minute sessions facilitate discussion of non-technical skills and reflection on practice, improving team performance.
Area of Science:
- Healthcare Quality Improvement
- Medical Education
- Patient Safety
Background:
- Debriefing is crucial for learning and reflection in clinical settings.
- Barriers to operating room (OR) debriefing include time constraints, facilitator availability, and team coordination.
- Short, five-minute debriefings during or between procedures offer a potential solution to enhance learning and patient safety.
Purpose of the Study:
- To explore the characteristics, feasibility, and content of short debriefings conducted in the OR.
Main Methods:
- A mixed-method study analyzing audio recordings, field notes, and relevance ratings.
- Conducted short debriefings with multi-professional teams in the OR at two Danish University Hospitals.
Main Results:
- 135 debriefings were conducted, with a median duration of five minutes.
- 477 team members participated; median relevance rating was 6/10.
- Non-technical skills were discussed in all debriefings, with 75% including reflections on practice. Higher relevance was noted after challenging events and with active surgeon participation.
Conclusions:
- Short debriefings are feasible in complex, production-focused OR environments.
- All debriefings involved discussion of non-technical skills and practice reflection.
- Most participants found the debriefings relevant for task management.
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