Related Experiment Video
Updated: Jul 31, 2025
04:36
Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
4.3K
Have you ACED it? How to successfully implement performance-oriented, Acute Critical Event Debriefing.
Maya Dahan1,2, Marie-Pier Lirette2,3, Douglas M Campbell2,4
1Neonatal-Perinatal Fellow, University of Toronto, Toronto, Canada.
Paediatrics & Child Health
|May 8, 2023
Summary
Implementing Acute Critical Event Debriefing (ACED) after cardiopulmonary arrests is crucial. This guide shares key learnings and best practices for establishing ACED programs and introduces the novel Hotwash debriefing tool.
Area of Science:
- Medical Education
- Healthcare Quality Improvement
- Emergency Medicine
Background:
- Acute Critical Event Debriefing (ACED) following cardiopulmonary arrests is essential but lacks implementation literature.
- Performance-focused ACED requires practical guidance for healthcare settings.
Purpose of the Study:
- To describe key learnings from successful ACED implementations.
- To propose best practices for establishing ACED programs.
- To introduce a novel, standardized debriefing tool (Hotwash).
Main Methods:
- Documenting experiences from multiple ACED implementations across various clinical settings.
- Developing a practical guide based on key learnings.
- Adapting and presenting the Hotwash tool for diverse clinical use.
Main Results:
- Identified critical success factors for ACED implementation.
- Outlined actionable best practices for clinicians and organizations.
- Demonstrated the adaptability of the Hotwash tool in different environments.
Conclusions:
- Standardized ACED programs improve healthcare performance after critical events.
- The Hotwash tool offers a practical solution for effective debriefing.
- Dissemination of implementation strategies is vital for widespread ACED adoption.
Related Concept Videos
01:14SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K
01:30Ethical Dilemmas II
1.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.2K
01:20Coping Strategies: Emotion Focused
110
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
110
01:27Coping Strategies: Problem Focused
104
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
104
01:23Cardiopulmonary Resuscitation III: AED Use
44
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
44
01:28Acute Coronary Syndrome IV: Interprofessional Care
17
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
17