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Postresuscitation debriefing in the pediatric emergency department: a national needs assessment

Published online by Cambridge University Press:  04 March 2015

Naminder Sandhu ,
Walter Eppich ,
Angelo Mikrogianakis ,
Vincent Grant ,
Traci Robinson ,
Adam Cheng  and
for the Canadian Pediatric Simulation Network (CPSN) Debriefing Consensus Group
Naminder Sandhu*
Affiliation:
KidSim-Aspire Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Calgary, AB
Walter Eppich
Affiliation:
Division of Emergency Medicine, Children's Memorial Hospital, Northwestern University, Chicago, IL
Angelo Mikrogianakis
Affiliation:
KidSim-Aspire Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Calgary, AB
Vincent Grant
Affiliation:
KidSim-Aspire Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Calgary, AB
Traci Robinson
Affiliation:
KidSim-Aspire Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Calgary, AB
Adam Cheng
Affiliation:
KidSim-Aspire Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Calgary, AB
for the Canadian Pediatric Simulation Network (CPSN) Debriefing Consensus Group
Affiliation:
The CPSN Debriefing Consensus Group includes Rod Lim, MD, Allan Shefrin, MD, Jonathan Pirie, MD, Arielle Levy, MD, Farhan Bhanji, MD, and Seen Chung, MD
*
Section of Emergency Medicine, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8; naminder.sandhu@albertahealthservices.ca

Abstract

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Objectives:

The objectives of this study were to assess current postresuscitation debriefing (PRD) practices in Canadian pediatric emergency departments (EDs) and identify areas for improvement.

Methods:

A national needs assessment survey was conducted to collect information on current PRD practices and perspectives on debriefing practice in pediatric EDs. A questionnaire was distributed to ED nurses, fellows, and attending physicians at 10 pediatric tertiary care hospitals across Canada. Summary statistics are reported.

Results:

Data were analyzed from 183 participants (48.7% response rate). Although 88.8% of the participants believed that debriefing is an important process, 52.5% indicated that debriefing after real resuscitations occurs less than 25% of the time and 68.3% indicated that no expectation exists for PRD at their institution. Although 83.7% of participants believed that facilitators should have a specific skill set developed through formal training sessions, 63.4% had no previous training in debriefing. Seventy-two percent felt that medical and crisis resource management issues are dealt with adequately when PRD occurs, and 90.4% indicated that ED workload and time shortages are major barriers to effective debriefing. Most responded that a debriefing tool to guide facilitators might aid in multiple skills, such as creating realistic debriefing objectives and providing feedback with good judgment.

Conclusion:

PRD in Canadian pediatric EDs occurs infrequently, although most health care providers agreed on its importance and the need for skilled facilitators.

Keywords

debriefingemergency departmentpediatricsresuscitation
Type
Original Research • Recherche originale
Information
Canadian Journal of Emergency Medicine , Volume 16 , Issue 5 , September 2014 , pp. 383 - 392
Copyright
Copyright © Canadian Association of Emergency Physicians 2014

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