“Let's Talk About It”: Translating Lessons From Health Care Simulation to Clinical Event Debriefings and Coaching Conversations

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• 作者：Walter J. Eppich ; MD ; MEd^* ; ^{w-eppich@northwestern.edu" class="auth_mail" title="E-mail the corresponding author} ; Paul C. Mullan ; MD ; MPH^&dagger ; ; Marisa Brett-Fleegler ; MD^&Dagger ; ; Adam Cheng ; MD^§ ; ; ^{changer@me.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：health care simulation ; debriefing ; feedback ; coaching ; microdebriefing ; facilitation ; clinical education ; team ; continuous performance improvement ; clinical event debriefing ; talk
• 刊名：Clinical Pediatric Emergency Medicine
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：17
• 期：3
• 页码：200-211
• 全文大小：1103 K

文摘

Despite proven benefits for team and individual performance, a number of perceived barriers limit clinical post–event debriefings, which impacts health care team functioning and patient care. An overemphasis on debriefing after rare events such as cardiac arrest and major trauma resuscitations necessarily means that debriefings will also occur infrequently as well. Similarly, individual coaching conversations that would help promote trainee skill acquisition are lacking. This situation stands in stark contrast to other experiential learning domains such as health care simulation, which view structured feedback, coaching, and debriefing as integral to its educational practices. Better translation of relevant lessons from health care simulation to clinical settings could enhance workplace learning and drive continuous performance improvements, benefitting both clinicians and patients. This article aims to: (a) broaden the scope of “debriefing” in clinical settings; (b) translate valuable principles and strategies from health care simulation, clinical education, and psychology literatures to clinical post–event debriefings and coaching conversations in pediatric emergency departments; and (c) offer guidance and practical strategies to help busy clinicians implement both clinical event debriefings and coaching conversations in pediatric emergency departments.