Loading...

Media is loading
 

Presentation Notes

Quality Improvement podium presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.

Abstract

Background

The Advocate Children’s Hospital Neonatal/Pediatric Transport Team (ACHTT) transports approximately 2,000 neonatal/pediatric patients each year within the Advocate Children’s Hospital and Northshore system. Opportunities have been identified to improve feedback on transports completed. Debriefing is associated with improved outcomes, improved team performance, and provides the opportunity to discuss gaps in clinical knowledge, performance, and behaviors. Debriefing also provides the opportunity for group reflection and examination of teamwork.

Local Problem

No process existed to formally debrief after a transport completed by the ACHTT. The need to create a multidisciplinary clinical debriefing program was identified.

Method

A review of literature was performed to identify best practices for clinical event debriefing. Key stakeholders were identified and involved in the development of the multidisciplinary ACHTT clinical event debriefing program. A defined process and tools to guide the teammates through debriefing were developed. Nurses, respiratory therapists, physicians, paramedics, and dispatch assistants were educated prior to implementation. A pre- and six-month post implementation survey was completed by ACHTT team members to evaluate the teamwork and level of support received during a transport call.

Results/Conclusions

An improvement in teamwork and support was reported six months post-implementation for the six questions; a) receiving adequate follow up on transports (28% to 75%), b) feeling supported to identify areas of optimal clinical performance (64% to 75 %), c) feeling supported to identify areas of suboptimal performance (60% to 68.8%), d) being given the opportunity for reflection of knowledge, skills, and attitudes of a transport call (36% to 87.5%), e) discussion on interdisciplinary teamwork (36% to 87.5%), and f) opportunities to determine ways to improve future performance (44% to 75.1%).

Through implementing a formal debriefing process, teammates felt a greater sense of teamwork and support received. Many process improvements have resulted from the debriefing process including equipment changes and transport protocol revisions.

Document Type

Oral/Podium Presentation

Publication Date

11-15-2023


 

Share

COinS
 
Nov 15th, 12:00 AM

Implementing clinical event debriefing to improve patient care

Background

The Advocate Children’s Hospital Neonatal/Pediatric Transport Team (ACHTT) transports approximately 2,000 neonatal/pediatric patients each year within the Advocate Children’s Hospital and Northshore system. Opportunities have been identified to improve feedback on transports completed. Debriefing is associated with improved outcomes, improved team performance, and provides the opportunity to discuss gaps in clinical knowledge, performance, and behaviors. Debriefing also provides the opportunity for group reflection and examination of teamwork.

Local Problem

No process existed to formally debrief after a transport completed by the ACHTT. The need to create a multidisciplinary clinical debriefing program was identified.

Method

A review of literature was performed to identify best practices for clinical event debriefing. Key stakeholders were identified and involved in the development of the multidisciplinary ACHTT clinical event debriefing program. A defined process and tools to guide the teammates through debriefing were developed. Nurses, respiratory therapists, physicians, paramedics, and dispatch assistants were educated prior to implementation. A pre- and six-month post implementation survey was completed by ACHTT team members to evaluate the teamwork and level of support received during a transport call.

Results/Conclusions

An improvement in teamwork and support was reported six months post-implementation for the six questions; a) receiving adequate follow up on transports (28% to 75%), b) feeling supported to identify areas of optimal clinical performance (64% to 75 %), c) feeling supported to identify areas of suboptimal performance (60% to 68.8%), d) being given the opportunity for reflection of knowledge, skills, and attitudes of a transport call (36% to 87.5%), e) discussion on interdisciplinary teamwork (36% to 87.5%), and f) opportunities to determine ways to improve future performance (44% to 75.1%).

Through implementing a formal debriefing process, teammates felt a greater sense of teamwork and support received. Many process improvements have resulted from the debriefing process including equipment changes and transport protocol revisions.

 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.