Rapid Cycle Debriefing Practice: Improving Performance and Training
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Learn the causes of problem performance and implement improvements in debriefing training through rapid cycle debriefing practice. Explore the advantages and disadvantages of feedback and observation.
Rapid Cycle Debriefing Practice: Improving Performance and Training
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Presentation Transcript
Rapid Cycle Debriefing PracticeIMSH 2019Content Track: Course ExemplarsGeneral Learner Level; Keywords “Debriefing,” “Faculty”
Facilitators and Disclosure • Heather Bair, CRNA • Jeana Forman, RN • Julie Hartman, MS • Janet Hosking, RN • Paul Leonard, MD • Julie Lindower, MD • Daniel Miller, MD • Brooks Obr, MD • Clark Obr, MD • Kokila Thenuwara, MD Acknowledgements • Kristi Ferguson, PhD • Alisha Loy, BS • Tom Persoon, MS • Kristina Staab, BA • Jeff Vande Berg, MS • No Conflict of Interest for any facilitator on this topic
Safety Agreement Either as a participant or as a presenter, I agree to respect: • Educational purpose of the exercise • Differences in viewpoint • Privacy and professionalism of all
Course Objectives • Demonstrate one improvement in learning the causes of a problem performance. • Select one improvement in debriefing training that could be implemented within a year. • Summarize advantages and disadvantages of rapid cycling of practice, feedback and observation.
Instructions for Rapid Cycle Debriefing Exercise The video captures an error disclosure. You will observe the behaviors of a senior and junior resident.
Associate Directors Debrief Residents Facilitator (Intern) Active Observer Facilitator (Senior Resident) Associate Residency Director Table Active Observer Associate Residency Director
You know: You don’t know: Why (Different at each station) What (Same at each station)
Exercise Goals • Explain your purpose • Uncover frame • Offer feedback
Conversation Purpose • NOT to establish facts • Everyone has seen the video • NOT to discipline • Both organization and residents to do better
Facts are not in question • Everyone has seen the video • At the end of the 3 frames, complete the self-assessment form The next slide starts timers.
Review/Make Plans • 2 minutes to review instructions with your facilitators and make plans with your associates. Time to begin Debriefing
Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers
Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions
Change Positions Debriefers become new observers Observers move to debrief higher number frame Time for Feedback to Residents
Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers
Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions
Change Positions Debriefers become new observers Observers move to debrief lower number frame Time for Feedback to Residents
Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers
Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions
Change Positions Debriefers become new observers Observers move to debrief higher number frame Time for Feedback to Residents
Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers
Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions
Change Positions Debriefers become new observers Observers move to debrief lower number frame Time for Feedback to Residents
Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers
Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions
Change Positions Debriefers become new observers Observers move to debrief higher number frame Time for Feedback to Residents
Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers
Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Done!
Acknowledgments We gratefully acknowledge our co-facilitators who helped facilitate today’s workshop. • VaiaAbatzis, MD • Roberta Ashley, CRNA • Raymond Bonds, CRNA, CHSE • Patricia Gottschalk, CRNA • Stephen Klinkhammer, CRNA • John O’Donnell, CRNA • Margaret Putman, DO • Hannah Watts, MD
Course Objectives • Demonstrate one improvement in learning the causes of a problem performance. • Select one improvement in debriefing training that could be implemented within a year. • Summarize advantages and disadvantages of rapid cycling of practice, feedback and observation.
Content Reference • https://uihc.org/CPSS