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Rapid Cycle Debriefing Practice: Improving Performance and Training

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.

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Rapid Cycle Debriefing Practice: Improving Performance and Training

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  1. Rapid Cycle Debriefing PracticeIMSH 2019Content Track: Course ExemplarsGeneral Learner Level; Keywords “Debriefing,” “Faculty”

  2. 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

  3. 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

  4. 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.

  5. Instructions for Rapid Cycle Debriefing Exercise The video captures an error disclosure. You will observe the behaviors of a senior and junior resident.

  6. Associate Directors Debrief Residents Facilitator (Intern) Active Observer Facilitator (Senior Resident) Associate Residency Director Table Active Observer Associate Residency Director

  7. You know: You don’t know: Why (Different at each station) What (Same at each station)

  8. Exercise Goals • Explain your purpose • Uncover frame • Offer feedback

  9. Conversation Purpose • NOT to establish facts • Everyone has seen the video • NOT to discipline • Both organization and residents to do better

  10. Video

  11. 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.

  12. Review/Make Plans • 2 minutes to review instructions with your facilitators and make plans with your associates. Time to begin Debriefing

  13. Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers

  14. Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions

  15. Change Positions Debriefers become new observers Observers move to debrief higher number frame Time for Feedback to Residents

  16. Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers

  17. Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions

  18. Change Positions Debriefers become new observers Observers move to debrief lower number frame Time for Feedback to Residents

  19. Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers

  20. Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions

  21. Change Positions Debriefers become new observers Observers move to debrief higher number frame Time for Feedback to Residents

  22. Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers

  23. Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions

  24. Change Positions Debriefers become new observers Observers move to debrief lower number frame Time for Feedback to Residents

  25. Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers

  26. Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Time to Change Positions

  27. Change Positions Debriefers become new observers Observers move to debrief higher number frame Time for Feedback to Residents

  28. Debrief Residents Specific Action: Learn Frame Offer Feedback Time to Debrief the Debriefers

  29. Debrief the Debriefers Compare ideas on faulty frame Specific Action: Learn Frame Offer Feedback Done!

  30. 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

  31. 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.

  32. Content Reference • https://uihc.org/CPSS

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