Q .1516 Tw [(form for that particular session. /GS3 gs .15 0 0 0 k /GS3 gs T* (warranted. (Redinbaugh et al., 2003\), Papadatou)Tj [(port \(Redinbaugh et al., 2003\). T* A couple of the key departments did not send representatives and one member of the night staff was not available. .0495 Tw Inquiring about the)]TJ .0277 Tw 8 0 0 8 151.5756 88.1815 Tm T* 0 0 0 1 k .734 8.492 l )59.9( A diff)29.8(e)0(rent)]TJ T* 1 0 0 0 K [(this inter)-11.8(vention related to the integra-)]TJ T* Ive found 30-60 minutes is optimal for most debriefing meetings. 0 0 0 1 k [(pediatric palliative care program of)]TJ [(Education Development Center)74.1(. -.0001 Tc 0 Tc .2245 Tw f There are top five parts of a successful debrief: 1. [(\(71 respondents reported they had)]TJ [(MD)69.6(. 42.7966 0 TD [(/July-August 2010/V)75.9(o).1(l. 36/No. 0 -1.1111 TD .5 w .3714 Tw [1] As a technical 9 0 0 9 42 751.3881 Tm (grief from the long-term relationship)Tj [(One theme noted was the reason)]TJ 9 0 0 9 132.9983 714.5333 Tm .2401 Tw What should we start, stop, or continue doing? T* f .3151 Tw 0 0 0 0 k BT 38.024 41.157 l .7001 Tw ET -.0382 Tw 9 0 0 9 217.5 543.6738 Tm 9 0 0 9 321.8306 668.9382 Tm -6.295 15.053 l -.0222 Tc .4151 Tw 0 0 0 0 k 211 627.486 258.9 15 re [(Most participants in the bereave-)]TJ .0277 Tw 22 0 obj 9 0 0 9 46.5 662.0934 Tm .4149 Tw <> T* [(most common strategy for pediatric)]TJ 332 0 l (health care professionals. 1 0 0 0 K .326 19.293 -1.092 19.292 -1.736 19.292 c .9621 Tw Q 4)]TJ S 1 0 0 1 0 2 cm 0 0 m -14.285 23.109 -7.214 24.814 -4.65 24.814 c [(impact of the death of the patient and)]TJ 9 0 0 9 506.0167 601.688 Tm )59.9( \(1996\). 0 Tw 8 0 0 8 238.4499 653.2578 Tm -.0132 Tw 0 0 0 0 k BT .0047 Tc [(Inter)-24.8(national Jour)-24.8(nal of Emer )]TJ Keep digging and ask why you didnt try hard enough. BT What should we start, stop, or continue doing? .3729 Tw 0 -161.134 l [(Another way in which bereavement)]TJ Q 5 0 obj 0 0 0 1 k 0 0 0 1 k 155 0 l 17.446 24.773 l 2.25 -1.125 TD .0277 Tw /GS2 gs [(in managing their g)9.8(r)-14.8(ief in car)-14.8(ing f)29.9(o)0(r children with lif)29.9(e-threatening conditions)14.8(. /GS2 gs Techniques of debriefing vary, but usually include an emotional release component, a review of the facts and objective data, inquiry into the mindsets of those present, and clarification of takeaway points and/or indications for follow-up. )]TJ 0 Tc .09 Tw ET It is a structured process following an exercise or event that reviews the actions taken. [()-994.5(What w)14.9(a)0(s it lik)19.7(e taking care of this patient?)]TJ [(opportunities to make meaning \(Lee &)]TJ 0 Tw 217 540.595 100.581 37.405 re 2.25 -1.125 TD /GS2 gs )39.8( K)14.8(eene)-9.9(,)39.8( MA,)39.8( FT)79.8(,)]TJ I may provide some direct feedback to all of you and I hope you will do the same to me. .3223 Tw .1455 Tw T* )Tj T* [(reported professional attributes was)]TJ -.0116 Tc (8)Tj ET %%EOF (\(7\), 986-990. Although not explored in this)]TJ )59.9( Debr)-14.8(iefing:)]TJ .0287 Tw [(nitive, behavior)49.9(, or spiritual distress,)]TJ 0 0 0 1 k .5 0 0 0 k BT 0 0 0 0 k Webdebriefing sessions focus on the emo-tional response of health care profes-sionals, often in the wider context of a relationship with the patient and not simply the death event itself. 0 0 0 1 k T* )59.9( \(1987\). 2.25 -1.125 TD T* [(As part of a quality improvement)]TJ .0287 Tw It is a structured process following an exercise or event that reviews the actions taken. [(described elsewhere \(Rushton et al.,)]TJ They communicate more effectively across the board. -.0063 Tw .0224 Tw /GS3 gs .1483 Tw S 1 0 0 1 0 2 cm 0 0 m T* .0463 Tw Plan it in advance. T* 0000003248 00000 n -.0226 Tc T* .558 Tw Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support. [(fully and honestly in vulnerable con-)]TJ )Tj T* T* 0 Tw T* f .0277 Tw [(Prof)29.9(essional distress)]TJ -4.775 0 l T* 5.281 9.057 l 0 -145.288 l 8 steps to run an effective debrief meeting, Schedule a meeting sooner rather than later. .4212 Tw Considerations for the type of debriefing to hold may include the seriousness of the event, the number of departments involved in the incident, the objectives of debriefing, the number and educational level of the participants, and the training of the debriefer. BT T* Q )0(S)19.7(., Pr)-14.8(itchard, M., & Har)-29.7(per)49.9(, J)29.6(. /F10 1 Tf A debrief meeting is an effective and efficient technique to increase the retention of critical information, consider main findings, and ensure the briefing of every ET (, 372-386. There are many reasons why people dont try hard enough. .8814 Tw 42 581.16 258.583 15.724 re A debrief meeting typically goes over open action items related to a specific project or event, any kinds of challenges that have come up, personal learnings and factual information, related progress, or next steps. Most often, it was)]TJ 1.1804 Tw The moderator should be prepared to guide the experience and provide breaks as necessary. T* When you have an effective meeting agenda created ahead of time, the likelihood of having an effective meeting is much greater. T* [(analysis)14.8(. ET [(elements of the session and themes)]TJ What did the group have to do or believe to be successful? -1.3333 -1.1111 TD T* Techniques of debriefing vary, but usually include an emotional release component, a review of the facts and objective data, inquiry into the mindsets of those present, and clarification of takeaway points and/or indications for follow-up. .2913 Tw [(Death of a Patient)]TJ (6)Tj f 1 0 0 0 K 155 0 l .4127 Tw ET 8 0 1.7005 8 166.9819 169.3864 Tm .0116 Tw In business, debriefing has been widely documented as critical to accelerating projects, innovating novel approaches, and hitting difficult objectives. A long-term relationship)]TJ She resolves to provide plenty of time to allow others to share during the debrief but thinks that the debriefing should be delayed for a couple of days to allow people to calm down a little. 0 0 0 0 k Q .15 0 0 0 k [(of Social )39.8(W)29.8(o)0(r)-14.8(k)-.1( in End-of-Lif)29.8(e & P)39.7(alliativ)24.8(e)]TJ 0 Tw It is imperative that you send a clear message that the debrief is a safe environment dedicated to learning and improving. .0774 Tw If there are more complex discussions, limit them to an hour. 0 Tw [(also true; although sessions are offered)]TJ .212 Tw Before you start discussing each event function, quickly go through your goals and objectives. .5398 Tw -.0001 Tc -.0059 Tc 0 Tw .0692 Tw 0000009048 00000 n )]TJ 9 0 0 9 69.125 550.6354 Tm S 1 0 0 1 0 2 cm 0 0 m (47)Tj (6)Tj BT .2382 Tw T* 4)]TJ -.0214 Tc (,)Tj /GS2 gs Debriefing is defined as a dialogue between two or more people; its goals are to discuss the actions and thought processes involved in a particular patient care situation, encourage reflection on those actions and thought processes, and incorporate improvement into future performance. -9.407 -.017 -16.268 2.44 -15.344 12.072 c [(grieved privately)74(,)0( related their grief to)]TJ -.0112 Tc [(ipated in bereavement debriefing ses-)]TJ .4266 Tw 0 Tc -3.4116 -1.125 TD 9 0 0 9 215.5 646.688 Tm [(toms of grief, used more coping strate-)]TJ T* 9 0 0 9 338.2845 585.9738 Tm .0277 Tw Medical abbreviations that have contradictory or ambiguous meanings. 469.583 400.261 73.417 15.224 re 0 Tw How did you feel while you did the activity? 9 0 0 9 299.6236 16.8862 Tm [(their individual grief responses in the)]TJ 0 0 0 1 k .195 Tc 0 Tw ET .2587 Tw .2261 Tw The)]TJ T* .5678 Tw .021 Tc T* [(respondents reported that they had)]TJ WebMethods Patient Death Debriefing Sessions consist of a brief (~10 minutes), real-time (within 2448 hours), consistent (followingeach death), attending physicianled debriefing that focuses on internal medicine residents emotional reactions following patientdeaths. <> ).1(,)]TJ Thank participants for taking the time to participate in the study. T* T* The key ingredient to successful debriefing is honesty. [(debriefing sessions is the critical inci-)]TJ T* W n -.0116 Tc .3044 Tw /F11 1 Tf [(Another aspect cited often was provid-)]TJ 0 0 0 0 K [(tions noted how helpful it was to hear)]TJ f f 28.996 41.174 l .3389 Tw T* .0097 Tw [(ser)-11.8(ve the many families who need their)]TJ [(experience physical, emotional, cog-)]TJ .4261 Tw -.0147 Tc [( all elements of patient care confer-)]TJ .0277 Tw [(aspects of the case included elements)]TJ ).1(H., Hutton, N., & Hall,)]TJ )0( The session is usu-)]TJ 9 0 0 9 504.9902 374.1269 Tm [(ment debriefing session were female)]TJ 0 Tc )]TJ -552 0 l Having all your past meeting notes easily accessible for future reference is crucial for successful debriefs.