Debriefing In The Emergency Department
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| Author | : Alyssa Johnson |
| Publisher | : |
| Total Pages | : |
| Release | : 2016 |
| Genre | : |
| ISBN | : |
Emergency Department (ED) staff are repeatedly exposed to high stress situations and as a result suffer from compassion fatigue, secondary traumatic stress, symptoms of post-traumatic stress disorder, burnout and high turnover rates. Staff turnover is costly to the health system in the form of training new staff and potential poor patient outcomes due to under staffing or inexperience of staff. Based on a survey about debriefing, Level 1 Adult and Pediatric Emergency Department staff reported 81% felt there was inadequate support for critically stressful events that occur. Debriefing was identified by 75% of the staff as an option for support. This survey of the ED staff identified the need for an immediate and informal process for clinical care feedback and emotional processing after high stress events in the Emergency Department. An adaptation of the Debriefing in Situ Conversation after Emergent Resuscitation Now (DISCERN) tool was developed by an interdisciplinary team of ED nurses and physicians based upon the reported needs of the staff. Time was an overwhelmingly identified barrier to implementing a debriefing process, but nursing and physician leadership assurance in prioritizing a supportive work environment was provided. The benefits of debriefing expand beyond just improving work environment, it can also lead to improved teamwork, communication, patient satisfaction and even patient outcomes.
| Author | : Christopher Strother |
| Publisher | : Springer Nature |
| Total Pages | : 293 |
| Release | : 2021-02-11 |
| Genre | : Medical |
| ISBN | : 3030573672 |
This is a practical guide to the use of simulation in emergency medicine training and evaluation. It covers scenario building, debriefing, and feedback, and it discusses the use of simulation for different purposes, including education, crisis resource management and interdisciplinary team training. Divided into five sections, the book begins with the historical foundations of emergency medicine, as well as education and learning theory. In order to effectively relay different simulation modalities and technologies, subsequent chapters feature an extensive number of practical scenarios to allow readers to build a curriculum. These simulations include pediatric emergency medicine, trauma, disaster medicine, and ultrasound. Chapters are also organized to meet the needs of readers who are in different stages of their education, ranging from undergraduate students to medical directors. The book then concludes with a discussion on the future and projected developments of simulation training. Comprehensive Healthcare Simulation: Emergency Medicine is an invaluable resource for a variety of learners, from medical students, residents, and practicing emergency physicians to emergency medical technicians, and health-related professionals.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 291 |
| Release | : 2015-09-29 |
| Genre | : Medical |
| ISBN | : 030937202X |
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
| Author | : Faithe Weathers |
| Publisher | : |
| Total Pages | : 78 |
| Release | : 2017 |
| Genre | : Burn out (Psychology) |
| ISBN | : |
Explores emergency department nurses' opinions of debriefing sessions following traumatic events.
| Author | : Richard H. Riley |
| Publisher | : Oxford University Press |
| Total Pages | : 483 |
| Release | : 2016 |
| Genre | : Computers |
| ISBN | : 0198717628 |
Practising fundamental patient care skills and techniques is essential to the development of trainees' wider competencies in all medical specialties. After the success of simulation learning techniques used in other industries, such as aviation, this approach has been adopted into medical education. This book assists novice and experienced teachers in each of these fields to develop a teaching framework that incorporates simulation. The Manual of Simulation in Healthcare, Second Edition is fully revised and updated. New material includes a greater emphasis on patient safety, interprofessional education, and a more descriptive illustration of simulation in the areas of education, acute care medicine, and aviation. Divided into three sections, it ranges from the logistics of establishing a simulation and skills centre and the inherent problems with funding, equipment, staffing, and course development to the considerations for healthcare-centred simulation within medical education and the steps required to develop courses that comply with 'best practice' in medical education. Providing an in-depth understanding of how medical educators can best incorporate simulation teaching methodologies into their curricula, this book is an invaluable resource to teachers across all medical specialties.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 424 |
| Release | : 2007-05-03 |
| Genre | : Medical |
| ISBN | : 0309133777 |
Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
| Author | : Sonya Healy |
| Publisher | : |
| Total Pages | : 127 |
| Release | : 2010 |
| Genre | : Emergency nursing |
| ISBN | : |
| Author | : Beverley Raphael |
| Publisher | : Cambridge University Press |
| Total Pages | : 392 |
| Release | : 2000-10-12 |
| Genre | : Medical |
| ISBN | : 9780521647007 |
A balanced critical review of psychological debriefing by an eminent international team, published in 2000.
| Author | : Denis Oriot |
| Publisher | : Springer |
| Total Pages | : 117 |
| Release | : 2017-09-25 |
| Genre | : Education |
| ISBN | : 3319598821 |
This book is a concise manual on debriefing techniques in a clinical educational context. It presents the most popular debriefing techniques and, hence, can be used as a reference manual by educators to help them achieve their intended debriefing objectives. The overarching objective of debriefing is to promote reflection and improve patient safety awareness at an individual and a team level. This book provides clear explanations of what constitutes a valuable and effective debriefing, and presents the various approaches that can be used and how debriefing differs from feedback. It includes key recommendations on aspects that directly or indirectly impact debriefing with different populations of learners such as students or qualified healthcare professionals of various levels of seniority. This book can also be used as a survival guide for both simulation educators and clinicians during debriefings. It includes several useful sections explaining the different phases of a debriefing session, which help learners develop and consolidate their knowledge, and identify potential knowledge or performance gaps and near misses. The underlying philosophy of this book is to also promote profound respect for the trainee by using a non-offensive debriefing approach. Debriefing facilitators will appreciate the several key sentences that will help them lead and engage their learners in the various phases of expressing their emotions and analyzing their experience and actions.
| Author | : Maria E. Moreira |
| Publisher | : Oxford University Press, USA |
| Total Pages | : 337 |
| Release | : 2019-08-05 |
| Genre | : Medical |
| ISBN | : 0190852917 |
Widely varying patient needs, a wide provider mix, significant power differentials, and a heightened emotional state all contribute to barriers in communication in the medical field and all of these elements are magnified in an emergency department. Communication in Emergency Medicine highlights key challenges to effective communication in Emergency Medicine that may be experienced by healthcare providers, students, nurses, and even hospital administrators. The text addresses these pitfalls by demonstrating how a mix of foundational communication techniques and leadership skills can be used to successfully overcome barriers in information exchange highlighted by real-life clinical scenarios with an emphasis on avoidable pitfalls. Chapters explore principles of communication, patient and family interactions, and communications within and outside of the healthcare system, rounding off with a number of case studies. The approach of utilizing the environment of an emergency department with high stakes conflicts faced every day by medical professionals distinguishes Communication in Emergency Medicine as an ideal resource for Emergency Medicine providers, with lessons which can also be applied in many other settings as well.
