Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events

被引:1
|
作者
McCarthy, Siobhan E. [1 ]
Hogan, Catherine [2 ]
Jenkins, Loretta [2 ]
Schwanberg, Lorraine [2 ]
Williams, David J. [3 ]
Mellon, Lisa [4 ]
Walsh, Aisling [5 ]
Keane, Theresa [1 ]
Rafter, Natasha [5 ]
机构
[1] RCSI Univ Med & Hlth Sci, Grad Sch Healthcare Management, Dublin, Ireland
[2] Natl Qual & Patient Safety Directorate, Hlth Serv Execut, Off Chief Clin Officer, Dublin, Ireland
[3] RCSI Univ Med & Hlth Sci, Dept Geriatr & Stroke Med, Dublin, Ireland
[4] RCSI Univ Med & Hlth Sci, Sch Populat Hlth, Dept Hlth Psychol, Dublin, Ireland
[5] RCSI Univ Med & Hlth Sci, Sch Populat Hlth, Dept Publ Hlth & Epidemiol, Dublin, Ireland
关键词
Hand-off; Patient safety; Simulation; Teamwork; Medical education; BEHAVIOR;
D O I
10.1136/bmjoq-2023-002270
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Innovation in the education and training of healthcare staff is required to support complementary approaches to learning from patient safety and everyday events in healthcare. Debriefing is a commonly used learning tool in healthcare education but not in clinical practice. Little is known about how to implement debriefing as an approach to safety learning across a health system. After action review (AAR) is a debriefing approach designed to help groups come to a shared mental model about what happened, why it happened and to identify learning and improvement. This paper describes a digital-based implementation strategy adapted to the Irish healthcare system to promote AAR uptake. The digital strategy aims to assist implementation of national level incident management policies and was collaboratively developed by the RCSI University of Medicine and Health Sciences and the National Quality and Patient Safety Directorate of the Health Service Executive. During the COVID-19 pandemic, a well-established in-person AAR training programme was disrupted and this led to the development of a series of open access videos on AAR facilitation skills (which accompany the online version of this paper). These provide: (1) an introduction to the AAR facilitation process; (2) a simulation of a facilitated formal AAR; (3) techniques for handling challenging situations that may arise in an AAR and a (4) reflection on the benefits of the AAR process. These have the potential to be used widely to support learning from patient safety and everyday events including excellent care.
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页数:5
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