Workshop Presentation

Oral

Workshop 1: How to build a formal clinical debriefing program and develop a continuous evaluation process

Monday, May 14
10:30 - 12:00
Location: Universe 1

Course Goal or Outcome: : Participants will devise how to implement and evaluate a clinical debriefing program in their clinical environment to train a multidisciplinary group of healthcare workers, especially if they are not simulation trained instructors or debriefers.

Learning Objectives: : By the end of this workshop, participants will be able to:
1. Identify the essential elements for developing an effective Train-the-debriefer program in their clinical environment.
2. Conduct targeted needs assessment for program development, including assessment of the background knowledge, experiences, and perceptions about debriefing critical events in their own specific units.
3. Discuss and practice different methods to evaluate the competency of the trained debriefers and the quality of the debriefing process.

Intended Audience: : This workshop is appropriate for all level simulation instructors, quality improvement (QI) leaders, patient safety leaders, and anyone interested in starting a formal debriefing program.

Relevance to the Conference: : Best practice for effective debriefings has been developed for simulation-based events, but debriefing clinical events deserves unique considerations. Ineffective clinical debriefing can potentially be counter-productive to improving future team performance, omit learning opportunities, or cause emotional harm. Many clinicians are not trained in any debriefing methodologies. A formal debriefing program, based on adaptations of principles from healthcare simulation debriefing, will help clinical teams reflect on their performance, identify latent safety threats, and improve future clinical outcomes. This workshop will focus on teaching participants the key components of developing, sustaining and evaluating a Train-the-debriefer program in their own clinical environment. Participants will also identify methods to overcome barriers to implementation of the program.

Workshop Timeline: : Introduction: Faculty and participant introductions, disclosure, objectives, agenda and pre-workshop assessment of learner’s experience (10 minutes)

Background and introduction to debriefing in simulation vs. actual clinical environment. (10 minutes)

Interactive sessions: Participants will be asked to work in small groups (3-5 people) then share with the big group:
1. To identify the essential elements for developing an effective debriefing program in their own clinical environment and potential barriers (20 minutes)
2. To brainstorm different implementation methodologies and possible solutions to the potential barriers then share with the big group. (20 minutes)
3. A video recording of a simulated clinical event debriefing will be viewed by participants and different evaluation methodologies will be discussed to evaluate the debriefing session. Participants will then be asked to utilize a modified DASH evaluation tool and provide their feedback. (20 minutes)

Final summary, conclusion and questions. (10 minutes)





Mona Khattab, MD, MS

Assistant Professor of Pediatrics and Neonatology
Baylor College of Medicine
Houston

Mona Khattab, MD, MS, FAAP
Assistant Professor of Pediatrics and Neonatology
Program Director of Neonatal Simulation
Department of Pediatrics
Baylor College of Medicine
Texas Children's Hospital

I am an Assistant Professor of Pediatrics and Neonatology at Baylor College of Medicine, and the Director of Neonatal Simulation at Texas Children’s Hospital. During my Neonatology fellowship at Yale University Hospital, I have developed interest in simulation and medical education. I became an instructor at the SYN:APSE Simulation Center at Yale-New Haven University Hospital. As I started my faculty position at Baylor College of Medicine, I became one of the leaders of the Quality and Safety Council at Texas Children’s Hospital.
As a Pediatrician and a dedicated Neonatologist, I view caring for neonates and children a humbling honor and privilege. Parents place what they hold most dear, fully and willingly in our trust, and we are given the opportunity to care for these babies at their most vulnerable time. It is a necessary and serious responsibility to ensure that we “Do No Harm” that might affect those delicate, fragile babies and children for the rest of their lives. I am committed to using simulation as a strong tool to ensure quality and safety of patients in our medical care.

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Cara B. Doughty, MD, MEd

Associate Professor of Pediatrics, Director of Simulation
Baylor College of Medicine
Houston, TX

I am currently an Associate Professor of Pediatrics at Baylor College of Medicine, Medical Director of the Texas Children’s Hospital Simulation Center, and Co-Director of the PEM fellowship. I also serve as a member of the IPSS Board of Directors. My interests lie in medical education and the use of simulation to improve medical education, especially related to resuscitation and patient safety.

I have created and directed multiple simulation curriculums over the past 10 years, reaching thousands of learners. Courses include multidisciplinary ED in situ simulation; PediStepps, a simulation-based course on pediatric resuscitation for Houston Fire Department, which has trained over 1500 EMTs and paramedics, with funding from the Cullen Foundation for Healthcare and City of Houston. In addition, I lead PEM fellows simulation training, and have received educational grants to study rapid-cycle deliberate practice for multidisciplinary teams. Procedural simulation programs include intern procedural skills training, and chest tube workshops (also grant-funded). I am involved in the INSPIRE network, and served as site PI for the QCPR leaderboard study. I have presented workshops and lectures locally, nationally, and internationally on simulation-related topics.

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Paul Mullan, MD, MPH

Associate Professor, Eastern Virginia Medical School
Children's Hospital of the King's Daughters

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David Kessler, MD, MSc

Assistant Professor of Pediatrics
New York Presbyterian Morgan Stanley Children's Hospital of New York Columbia University College of Physicians and Surgeons
NY

David Kessler, MD, MSc, is a longtime student of the growing art & science of simulation. David’s experience with simulation-based medical education, standardized patients, patient outcome oriented research, quality improvement, and change management has resulted to numerous grant-funded studies and peer-reviewed publications. As the director of clinical simulation for the Pediatric Emergency Medicine Division at Columbia University Medical Center David has focused on leveraging inter-professional simulation (in situ) to grow the culture of safety, strengthen teamwork/communication, and improve patient care. As co-director and one of the co-founders for INSPIRE, (International Network for Simulation-based Pediatric Innovation, Research and Education) an international pediatric research network focused on outcome oriented simulation research in acute care, resuscitation and skills—David has helped to grow a community of practice dedicated to collaboration and mentorship among investigators committed to scholarship in simulation. Personal interests include using simulation to plan and assess new clinical spaces, and integrating innovative technology into healthcare.

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Anne Ades, MD, MSEd

Professor of Clinical Pediatrics
Perelman School of Medicine, University of Pennsylvania
Philadelphia

Anne Ades is a physician with a masters of medical education. She is the Director of Neonatal Education at the Children's Hospital of Philadelphia and is the Neonatology Associate Director in the Center for Simulation and Advanced Education. She is a Professor of Clinical Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.

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Lauren Zinns, MD

Assistant Professor of Pediatrics and Emergency Medicine
The Icahn School of Medicine at Mount Sinai, New York

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Heather French, MD, MSEd

Associate Professor of Pediatrics
Perelman School of Medicine, University of Pennsylvania
Philadelphia

Heather French, MD, MSEd - I am an Associate Professor of Clinical Pediatrics at The Children's Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania. I serve as the Associate Fellowship Director and a simulation educator for the Division of Neonatology. My specific simulation interests are the evolution of leadership and followership in critical care teams.

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Heather Wolfe, MD

Assistant Professor of Anesthesia and Critical Care Medicine
Children’s Hospital of Philadelphia
Philadelphia

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Send Email for Jennifer Arnold


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