Skip to main content

ORIGINAL RESEARCH article

Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1427061
This article is part of the Research Topic Opportunities and Challenges of Interprofessional Collaboration and Education - Volume II View all articles

Effective debriefings in the clinical setting: a pilot study to test the impact of an evidence based debriefing app on anesthesia care providers' performance

Provisionally accepted
Julia Seelandt Julia Seelandt 1Jeannine Schneider Jeannine Schneider 1Michaela Kolbe Michaela Kolbe 1,2Bastian Grande Bastian Grande 1,2*
  • 1 University Hospital Zürich, Zurich, Switzerland
  • 2 ETH Zürich, Zurich, Zürich, Switzerland

The final, formatted version of the article will be published soon.

    Debriefing enhances team learning, performance, and patient safety. Despite its benefits, it's underused. To address this, we developed an evidence-based debriefing app.This pilot study, conducted at a Swiss hospital, evaluated team performance during two anesthesia inductions using the Team Performance Scale (TPS). Following the first induction, teams engaged with the Zurich Debriefing App, with debriefing sessions meticulously recorded for subsequent evaluation. To mitigate bias, raters underwent comprehensive TPS training. The debriefings were analyzed through the DE-CODE framework. We utilized paired t-tests to examine performance improvements and linear regressions to assess the impact of reflective statements on performance, moderated by psychological safety.Team performance significantly improved from the first to the second induction (t(9) = -2.512, p = .033). Senior physicians' (n=8) reflective statements predicted post-assessment TPS scores (R2 = .732, p = .061), while consultants (n=7) and nurse anesthetists (n=10) did not. Interaction analysis revealed no moderation effects, but a main effect indicated the significance of senior physicians' reflective statements.This pilot study confirms the efficacy of the evidence-based debriefing app in enhancing anesthesia team performance. Senior physicians' reflective statements positively influenced performance; however, no moderation effects were observed. The study highlights the potential of debriefing apps to streamline and enhance team debriefing processes, with significant implications for improving clinical practice and patient safety. Further research is needed to validate these findings on a larger scale and optimize the integration of debriefing into routine clinical practice.

    Keywords: Self-debriefing, reflective statements, Team learning, team performance, debriefing application

    Received: 02 May 2024; Accepted: 03 Jul 2024.

    Copyright: © 2024 Seelandt, Schneider, Kolbe and Grande. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Bastian Grande, University Hospital Zürich, Zurich, Switzerland

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.