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Debriefing after resuscitation

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Couper, Keith and Perkins, Gavin D. (2013) Debriefing after resuscitation. Current Opinion in Critical Care, Volume 19 (number 3). pp. 188-194. doi:10.1097/MCC.0b013e32835f58aa ISSN 1070-5295.

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Official URL: http://dx.doi.org/10.1097/MCC.0b013e32835f58aa

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Abstract

Purpose of review: Evidence of suboptimal cardiopulmonary resuscitation (CPR) delivery in practice has driven interest in strategies to improve CPR quality. Early data suggest that debriefing may be an effective strategy. In this review, we analyse types of debriefing and the evidence to support their usage.

Recent findings: There is a general lack of standardization in terminology and methods used for debriefing that limits evaluation. Debriefing interventions generally take two different formats. Hot debriefing is one where individuals or teams are provided with debriefing immediately after the event. Although perhaps the most widely used and easiest to implement, research evidence for its effectiveness is scant. Cold debriefing, where individuals or teams are provided with feedback sometime after the event, is associated with improvements in process and patient outcomes. Such feedback usually involves the use of objective performance data, such as defibrillator downloads or videotape records. Before and after cohort studies have found that both verbal debriefing in groups and individual written feedback seem to be associated with an improvement in performance.

Summary: Debriefing is a useful strategy to improve resuscitation performance, but the optimal delivery method remains unclear. Future high-quality research is required to identify the most effective form of debriefing.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Current Opinion in Critical Care
Publisher: Lippincott Williams & Wilkins
ISSN: 1070-5295
Official Date: 2013
Dates:
DateEvent
2013Published
Volume: Volume 19
Number: number 3
Page Range: pp. 188-194
DOI: 10.1097/MCC.0b013e32835f58aa
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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