title: Accuracy of Postresuscitation Team Debriefings in a Pediatric Emergency Department.
abstract: OBJECTIVE
  Guideline committees recommend postresuscitation debriefings to improve performance. "Hot" postresuscitation debriefings occur immediately after the event and rely on team recall. We assessed the ability of resuscitation teams to recall their performance in team-based, hot debriefings in a pediatric emergency department (ED), using video review as the criterion standard. We hypothesized that debriefing accuracy will improve during the course of the study.
  
  
  METHODS
  Resuscitation physician and nurse leaders cofacilitated debriefings after ED resuscitations involving cardiopulmonary resuscitation (CPR) or intubation. Debriefing teams recorded their self-assessments of clinical performance measures with standardized debriefing forms. The debriefing form data were compared with actual performance measured by video review at 2 pediatric EDs over 22 months. CPR performance measures included time to automated external defibrillator pad placement, epinephrine administration timing, and compression pause timing. Intubation measures included occurrences of oxygen desaturation, number of intubation attempts, and use of end-tidal carbon dioxide monitoring.
  
  
  RESULTS
  We analyzed 100 resuscitations (14 cardiac arrests, 22 cardiac arrests with intubation, and 64 intubations). The accuracy of debriefing answers was 87%, increasing from 83% to 91% between the first and second halves of the study period (7.7% difference; 95% confidence interval 0.2% to 15%). Debriefings that acknowledged an error in certain performance measures (ie, automated external defibrillator pad placement delay, multiple intubation attempts, and occurrence of oxygen desaturation) had significantly worse performance in those specific measures on video review.
  
  
  CONCLUSIONS
  Teams in postresuscitation debriefings had a higher degree of debriefing answer accuracy in the final 50 debriefings than in the first 50. Teams also distinguished various degrees of resuscitation performance.
authors.affiliation: Division of Emergency Medicine, Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, VA; Division of Emergency Medicine, Children's National Health System, Washington, DC; George Washington University School of Medicine and Health Sciences, Washington, DC. Electronic address: mullan20@gmail.com.
authors.forename: Paul C
authors.initials: PC
authors.lastname: Mullan
authors.affiliation: Georgetown University School of Medicine, Washington, DC.
authors.forename: Niall H
authors.initials: NH
authors.lastname: Cochrane
authors.affiliation: Division of Emergency Medicine, Children's National Health System, Washington, DC; George Washington University School of Medicine and Health Sciences, Washington, DC.
authors.forename: James M
authors.initials: JM
authors.lastname: Chamberlain
authors.affiliation: Division of Trauma and Burn Surgery, Children's National Health System, Washington, DC; George Washington University School of Medicine and Health Sciences, Washington, DC.
authors.forename: Randall S
authors.initials: RS
authors.lastname: Burd
authors.affiliation: Division of Emergency Medicine, Children's National Health System, Washington, DC.
authors.forename: Fawn D
authors.initials: FD
authors.lastname: Brown
authors.affiliation: Division of Emergency Medicine, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
authors.forename: Lauren E
authors.initials: LE
authors.lastname: Zinns
authors.affiliation: Division of Emergency Medicine, Children's National Health System, Washington, DC.
authors.forename: Kristen M
authors.initials: KM
authors.lastname: Crandall
authors.affiliation: Division of Emergency Medicine, Children's National Health System, Washington, DC; George Washington University School of Medicine and Health Sciences, Washington, DC.
authors.forename: Karen J
authors.initials: KJ
authors.lastname: O'Connell
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000193:education* / Q000592:standards; D002648:Child; D002983:Clinical Competence / Q000592:standards*; D003299:Cooperative Behavior; D004636:Emergency Service, Hospital / Q000592:standards*; D005246:Feedback; D019983:Guideline Adherence; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D010348:Patient Care Team / Q000592:standards*; D010372:Pediatrics / Q000193:education*; D017410:Practice Guidelines as Topic; D018794:Problem-Based Learning; D058996:Quality Improvement / Q000592:standards; D012189:Retrospective Studies; D014481:United States; D014741:Video Recording