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Videos of simulated after action reviews a training resource to support social and inclusive learning from patient safety events.pdf (1.18 MB)

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

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journal contribution
posted on 2023-08-25, 13:41 authored by Siobhan McCarthySiobhan McCarthy, Catherine Hogan, Loretta Jenkins, Lorraine Schwanberg, David WilliamsDavid Williams, Lisa MellonLisa Mellon, Aisling WalshAisling Walsh, Theresa Keane, Natasha RafterNatasha Rafter

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. 

Funding

Health Research Board Applied Partnership Award (APA-2019–024)

Health Service Executive in Ireland

History

Comments

The original article is available at https://bmjopenquality.bmj.com

Published Citation

McCarthy SE, et al. Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. BMJ Open Qual. 2023;12(3):e002270.

Publication Date

8 August 2023

PubMed ID

37553274

Department/Unit

  • Graduate School of Healthcare Management
  • Medicine
  • Beaumont Hospital
  • Health Psychology
  • School of Population Health
  • Public Health and Epidemiology

Publisher

BMJ Publishing Group Ltd.

Version

  • Published Version (Version of Record)