Anesthesiology Residents Process Critical Events

Debriefing: In this qualitative study, anesthesiology residents were interviewed regarding their reactions to 25 critical events with which they were involved.  Fifteen of these events were followed by a debriefing which occurred during the same day as the event.  Within these interviews, the investigators achieved “saturation”, meaning that no new themes were identified in the later interviews.  The residents described a 4-stage process:  1) internal dialogue, 2) event documentation, 3) debriefing or other conversations proximal to the even, and 4) mulling over the lessons learned.  Not every event generated issues from each stage.  At each stage, 3 main issues could be addressed: culpability, reputation, and responses both affective/social and medical/technical.  Examples of the latter included deciding to not trust certain individuals, or ensuring adequate IV access for oneself.  Debriefing was perceived as potentially having either beneficial or harmful effects on the resident. — Laura Willett, MD

Sweeney, Rachel E.; Clapp, Justin T. PhD, MPH; Arriaga, Alexander F. MD, MPH, ScD; Muralidharan, Madhavi; Burson, Randall C. II; Gordon, Emily K.B. MD, MSEd; Falk, Scott A. MD; Baranov, Dimitry Y. MD; Fleisher, Lee A. MD Understanding Debriefing A Qualitative Study of Event Reconstruction at an Academic Medical Center, Academic Medicine: September 17, 2019

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