Board 336 - Research Abstract Inexperienced Debriefer Use of the DASH Tool to Assess Peer Debrief Performance (Submission #1089)

Abstract

Introduction/Background The DASH© tool is a debriefing assessment scale that has been developed by the Harvard Medical Simulation Centre for use by those trained in its use, and is a valid and reliable measure when used in such a fashion. 1 There is no data on its use by the inexperienced and untrained debriefer. The tool requires the assessor to assess across six domains covering all aspects of the debrief, with each point scored on a seven point Likert-like scale. Methods Five inexperienced participants in a faculty development programme were invited to each debrief one pre-recorded simulation scenario. The other four participants observed this debriefing and were asked to complete a DASH evaluation of that debriefing with only a short introduction to the use of the tool. These responses were recorded anonymously and descriptive analysis of the responses performed and non-parametric statistical analysis to establish any significant difference between assesees or domains. Results Twelve completed assessments were returned out of a total of 16 possible. The mean response across all questions for all completed responses was 4.48 (sd 0.45). Individual domain mean responses were all in the range 3.92 to 4.92. Standard deviation for responses across the data set indicated little spread (range 0.65 to 1.24). Kruskal-Wallis analysis demonstrated no significant difference between assesses for any domain of the DASH tool. Analysis of response to each domain similarly revealed a narrow distribution around the median value, with only one response falling out with the range three to six. Again, there was no significant difference across domains for any response. Conclusion These Results suggest that the inexperienced debriefer when using the DASH tool may default towards the median value in the seven-point scale, possibly with a tendency towards more positive response. There appeared to be a hesitancy to use the extremes of the scale. The inexperienced debriefer may not have the confidence or experience to accurately assess and feedback on others performance in debrief and further work should be done to examine this more closely. Reference 1. Brett-Fleegler M, Rudolph JW, Eppich WJ, Fleegler E, Cheng A, Simon RS. Debriefing Assessment for Simulation in Healthcare (DASH): Assessment of teh Reliability of a Debriefing Instrument. 2009;4(4):240–325. Disclosures None.