Abstract

The debrief process as we know it consists of very short informal feedback sessions that occur immediately after events and are designed to identify opportunities to improve teamwork skills and outcomes. The staff at Baylor University Medical center realized through results of the debrief process that there were not enough hands in the room, there was a need for consistent language, and the charge nurse was not always aware of emergent situations. Implementation of the debrief process for unexpected events proved to be successful in our facility; however, staff buy-in remained challenging.

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