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Pediatr Emerg Care. 2020 Feb 1. doi: 10.1097/PEC.0000000000001982. [Epub ahead of print]

Evaluation of an Online Educational Tool to Improve Postresuscitation Debriefing in the Emergency Department.

Author information

1
From the Pediatric Emergency Department, Pediatric Emergency Department, Arnold Palmer Hospital for Children, Orlando, FL.
2
Pediatric Emergency Department, Children's Hospital of the King's Daughters, Norfolk, VA.
3
Emergency Medicine Department, Academic Clinical Research for Orlando Health.
4
Pediatric Critical Care.
5
Pediatric Emergency Department, Arnold Palmer Hospital for Children, Orlando, FL.
6
Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, FL.
7
Emergency Physicians of Central Florida, Orlando, FL.
8
Division of Biostatistics, Children's Hospital of The King's Daughters, Norfolk, VA.
9
Pediatric Emergency Department at The Children's Hospital of Philadelphia, Philadelphia, PA Pediatric Emergency Department, Mount Sinai Hospital, New York, NY.

Abstract

OBJECTIVE:

Postresuscitation debriefing (PRD) addresses Accreditation Council for Graduate Medical Education core competencies and is recommended by the American Heart Association. Postresuscitation debriefing improves resuscitation outcomes, promotes team morale, supports emotional well-being, and reduces burnout. Despite these benefits, PRD occurs infrequently. Commonly cited barriers to PRD include lack of training and comfort in facilitating PRD. We are unaware of any video-based educational tools that train physicians in PRD. We aimed to evaluate the impact of an educational tool on the frequency of PRD using a before- and after-study design.

METHODS:

We created and distributed a 20-minute, video-based educational tool via youtube.com on PRD to pediatric emergency medicine (EM) fellows, pediatric EM attendings, senior EM residents, and EM attending physicians. Participants completed web-based surveys before, immediately after, and 3 months after watching the tool. We analyzed the effects of participation on PRD knowledge, comfort conducting PRD, and frequency of PRD performance.

RESULTS:

Thirty-five (63%) of 56 participants completed all 3 surveys. Participation in our study showed significant improvements in reported frequency of performing PRD (23% presurvey, 38% follow-up survey; 95% confidence interval [CI], 2%-29%; P = 0.03), perceived knowledge of PRD (odds ratio, 6.1; 95% CI, 3.05-12.29; P < 0.001), and comfort in conducting PRD (odds ratio, 3.7; 95% CI, 1.96-7.03; P < 0.001). Most respondents (94%) reported that the tool was worthwhile. Most (83%) would recommend the tool to colleagues, and 86% reported positive effects on their teams with PRD.

CONCLUSIONS:

Implementation of a video-based educational tool on PRD in the emergency department was associated with increased provider report of PRD frequency, knowledge, and comfort level.

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