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PSNet: Patient Safety Network
Journal Article

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.

Percarpio KB, Harris FS, Hatfield BA, et al. Joint Commission journal on quality and patient safety. 2010;36:424-9, 385.

The Department of Veterans Affairs Medical Team Training program is among the most effective in demonstrating meaningful outcomes. While similar teamwork training programs continue to emerge, many have increasingly focused on the adoption of specific tools such as debriefings in the surgical setting. This study describes a cardiopulmonary resuscitation (CPR) debriefing tool to guide postcode discussion and collect information on the code event. The authors share the practical development of the tool, its application, and lessons learned from implementation. They highlight how the tool and postcode discussions have guided identification and resolution of issues in the CPR code process, including code response times and satisfaction among team members.