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PSNet: Patient Safety Network
Journal Article

Debrief it all: a tool for inclusion of Safety-II.

Bentley SK, McNamara S, Meguerdichian MJ, et al. Adv Simul (Lond). 2021;6(1):9.

Debriefing is a communication strategy for teams to improve patient safety by learning from critical events, reducing reoccurrences, and improving processes. The authors developed and pilot-tested a debriefing tool to broaden the traditional focus of debriefs from “what went wrong” to also include what went right. In three debriefs conducted without the new tool, teams discussed an average of 14 topics; in three debriefs using the new tool, an average of 21 topics were discussed.  The authors propose debriefing when things go right will increase debriefings overall.