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Table 4 Qualitative responses by PRD tool by theme

From: Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks

Theme

PCP

DISCERN

Items identified as done well

  Communication

“excellent closed loop communication” “direct [and] focus[ed]” “summarize[d] plan” “procedure pause prior to intubation”

“clear communication about meds needed” “people talking loud enough for recorder to hear” “closed loop communication” “calm in the room”

  Team Function

“shared mental model of priorities” “clear instructions, loud succinct team leader” “utilized interdisciplinary team”

“organize resuscitation, all roles were assigned” “clear leader, documenter knew what was happening” “quick team assembled”

  Quality of Care

“respectful of cultural practice” “able to get family in”

“updating parents throughout” “advocated for patient to have dad present” “mom’s request being honoured by the ED team”

  Equipment

“quick provision of meds [and] equipment”, “adequate equipment”

“use of language line…code blue button use” “use of FAST” “CT quick”

  Preparation

“early identification of a sick patient” “good anticipation” “quick, effective recognition of [a] critical situation”

“initiated quickly, appropriate assessment of intervention” “everyone aware prior to patient arrival…plan in place prior…” “very rapid response by the code team” “prompt treatment”

  Support

“support each other” “respected student[s]” “juniors well supported”

“bedside teaching awesome” “respected the space for learners” “junior learner: well supported, good educational value”

Identified areas of improvement

  Communication

“communication between attendings not clean” “better closed loop communication” “better system available to communicate for OR and ISR” “SBAR to PICU” “too noisy at the nursing station, nurses & MDs talking outside room” “speak up if something not as it should be (front line person)”

“More vocalization” “[remember] close loop and clear who lead is” “recap presentation for others” “more closed loop communication in terms of plan & future interventions”

  Team Function

“better documentation of orders” “[involvement] of security to help manage crowd” “PACE very disorganized” “more clear role description of resus leader” “clear team leader”

“EMS blocking head of bed” “the leader role was not clear” “clear role definition” “way to identify ER staff/position for PICU coming in to assist”

  Quality of Care

cultural awareness…access to ethics” “assign 1 person to communicate with parents” “ongoing updating to the family during resuscitation…who’s role?”

“child life should have been allowed in” “parents could’ve been brought in sooner” “mom should have been filled in prior [to] coming into room” “support for mom”

  Equipment

“curved blade would have been helpful” “computer to chart would have been handy” “no 3% saline nebs in the trauma rooms”

“no emergency UVC kit on code card” “improvement with implementing epileptic order set” “trouble getting team paged” “code pink not announced officially by button”

  Preparation

“delay in consult service arrival” “plan to give alert for exchange [transfusion] to make sure everything is ready so when we need blood, will be ready” “call code whenever team wants” “BP/temp sooner” “move to resus sooner”

“ > 2 h prep time [for exchange transfusion]…next time to initiate earlier” “prepare all emergency medications…anticipating for the worst” “delayed identification of clinical status”

  Support

“Not to be afraid, hesitant to activate [code]” “continue to provide support to rotating learners”

“positioning of learners” “recognized learners in situation”