EVALUATION OF AN ELECTRONIC TOOL FOR HOT DEBRIEFING

TOPIC: Critical Care TYPE: Original Investigations PURPOSE: The American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care have recommended that rapid responses cardiac arrests be debriefed. A "hot" structured debrief immediately after the event is one strategy which maximizes participation from team. METHODS: Using MIDAS+ occurrence reporting software an electronic tool was developed to facilitate standardize a hot of management. Led by critical fellow, series pre-populated question prompts guides discussion aims collect quality measures such as adherence ACLS protocols, recognition understanding assigned roles, disagreements amongst Additionally, characterizes can used report equipment malfunction, personnel delays, medication or any additional concerns. RESULTS: From January 2019 March 2021 there were 1,430 documented events throughout our three campus, academic medical center: 907 (63.4%), 364 arrest codes (25.5%), 159 progressed (11.1%). leading indications calling response follows: respiratory 41.3%, 27.5%, neurologic 26.4% medical/other 4.8%. primary rhythm were: pulseless electrical activity 50.3%, asystole 43.1%, ventricular fibrillation 4.0%, tachycardia 2.5%. Our analysis demonstrated in most team leader clearly identified (97.5%), clear delegation roles (96.7%) along with those (95.9%). Disagreements teams rare (12.5%) so deviations algorithm (9.4%). Following nearly every family (93.7%) service notified (94.5%). performed at end 95.2% events. CONCLUSIONS: demonstrates standardized questionnaire effectively guide document arrests. CLINICAL IMPLICATIONS: data shows implementation debriefing feasible immediate post setting. This work advance improvement investigation initiatives. DISCLOSURES: No relevant relationships Ari Moskowitz, source=Web Response Ariel Shiloh, Joshua Tunnage,