PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations
Modern healthcare organizations strive for continuous improvement in systems and processes to ensure safe, effective, and cost-conscious patient care. However, systems failures and inefficiencies lurk in every organization, often emerging only after patients have experienced harm or delays. Simulati...
Uložené v:
| Vydané v: | Simulation in healthcare : journal of the Society for Medical Simulation Ročník 14; číslo 5; s. 333 |
|---|---|
| Hlavní autori: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
United States
01.10.2019
|
| Predmet: | |
| ISSN: | 1559-713X, 1559-713X |
| On-line prístup: | Zistit podrobnosti o prístupe |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | Modern healthcare organizations strive for continuous improvement in systems and processes to ensure safe, effective, and cost-conscious patient care. However, systems failures and inefficiencies lurk in every organization, often emerging only after patients have experienced harm or delays. Simulation and debriefing, focused on identifying systems gaps, can proactively lead to improvements in safety and quality. Systems-focused debriefing requires a different approach than traditional, learner-focused debriefing. We describe PEARLS for Systems Integration, a conceptual framework, debriefing structure and script that facilitators can use for systems-focused debriefing. The framework builds on Promoting Excellence And Reflective Learning in Simulation, using common debriefing strategies (plus/delta, focused facilitation, and directive feedback) in a modified format, with new debriefing scripts. Promoting Excellence And Reflective Learning in Simulation for System Integration offers a structured framework, adaptable for debriefing systems-focused simulations, to identify systems issues and maximize improvements in patient safety and quality. |
|---|---|
| AbstractList | Modern healthcare organizations strive for continuous improvement in systems and processes to ensure safe, effective, and cost-conscious patient care. However, systems failures and inefficiencies lurk in every organization, often emerging only after patients have experienced harm or delays. Simulation and debriefing, focused on identifying systems gaps, can proactively lead to improvements in safety and quality. Systems-focused debriefing requires a different approach than traditional, learner-focused debriefing. We describe PEARLS for Systems Integration, a conceptual framework, debriefing structure and script that facilitators can use for systems-focused debriefing. The framework builds on Promoting Excellence And Reflective Learning in Simulation, using common debriefing strategies (plus/delta, focused facilitation, and directive feedback) in a modified format, with new debriefing scripts. Promoting Excellence And Reflective Learning in Simulation for System Integration offers a structured framework, adaptable for debriefing systems-focused simulations, to identify systems issues and maximize improvements in patient safety and quality. Modern healthcare organizations strive for continuous improvement in systems and processes to ensure safe, effective, and cost-conscious patient care. However, systems failures and inefficiencies lurk in every organization, often emerging only after patients have experienced harm or delays. Simulation and debriefing, focused on identifying systems gaps, can proactively lead to improvements in safety and quality. Systems-focused debriefing requires a different approach than traditional, learner-focused debriefing. We describe PEARLS for Systems Integration, a conceptual framework, debriefing structure and script that facilitators can use for systems-focused debriefing. The framework builds on Promoting Excellence And Reflective Learning in Simulation, using common debriefing strategies (plus/delta, focused facilitation, and directive feedback) in a modified format, with new debriefing scripts. Promoting Excellence And Reflective Learning in Simulation for System Integration offers a structured framework, adaptable for debriefing systems-focused simulations, to identify systems issues and maximize improvements in patient safety and quality.STATEMENTModern healthcare organizations strive for continuous improvement in systems and processes to ensure safe, effective, and cost-conscious patient care. However, systems failures and inefficiencies lurk in every organization, often emerging only after patients have experienced harm or delays. Simulation and debriefing, focused on identifying systems gaps, can proactively lead to improvements in safety and quality. Systems-focused debriefing requires a different approach than traditional, learner-focused debriefing. We describe PEARLS for Systems Integration, a conceptual framework, debriefing structure and script that facilitators can use for systems-focused debriefing. The framework builds on Promoting Excellence And Reflective Learning in Simulation, using common debriefing strategies (plus/delta, focused facilitation, and directive feedback) in a modified format, with new debriefing scripts. Promoting Excellence And Reflective Learning in Simulation for System Integration offers a structured framework, adaptable for debriefing systems-focused simulations, to identify systems issues and maximize improvements in patient safety and quality. |
| Author | Eppich, Walter Grant, Vincent Dubé, Mirette M Cheng, Adam Reid, Jennifer Kaba, Alyshah Stone, Kimberly |
| Author_xml | – sequence: 1 givenname: Mirette M surname: Dubé fullname: Dubé, Mirette M organization: From Foothills Medical Center (M.D.), Alberta Health Services; Cumming School of Medicine (M.D.), University of Calgary, Calgary, Alberta, Canada; Division of Emergency Medicine (J.R.), Department of Pediatrics, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, WA; Process Improvement and eSIM (A.K.), Alberta Health Services; Department of Community Health Sciences (A.K.), Cumming School of Medicine, University of Calgary, Calgary; Department of Pediatrics and Emergency (A.C.), Medicine University of Calgary Alberta, Children's Hospital, Calgary, Alberta, Canada; Northwestern University Feinberg School of Medicine (W.E.), Chicago, IL; Department of Pediatrics (V.G.), Cumming School of Medicine, University of Calgary; KidSIM Pediatric Simulation Program (V.G.), Alberta Children's Hospital, Calgary, Alberta; and Division of Emergency Medicine (K.S.), Department of Pediatrics, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, WA – sequence: 2 givenname: Jennifer surname: Reid fullname: Reid, Jennifer – sequence: 3 givenname: Alyshah surname: Kaba fullname: Kaba, Alyshah – sequence: 4 givenname: Adam surname: Cheng fullname: Cheng, Adam – sequence: 5 givenname: Walter surname: Eppich fullname: Eppich, Walter – sequence: 6 givenname: Vincent surname: Grant fullname: Grant, Vincent – sequence: 7 givenname: Kimberly surname: Stone fullname: Stone, Kimberly |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31135684$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkF9LwzAUxYMo7o9-A5E--tKZ2zRt4tuYmxtMFKvgW2nTmxFdm5m0yL69Y26w-3Luw-8cDmdAzhvbICE3QEdAZXqfLeYjenpMwBnpA-cyTIF9np_8PTLw_ovSmFMOl6THABhPRNwn-nU6fltmgbYuyLa-xdoHi6bFlStaY5uHYBw828pog1VwQGeuqPHXuu-96RFLZ1CbZnX0hzOrOr_jM1N3632MvyIXulh7vD7okHzMpu-Tebh8eVpMxstQ7fpAKJUUsU6KhCLVTIlIx0ykVEcJ8pIqpSDlWHGWFEKWJcQQM8REYiJ4RUupoyG5-8_dOPvToW_z2niF63XRoO18HkUsAhCSwQ69PaBdWWOVb5ypC7fNj9tEf0EbaCI |
| CitedBy_id | crossref_primary_10_1016_j_zefq_2024_03_005 crossref_primary_10_1016_j_anclin_2020_08_003 crossref_primary_10_1186_s41077_021_00181_1 crossref_primary_10_1177_2327857921101100 crossref_primary_10_1016_j_jcjq_2023_02_005 crossref_primary_10_1097_PCC_0000000000002435 crossref_primary_10_1097_PCC_0000000000002677 crossref_primary_10_1097_SIH_0000000000000604 crossref_primary_10_1097_SIH_0000000000000725 crossref_primary_10_1186_s41077_021_00160_6 crossref_primary_10_1186_s41077_021_00166_0 crossref_primary_10_1186_s41077_024_00291_6 crossref_primary_10_1016_j_ecns_2025_101773 crossref_primary_10_2147_AMEP_S517805 crossref_primary_10_1097_SIH_0000000000000497 crossref_primary_10_1016_j_prrv_2024_05_002 crossref_primary_10_1136_bmjqs_2021_013203 crossref_primary_10_1186_s41077_025_00364_0 crossref_primary_10_54531_JBXJ4450 crossref_primary_10_1016_j_ecns_2021_01_015 crossref_primary_10_1097_TA_0000000000003865 crossref_primary_10_1891_11_T_698 crossref_primary_10_1186_s41077_021_00169_x crossref_primary_10_1186_s41077_020_00121_5 crossref_primary_10_1016_j_jcjq_2023_11_004 crossref_primary_10_1097_SIH_0000000000000515 crossref_primary_10_3928_19382359_20201213_01 crossref_primary_10_1136_bmjstel_2020_000635 crossref_primary_10_1542_hpeds_2024_008312 crossref_primary_10_1097_SIH_0000000000000601 crossref_primary_10_1136_bmjoq_2024_003204 crossref_primary_10_1186_s41077_020_00132_2 crossref_primary_10_1007_s40124_020_00226_5 crossref_primary_10_1097_AIA_0000000000000312 crossref_primary_10_3928_19382359_20240908_01 crossref_primary_10_54531_rtsc6000 crossref_primary_10_1016_j_nedt_2025_106706 crossref_primary_10_1186_s41077_019_0108_7 crossref_primary_10_1186_s41077_020_00137_x crossref_primary_10_1016_j_ccc_2022_09_011 crossref_primary_10_4103_atm_ATM_114_20 crossref_primary_10_1136_bmjstel_2019_000579 crossref_primary_10_3928_01484834_20210520_09 crossref_primary_10_1016_j_cpem_2019_07_001 crossref_primary_10_1016_j_ecns_2021_08_011 crossref_primary_10_1016_j_jand_2021_06_011 crossref_primary_10_1016_j_jcjq_2025_06_005 crossref_primary_10_54531_jsvm5820 crossref_primary_10_1186_s41077_025_00349_z crossref_primary_10_1136_bmjstel_2020_000701 crossref_primary_10_1016_j_ecns_2019_10_006 crossref_primary_10_1097_SIH_0000000000000633 crossref_primary_10_1186_s41077_024_00320_4 crossref_primary_10_1007_s40746_020_00202_7 crossref_primary_10_1136_bmjqs_2020_011363 crossref_primary_10_1016_j_jen_2022_09_007 crossref_primary_10_1590_1980_265x_tce_2024_0240pt crossref_primary_10_54531_SGLY5841 crossref_primary_10_1111_pan_14386 crossref_primary_10_1097_pq9_0000000000000422 crossref_primary_10_1097_pq9_0000000000000664 crossref_primary_10_1177_19375867241229078 crossref_primary_10_1016_j_annemergmed_2022_08_015 crossref_primary_10_1186_s41077_024_00298_z crossref_primary_10_1186_s12912_023_01486_4 crossref_primary_10_1186_s41077_022_00237_w crossref_primary_10_1097_CEH_0000000000000359 crossref_primary_10_1007_s40272_024_00660_8 crossref_primary_10_1097_SIH_0000000000000621 crossref_primary_10_1016_j_jcjq_2025_02_007 crossref_primary_10_1186_s41077_021_00185_x crossref_primary_10_1111_nuf_12825 crossref_primary_10_1016_j_jcjq_2024_11_009 crossref_primary_10_1007_s10049_021_00933_6 crossref_primary_10_1097_SIH_0000000000000585 crossref_primary_10_1097_ACO_0000000000001375 crossref_primary_10_1097_SIH_0000000000000542 crossref_primary_10_1177_19375867211066933 crossref_primary_10_1177_1937586721999668 crossref_primary_10_1186_s41077_022_00209_0 crossref_primary_10_1016_j_nurpra_2025_105367 crossref_primary_10_1186_s12909_023_04690_7 crossref_primary_10_1002_oto2_145 crossref_primary_10_1136_bmjstel_2020_000650 crossref_primary_10_1590_1980_265x_tce_2024_0240en crossref_primary_10_1002_jhrm_70009 crossref_primary_10_1186_s41077_020_00150_0 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/SIH.0000000000000381 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1559-713X |
| ExternalDocumentID | 31135684 |
| Genre | Journal Article |
| GroupedDBID | --- .Z2 0R~ 53G 5VS AAAAV AAHPQ AAIQE AARTV AASCR ABASU ABBUW ABDIG ABJNI ABVCZ ABXVJ ABZAD ABZZY ACDDN ACEWG ACGFS ACILI ACNWC ACWDW ACWRI ACXJB ACXNZ ADGGA ADHPY ADNKB AEETU AFBFQ AFDTB AHQNM AHVBC AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BQLVK C45 CGR CUY CVF DIWNM DUNZO E.X EBS ECM EEVPB EIF EJD EX3 F5P FCALG FL- GNXGY GQDEL HLJTE HZ~ IKREB IN~ KD2 L-C NPM O9- OPUJH OUVQU OVD OVDNE OXXIT RLZ S4S TEORI TSPGW V2I W3M WOQ WOW ZY1 ZZMQN 7X8 ABPXF ADKSD |
| ID | FETCH-LOGICAL-c3561-9c984f6a60e0f3c82f43870f26e5b0ccc175ed536a89bb14143ee69e685d0b9f2 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 76 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000505546000008&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1559-713X |
| IngestDate | Thu Oct 02 11:03:58 EDT 2025 Thu Apr 03 07:02:02 EDT 2025 |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 5 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c3561-9c984f6a60e0f3c82f43870f26e5b0ccc175ed536a89bb14143ee69e685d0b9f2 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 31135684 |
| PQID | 2232118931 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_2232118931 pubmed_primary_31135684 |
| PublicationCentury | 2000 |
| PublicationDate | 2019-Oct 20191001 |
| PublicationDateYYYYMMDD | 2019-10-01 |
| PublicationDate_xml | – month: 10 year: 2019 text: 2019-Oct |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Simulation in healthcare : journal of the Society for Medical Simulation |
| PublicationTitleAlternate | Simul Healthc |
| PublicationYear | 2019 |
| SSID | ssj0045051 |
| Score | 2.4642012 |
| SecondaryResourceType | review_article |
| Snippet | Modern healthcare organizations strive for continuous improvement in systems and processes to ensure safe, effective, and cost-conscious patient care. However,... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 333 |
| SubjectTerms | Clinical Competence Educational Measurement Formative Feedback Humans Patient Safety Quality Improvement - organization & administration Simulation Training - organization & administration Systems Integration |
| Title | PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/31135684 https://www.proquest.com/docview/2232118931 |
| Volume | 14 |
| WOSCitedRecordID | wos000505546000008&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LS8QwEA7qinjx_VhfRPAatm36SLzIIlt2YXdZXIXeSpoH9GC7Wtff77RN9SQI9tBTBkLm9U1mMoPQnWKS-cbxiRESAhSaBUQwJYAhRjjKM4ZHzUPhaTSfsyThC3vhVtmyys4mNoZalbK-Ix-AG4NYBbyr-7B6I_XUqDq7akdobKIeBShTS3WUfGcRfPDubb_UgBMIxpLu6RyPBsvJuG1d2H2Uub-DzMbZxPv_3eYB2rMwEw9buThEG7o4Qjszm0g_RmYxGj5NlxggK7ZNy_HEdo4ATt3jIZ6VKjcAULFdGndlXA0R2CkIsg04vo6exKVcV7B-mb_amWDVCXqJR8-PY2JHLhBJAUkRLjmwLhShox1DJfOMT0GjjRfqIHOklIA2tApoKBjPMtcHtKV1yHXIAuVk3HinaKsoC32OMBORpp4JtBtlflQ34TGg_lLXNkWp0O2j2-4EUxDpOk8hCl2uq_TnDPvorGVDump7b6TUdWGjzL_4A_Ul2gV4w9vSuyvUM6DQ-hpty8-PvHq_aWQF_vPF7AtnMMdZ |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=PEARLS+for+Systems+Integration%3A+A+Modified+PEARLS+Framework+for+Debriefing+Systems-Focused+Simulations&rft.jtitle=Simulation+in+healthcare+%3A+journal+of+the+Society+for+Medical+Simulation&rft.au=Dub%C3%A9%2C+Mirette+M&rft.au=Reid%2C+Jennifer&rft.au=Kaba%2C+Alyshah&rft.au=Cheng%2C+Adam&rft.date=2019-10-01&rft.issn=1559-713X&rft.eissn=1559-713X&rft.volume=14&rft.issue=5&rft.spage=333&rft_id=info:doi/10.1097%2FSIH.0000000000000381&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1559-713X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1559-713X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1559-713X&client=summon |