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Debriefing

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Wherever possible it helps to have a facilitated debrief following an adverse clinical event. It is best if the debrief is viewed as a normal part of the process of dealing with all obstetric emergencies rather than being reserved for catastrophic events. The aim of a debrief is to summarise any particular issues or problems that the team had, and reflect on how the team performed. Some organisations have set templates to facilitate this. It gives the opportunity for individuals, teams and organisations to continually develop.

Whilst a ‘hot’ debrief immediately after the event may be useful in certain situations, it is not always ideal. Some situations in obstetrics can be emotionally draining, especially when maternal or neonatal outcome is poor. A balance must be established whereby formal debrief and feedback to all involved team members occurs within a reasonably short timeframe. All team members must be aware of looking out for the emotional needs of colleagues who may have been particularly emotionally traumatised during an emergency situation.

Managing Medical and Obstetric Emergencies and Trauma

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