Learning and improving together,
building a supportive culture of safety in healthcare.
TALK is a tool designed to guide clinical team debriefing.
It may be used after any learning event.
It promotes a supportive culture of learning and patient safety.
The World Health Organisation recommends clinical debriefing after tasks, shifts or events.
It promotes team reflexivity, aligns with Safety II principles and allows organisation leaders to engage clinicians in collaborative change.
Clinical debriefing is a team conversation about what has happened during a case. Any aspects of patient care may be discussed and everybody's perspectives matter
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Step 1: Target
What shall we discuss to improve patient care?
Share your perspective
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Step 2: Analysis
Explore your agreed target, if appropriate consider:
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What helped or hindered....communication / decision making / situational awareness?
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How can we repeat successful performances or improve?
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Step 3: Learning Points
What can the team learn from the experience?
What can the team learn from the conversation?
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Step 4: Key Actions
What can we do to improve and maintain patient safety?
Who will take responsibility for actions? Who will follow up?
Our underlying drive is to promote guided reflection within teams as a way to improve and maintain patient safety, increase efficiency and contribute to a supportive culture of dialogue and learning in any clinical environment.
Values
Positivity: Identify positive strategies and behaviours.
Avoid negative comments, choose neutral expressions.
Focus on finding solutions, rather than pointing out blame.
Professional communication, valuing everybody's input.
Step by step: Identify small objectives and follow up outcomes.