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Managing psychological safety in debriefings: a dynamic balancing act
  1. Michaela Kolbe1,2,
  2. Walter Eppich3,
  3. Jenny Rudolph4,5,
  4. Michael Meguerdichian6,7,
  5. Helen Catena8,
  6. Amy Cripps8,
  7. Vincent Grant8,9,
  8. Adam Cheng8,9
  1. 1 Simulation Center, University Hospital Zurich, Zurich, Switzerland
  2. 2 Department of Managment, Technology, and Economics, ETH Zurich, Zurich, Switzerland
  3. 3 Northwestern University Feinberg School of Medicine, Departments of Pediatrics and Medical Education, Chicago, Illinois, USA
  4. 4 Center for Medical Simulation, Boston, Massachusetts, USA
  5. 5 Department of Anesthesia, Massachusetts General Hospital, Boston, Massachusetts, USA
  6. 6 Harlem Hospital Center, New York City, New York, USA
  7. 7 H+H Simulation Center, New York City, New York, USA
  8. 8 KidSIM Simulation Program, Alberta Children’s Hospital, Calgary, Alberta, Canada
  9. 9 Departments of Pediatrics and Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  1. Correspondence to Dr Michaela Kolbe, Simulation Center, University Hospital Zurich, 8091 Zurich, Switzerland; mkolbe{at}ethz.ch

Footnotes

  • Contributors AC and MK conceived the idea. MK wrote the first draft of manuscript. WE contributed to the two-column case to demonstrate key concepts in action. JR contributed to the concepts and text regarding ‘breaches’ of psychological safety and wrote first draft of section on naming the dynamic. All authors edited and revised manuscript, and approved of the final manuscript for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests MK, WE, MM, VG, AC, HC and AC are faculty for the Debriefing Academy, which runs debriefing courses for healthcare professionals. MK is faculty at the Simulation Center of the University Hospital Zurich, also providing debriefing faculty development training. JR is faculty at the Center for Medical Simulation, providing debriefing faculty development training. WE receives salary support from the Center for Medical Simulation to teach on simulation educator courses; he also receives per diem honorarium from PAEDSIM e.V. to teach on simulation educator courses in Germany.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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Footnotes

  • Contributors AC and MK conceived the idea. MK wrote the first draft of manuscript. WE contributed to the two-column case to demonstrate key concepts in action. JR contributed to the concepts and text regarding ‘breaches’ of psychological safety and wrote first draft of section on naming the dynamic. All authors edited and revised manuscript, and approved of the final manuscript for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests MK, WE, MM, VG, AC, HC and AC are faculty for the Debriefing Academy, which runs debriefing courses for healthcare professionals. MK is faculty at the Simulation Center of the University Hospital Zurich, also providing debriefing faculty development training. JR is faculty at the Center for Medical Simulation, providing debriefing faculty development training. WE receives salary support from the Center for Medical Simulation to teach on simulation educator courses; he also receives per diem honorarium from PAEDSIM e.V. to teach on simulation educator courses in Germany.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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