Capturing Simulations for Better
Debriefings
Darin Bowers
Regional Simulation Consultant
Southern California Kaiser Permanente
Declaration:
• Kaiser Permanente, southern California region
• No other financial interests
• Each SCAL Kaiser Permanente hospital owns Laerdal,
Gaumard, and Blue Phantom simulators
• SCAL Kaiser Permanente uses the Laerdal Debriefing
Software and Studiocode software
Learning Objectives:
• Discuss benefits of using video in debriefing
• Discuss confidentiality and consent issues related to
video recording simulation performances
• Record a simulation using the simulator’s web camera
• Access and view the debriefing file using the debrief
viewer
• Save and distribute the debriefing video
• Add comments to the debriefing video
Background:
• 4 years U.S. Army medic and National Registry EMT-B
o Mega simulation (i.e., beans, bullets and bandages)
• B.A. and M.A. in Anthropology (Historical Archaeology)
• 8 years audio/visual and computer support
o CompTIA A+ Certification (IT Technician)
o Extron Certified A/V Associate
• 2 years simulation technician at Cal State Fullerton
• 2 ½ years simulation coordinator/consultant at Kaiser
Permanente
oACLS
Why do we Simulate?
PowerPoint Presentations are Boring
•
“Last week I gave a fire
safety talk and nobody paid
any attention. It’s my own
fault for using PowerPoint.
PowerPoint is boring.”
PowerPoint Presentations are Ineffective
Simulation
Kaiser Permanente Focus for Simulation
• Teamwork and Communication
• Majority of errors are related to communication
• Whole team participates (MD, RN, ED techs, etc…)
• System issues
• e.g., wrong IV tubing for pump
• Low frequency, high stress events
• Pediatric codes
Why do we Record
Simulations?
Why we Record Debriefings?
“Many consider debriefing to be the most important
component of simulation based education.
One could use a static mannequin without all the bells
and whistles and achieve profound success…by virtue of
the skill, dedication and techniques of the debriefing
instructor only.
The instructor is the centerpiece of the endeavor.”
Mort and Donahue, 2004
Why we Record Simulations?
• Perceived performance vs. actual performance
• Watching performance from the outside
• Golf swing
• Throwing the ET tube
• Three components of cultural behavior
• Concrete and indisputable
• Clearly illustrate “anchor” events
• Time to shockable rhythms, identification of
shockable rhythm, decision to shock, etc…
Confidentiality and Consent
Issues
Confidentiality and Consent Issues Related to Video
Recording
• All video/audio is erased after training session
ends
• Precedence has been set from legal action
• Announce before training that recording will occur
• Visibly erase recordings after training session
• Scrub hard drives
Confidentiality and Consent Issues Related to Video
Recording
Video recording without audio is typically
legal without consent
•
• Except changing room, showers, etc…
• Video recording with audio is almost
always illegal without consent
Confidentiality and Consent Issues Related to Video
Recording
• One Party-Consent
• Only one participant has to consent to
recording
• e.g., Manager recording employees
conversation
• Two Party-Consent
• All parties have to consent to recording
• Once informed if they continue talking,
consent is implied
Let’s Record a Simulation!
Pearls of Wisdom
•
Audio is most important, video is secondary
• Focal point of action is the participants, not the
manikin
• Show segments of video with brief introduction
• Comments are added when you click enter…
type fast
• Flash drives, CD-ROMs, and DVDs are not
adequate for long term storage… use a hard drive
Pearls of Wisdom
•
Properly dispose of debriefings
• Deleting a file from a computer does not erase it
from the hard drive… scrub scrub scrub
• Ensure that videos are only used/distributed in
accordance with your signed consent form
Questions?