Hot Debrief Form

27th April 2023

Hot Debrief

CLINICAL HOT DEBRIEF — STOP for 5 Minutes

Thank the full team and ask “Is everyone ok?” If YES then continue as below and STATE FIRST:

• We are going to have a 5 minute team debrief

• Purpose is to improve the quality of patient care it’s not a blaming session

• Your participation is welcomed but not compulsory

• All information discussed during the debrief is confidential

• This debrief is a learning tool and does not replace Datix as a reporting process

HOT DEFRIEF

Date

Time

Incident Number

Type of Case

Resuscitation

RTC

Trauma

OTHER

Staff members /CFR Volunteers present

First Last

Form completed by:

First Last

SUMMARISE THE CASE (DO NOT INCLUDE PATIENT IDENTIFIABLE DETAILS)

THINGS THAT WENT WELL

OPPORTUNITIES TO IMPROVE

POINTS TO ACTION AND RESPONSIBILITIES (Clinical learning points can be forwarded to clinical lead—personal learning should be followed up through reflection)

HOT DEBRIEF NOT COMPLETED? Reason:

Phone

This field is for validation purposes and should be left unchanged.