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HealthcareRetrospective

TeamSTEPPS shift debrief

10 minutes 5 blocks Free template

A short, non-punitive debrief at the end of a shift or procedure using the TeamSTEPPS checklist, closing with what went well and what to improve.

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By the end of this meetingThe team has named what went well and what to improve next shift.

10 min · 5 blocks, drawn to scale Fits exactly
  1. Was communication clear? Were roles understood?, 2 minutesDiscuss 2
  2. Situation awareness, workload and asking for help, 2 minutesDiscuss 2
  3. Errors made or avoided; were resources available?, 2 minutesDiscuss 2
  4. What went well?, 2 minutesBrainstorm 2
  5. What should improve?, 2 minutesBrainstorm 2
035810 min
  1. +0′Was communication clear? Were roles understood?Tip: Keep the tone non-punitive: talk about the process, not people.2 minDiscuss
  2. +2′Situation awareness, workload and asking for help2 minDiscuss
  3. +4′Errors made or avoided; were resources available?2 minDiscuss
  4. +6′What went well?What went well this shift?2 minBrainstorm
  5. +8′What should improve?What should we do differently next time?2 minBrainstorm

Why it works

Built so the teamstepps shift debrief ends on time, with everyone in it.

  • Discussion with a clock

    6 minutes of open floor with a countdown everyone can see, and a talk-balance meter so the loudest voice doesn't take all of it.

  • Ideas from every phone

    Everyone types at once and ideas land on the shared screen together. The quiet person's idea gets the same space as everyone else's.

How to run it

  1. 1Hold the debrief at the end of the shift or procedure, while it is fresh.
  2. 2Walk the TeamSTEPPS checklist in order: communication and roles, situation awareness and workload, errors and resources.
  3. 3Keep it short and non-punitive, as the IHI huddle toolkit advises for briefings and debriefings.
  4. 4Collect what went well and what to improve on phones so quieter team members contribute.
  5. 5Carry the improvement items into the next shift brief.

Questions about the teamstepps shift debrief

What questions are on a TeamSTEPPS debrief checklist?
Was communication clear? Were roles and responsibilities understood? Was situation awareness maintained? Was workload shared fairly? Was help asked for or offered? Were errors made or avoided? Were resources available? What went well, and what should improve?
How long is a shift debrief?
The sources do not give a length, only that it should stay short. This template uses ten minutes.
What is the difference between a brief and a debrief?
In TeamSTEPPS the brief happens at the start of a shift or procedure and the debrief at the end, to review how it went.

Built from

The structure, timings and tips on this page come from these sources.

  • vumc.org
  • stg.ihi.org

Run it with your team

  • A countdown for every block on the shared screen
  • A video call that changes with each block
  • Check-ins and votes from every phone, no app
  • Decisions and actions in a scored summary

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