“Circle Up”: Workflow Adaptation and Psychological Support via Briefing, Debriefing, and Peer Support

Circle Up’s approach builds on the 15 years of collective experience of the article’s co-authors, including Jenny Rudolph who was able to contribute knowledge she gleaned from her CRICO-funded study’s early findings. Ultimately, the Circle Up process is the result of the co-authors’ collective learnings in “leading, teaching, and researching organizational change efforts, debriefing, and peer support across the Harvard teaching hospitals and internationally, as well as working in and leading acute care teams.”

The commentary’s conclusion included: “Circle Up is a framework of supportive and adaptive interactions that fill an important void. Our preliminary data indicate that the combination of peer support and process improvement disrupts cycles of fear, uncertainty, and the moral distress of worrying if one is providing adequate care.”

Citation for the Full-text Article

Rock LK, Rudolph JW, Fey MK, et al. “Circle Up”: Workflow adaptation and psychological support via briefing, debriefing, and peer support. NEJM Catalyst. 2020 Sep 22. https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0240

Related Web Site Links

• CRICO Grants
• Patient Safety Grant Award Recipients for 2018 & 2019