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

  • September 22, 2020

The “Circle Up” process featured in this commentary was implemented during the COVID-19 pandemic to aid frontline health care workers. It was informed by the findings of a CRICO-funded grant project that is researching “adverse events through in-situ debriefing and the spaced practice of speaking up.” The project is led by Jenny Rudolph, PhD at Massachusetts General Hospital. 


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

 

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