Debriefing Assessment for Simulation in Healthcare© (DASH©)
Debriefing clinical simulation experiences is increasingly understood as a crucial step in clarifying and consolidating insights and lessons from simulations. The Debriefing Assessment for Simulation in Healthcare is designed to assist in evaluating and developing debriefing skills. Debriefing is a conversation among two or more people to review a simulated event or activity in which participants explore, analyze and synthesize their actions and thought processes, emotional states and other information to improve performance in real situations. High participant engagement is a hallmark of strong debriefings because it leads to deeper levels of learning and increases the likelihood of transfer to the clinical setting.
The DASH evaluates the strategies and techniques used to conduct debriefings by examining concrete behaviors. It is based on evidence and theory about how people learn and change in experiential contexts. The DASH is designed to allow assessment of debriefings from a variety of disciplines and courses, varying numbers of participants, a wide range of educational objectives, and various physical and time constraints.
The DASH is based on an extensive literature review as well as best debriefing practices derived from an expert panel. A bibliography of the literature on which it is based is available here: DASH Bibliography.
Questions regarding the DASH should be sent to: DASH@harvardmedsim.org.
DASH RATER TRAINING
The DASH Rater Training Workshop consists of a single 4.5 hour webinar session. Instructors explore the instrument in detail and then walk through several iterations of rating debriefers. Each person must have their own computer with Internet access to participate in the practice ratings.
Depending on demands from the field and available funding, we are considering the feasibility of developing a process for certifying raters. If a certification process is emplaced, this webinar training will be the first step.
Tuition for the 4½-hour webinar training session is $350 USD per registrant.
There are three versions of the DASH. One designed for trained raters; one designed for students to rate their instructors; one designed for instructors to rate themselves. The links to all DASH forms are below.
DASH – Rater Version1 is a highly reliable instrument designed for use by trained raters. We offer webinar-based DASH Rater training twice per year. People who want to become trained DASH Raters should be experienced debriefers.
DASH – Student Version2 is designed for students to rate their instructors on the quality of a debriefing. There are two forms available for the DASH-SV:
DASH – Instructor Version3 is designed to allow an instructor to self assess. There are two forms available for the DASH-IV:
Center for Medical Simulation, Boston, MA 02129, www.harvardmedsim.org.
Permission is granted for you to use the Debriefing Assessment for Simulation in Healthcare (DASH) instrument in your simulation program. As a condition of granting permission to use the DASH, we request that you provide CMS copies of articles, abstracts or reports you publish using the DASH so that we may keep others up to date on how the DASH is being used. Please send citation and a copy of the article to DASH@harvardmedsim.org.
Brett-Fleegler M, Rudolph J, Eppich W, Monuteaux, M., Fleegler, E., Cheng, A., Simon, R. Debriefing Assessment for Simulation in Healthcare: Development and Psychometric Properties. Simul Healthc. Oct 2012; 7 (5): 288-294.
Morse, Catherine J. "The Effect of Debriefing with Good Judgment on Acute Care Nurse Practitioner Students' Reflective Ability and Perspective Transformation." Villanova University, 2012. United States -- Pennsylvania: ProQuest. Web. 29 Apr. 2013.
Dreifuerst KT. Using debriefing for meaningful learning to foster development of clinical reasoning in simulation. J Nurs Educ. Jun 2012; 51(6): 326-333.
Simon R, Raemer DB, Rudolph JW. Debriefing Assessment for Simulation in Healthcare – Rater Version. Boston, MA Center for Medical Simulation, 2009.
Simon R, Raemer DB, Rudolph JW. Debriefing Assessment for Simulation in Healthcare – Student Version, Long Form. Boston, MA Center for Medical Simulation, 2010.
Simon R, Raemer DB, Rudolph JW. Debriefing Assessment for Simulation in Healthcare – Student Version, Short Form. Boston, MA Center for Medical Simulation, 2010.
Simon R, Raemer DB, Rudolph JW. Debriefing Assessment for Simulation in Healthcare – Instructor Version, Long Form. Boston, MA Center for Medical Simulation, 2011.
Simon R, Raemer DB, Rudolph JW. Debriefing Assessment for Simulation in Healthcare – Instructor Version, Short Form. Boston, MA Center for Medical Simulation, 2011.
The Center for Medical Simulation has received no outside funding for the DASH project. The project has been blessed with significant help and writing assistance.
VIDEO: IMS Instructor Training