EMERGENCY AND CRITICAL CARE MEDICINE: Edited by Jean E. Klig and Clifford W. Bogue: EMERGENCY MEDICINEClinical event debriefing: a review of approaches and objectivesTwigg, Soniaa,bAuthor Information aQueensland Children's Hospital, South Brisbane, Queensland bUniversity of Queensland, Australia Correspondence to Sonia Twigg, Queensland Children's Hospital, 501 Stanley St, South Brisbane, QLD, Australia, 4101. Tel: +61 409 514 371; e-mail: Sonia.Twigg@health.qld.gov.au Current Opinion in Pediatrics: June 2020 - Volume 32 - Issue 3 - p 337-342 doi: 10.1097/MOP.0000000000000890 Buy Metrics Abstract Purpose of review This review explores four different approaches and clarifies objectives for debriefing after a clinical event in the emergency department. Psychological debriefing aims to prevent or reduce symptoms of traumatic stress and normalize recovery. Psychological first aid helps team members provide each other with pragmatic social support. Debriefing for simulation-based education promotes learning by team members. Quality improvement approaches and after action reviews focus on systems improvement. Recent findings Qualitative studies have begun to explore interactions between clinical staff after a significant clinical event. Clearer descriptions and measurements of quality improvements and the effect of clinical event debriefing on patient outcomes are appearing. An increasing number of studies describe melded, scripted approaches to the hot debrief. Summary Clinical staff have consistently indicated they value debriefing after a significant clinical event. Differing objectives from different approaches have translated into a wide variety of methods and a lack of clarity about relevant outcomes to measure. Recent descriptions of scripted approaches may clarify these objectives and pave the way for measuring relevant outcomes that demonstrate the effectiveness of and find the place for debriefing in the emergency department. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.