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Debriefing Assessment for Simulation in Healthcare© (DASH) PROJECT

 

DASH score sheet and data collection form

Rater name  
Rater institution  
Rater email  
Date of rating session ( format: 2009/04/25 )  

The above info will be kept strictly confidential.

>> SCORESHEET
Please rate each of the elements for the debriefings using the scale :
RATING DESCRIPTOR          
7
6
5
4
3
2
1		 Extremely Effective / Outstanding
Consistently Effective / Very Good
Mostly Effective / Good
Somewhat Effective / Average
Mostly Ineffective / Poor
Consistently Ineffective / Very Poor
Extremely Ineffective / Detrimental
 
ELEMENT #1 Establishes an engaging learning environment
ELEMENT #2 Maintains an engaging learning environment
ELEMENT #3 Structures debriefing in an organized way.
ELEMENT #4 Provokes engaging discussions
ELEMENT #5 Identifies and explores performance gaps.
ELEMENT #6 Helps trainees achive or sustain good future performance.
Debriefing

 

>> RATER Demographics
   If other please specify
   If other please specify
   If other please specify
Number of years as an Instructor/Educator?   
 
Simulation Experience, i.e. number of times you have rated simulation debriefings including this one?
 
Formal Training in Debriefing:
a. Have you ever had any formal training in debriefing?
b. Have you ever received feedback on your simulation debriefing?
Have you been trained in the use of the DASH?
Approximately how many times have you used the DASH instrument?

>> DEBRIEFER Demographics
   If other please specify
   If other please specify
   If other please specify
Number of years as an Instructor/Educator?   
 
Debriefing Experience, i.e. number of times the debriefer has conducted debriefings including this one?
 
Formal Training in Debriefing:
a. Has the debriefer had any formal training in debriefing?

 

b. Has the debriefer ever received DASH feedback on his/her simulation debriefing?

>> SCENARIO Demographics
How many debriefees were in this session?   
What is the simulation mode (circle all that apply) for this session

   If other please specify
   If other please specify
In general, what is the number of times the debriefees have participated in simulation?
 


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