1. 22/11/2018
After Action Review
Overview

2. Context Published January 2018
22/11/2018
Context
Published January 2018
Provides guidance for managing all clinical and non-clinical incidents

3. 22/11/2018
After Action Review
This is a structured facilitated discussion of an event, the outcome of which enables the individuals involved in the event to understand why the outcome differed from that which was expected and what learning can be identified to assist improvement. (HSE, 2018: 21)

4. Circumstances where you can use AAR
22/11/2018
Circumstances where you can use AAR
Review/debrief on situations with a positive outcome
Better understand factors that led to the outcome
Positive Outcome
When planning for event or at start of teams day
Common understanding of plan, critical steps and actions. Plan for a debrief after.
Briefing Tool
Incidents which do not reach the threshold of serious
Review of less serious incidents
Where a comprehensive review is also required, the AAR and its outcome should not be used as a primary source of evidence for the CR.
In the aftermath of Serious Incidents

5. What is involved in an After Action Review (AAR)?
22/11/2018
What is involved in an After Action Review (AAR)?
A structured conversation with staff for the purpose of learning
Facilitated by a neutral person
It focuses on 4 Questions
Expect?
Actual?
Why?
Learn?

6. Examples of where AAR is being used by services
22/11/2018
Examples of where AAR is being used by services
coaching
appraisal
Hot de-brief
Reviewing unexpected events
training evaluation
planning
handling honest conversations
rapid learning from serious untoward incidents
briefing
reviewing positive events
effective meetings
interviews
shift change/handover
debriefing
patient satisfaction
Improvement
project evaluation
induction
personal reflection
negative events
Simplify complex events
supervision 6

7. Key Success Factors for introducing AAR in a service
22/11/2018
Key Success Factors for introducing AAR in a service
Skilled Facilitators
Skilled facilitation is essential to effective AAR practice
Culture of continuous learning:
People at all levels of organisation share information and learn from experience
Organizational leaders focus on why they conduct AARs, consistently communicate the rationale, and disseminate learning.
Organisational support for - AAR practice, routine and consistent
Conduct AARs as a practice or procedure, rather than a one-off event

8. Questions and Discussion
22/11/2018
Questions and Discussion