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The Clinical Debriefing Guide: What Every Patient Safety Leader Should Know (2026)
Clinical debriefing helps healthcare teams turn frontline insight into safer care. This guide explains what clinical debriefing is, how hot and cold debriefs differ, why debriefing matters for patient safety and workforce well-being, and how hospitals can build reliable debriefing systems.
Paul Mullan
May 1144 min read


NASA Just Showed Us All How High-Performing Teams Debrief
NASA’s Artemis II science debrief offers a powerful example of how high-performing teams learn soon after complex events. Here is what healthcare leaders can take from it about timing, structure, psychological safety, and frontline learning.
Paul Mullan
Apr 1315 min read


CMS Patient Safety Structural Measure (PSSM): Complete Guide + Hospital Calculator (2026)
The CMS Patient Safety Structural Measure requires hospitals to attest to 25 statements across 5 domains covering leadership, safety culture, accountability, and patient and family engagement. This guide covers all 25 verbatim attestation statements, key deadlines, roles and responsibilities, HRO alignment, guidelines, references, and a free AHDQ PSO CMS PSSM Readiness Calculator and Checklist for hospital quality, safety, and risk management leaders.
Paul Mullan
Mar 1619 min read


World Debriefing Day: Two Minutes to Transform Healthcare Safety
By Paul C. Mullan, MD, MPH Emergency Medicine Physician with Expertise in Clinical Debriefing, Quality & Safety Affiliation: AHDQ Patient Safety Organization (AHRQ-listed PSO) First Published: February 12, 2026 Last Updated: April 21, 2026 What is World Debriefing Day? Key Takeaways When: February 22-23, 2026 (participate either day) Next year: February 22-23, 2027 (sign up today) Sign up to get more involved as an individual or organization. Where: Any healthcare setting wo
Paul Mullan
Feb 1212 min read


Closed-Loop Communication in Healthcare: A Guide for Improving Patient Safety
Medical professionals gather for a team discussion, with a focus on collaboration and shared expertise. By Paul C. Mullan, MD, MPH Emergency Medicine Physician with Expertise in Clinical Debriefing, Quality & Safety Affiliation: AHDQ Patient Safety Organization (AHRQ-listed PSO) First Published: January 16, 2026 Last Updated: April 21, 2026 What is closed-loop communication in healthcare? Closed-loop communication in healthcare is a 3-step technique that prevents errors by co

Paul Mullan
Jan 1622 min read


Enhancing Operational Efficiency in Healthcare Organizations
Author: Paul C. Mullan, MD, MPH Emergency Medicine Physician Quality and Patient Safety Leader Published: December 23, 2025 Last updated: May 5, 2026 Organization: AHDQ Patient Safety Organization — AHRQ-listed PSO What is operational efficiency in healthcare? Operational efficiency in healthcare means delivering maximum patient value while minimizing wasted time, labor, supplies, and administrative costs, all without compromising safety or quality. Most of the waste and ine

Paul Mullan
Dec 23, 202515 min read


Enhance Healthcare Outcomes with Effective Clinical Debriefing
Author: Paul C. Mullan, MD, MPH, Emergency Medicine Physician Quality and Patient Safety Leader Published: December 16, 2025 Last updated: May 5, 2026 Organization: AHDQ Patient Safety Organization — AHRQ-listed PSO In the fast-paced world of healthcare, every second counts. You strive to provide the safest, most effective care possible, but how do you ensure your team learns and improves after each critical event? This is where effective healthcare debriefing becomes a game

Paul Mullan
Dec 16, 20254 min read


Enhancing Patient Care Through Continuous Quality Improvement
Author: Paul C. Mullan, MD, MPH Emergency Medicine Physician | Quality and Patient Safety Leader Advancing Healthcare Debriefing Quality Patient Safety Organization Leader Published: December 12, 2025 Last updated: May 5, 2026 Organization: AHDQ Patient Safety Organization — AHRQ-listed PSO Understanding Continuous Quality Improvement in Healthcare Continuous Quality Improvement represents a systematic, organization-wide approach to enhancing healthcare delivery through incre

Paul Mullan
Dec 12, 202511 min read


Innovative Approaches for Patient Safety Improvement
In healthcare, safety is one of the basic assumptions of what is necessary for our patients and team members. Every clinical team and hospital leadership strives to deliver care that is not only effective but also safe and reliable. But how do you consistently improve safety in complex, fast-paced environments? The answer lies in innovative quality improvement solutions that empower teams to learn, adapt, and excel. This article explores practical, actionable strategies to e

Paul Mullan
Oct 3, 20255 min read


Enhance Healthcare Outcomes with Psychological Safety
Author: Paul C. Mullan, MD, MPH Emergency Medicine Physician | Quality and Patient Safety Leader Advancing Healthcare Debriefing Quality Patient Safety Organization Leader Published: September 23, 2025 Last updated: May 5, 2026 Organization: AHDQ Patient Safety Organization — AHRQ-listed PSO In the fast-paced world of healthcare, the quality of patient care depends heavily on how well clinical teams work together. When teams communicate openly, trust each other, and feel safe

Paul Mullan
Sep 23, 20254 min read


Clinical Debriefing Implementation Checklist: 50 Questions for Hospital Teams
Is your healthcare team struggling to implement effective clinical debriefings? Despite strong evidence supporting their value, many debriefing programs fail to gain traction or deliver results.
Download our comprehensive white paper: "Debriefing Program Blueprint: The First 50 Critical Checklist Questions"

Paul Mullan
Apr 17, 20258 min read


Designing Effective Clinical Debriefing Tools to Improve Patient Safety and Team Satisfaction
Today's fast-paced healthcare environments, the ability to learn from clinical events is paramount to improving patient outcomes and team performance. Clinical debriefing—the practice of reflecting on healthcare events immediately after they occur—offers a powerful method for teams to identify opportunities for improvement, address system issues, and process emotional reactions to high-stakes situations.

Paul Mullan
Mar 20, 20254 min read
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