Systems focused debriefing is rapidly growing in healthcare and focuses on the identification of systems issues including latent safety threats to ultimately improve patient safety and quality. Promoting Excellence and Reflective Learning in Simulation (PEARLS) for Systems Integration, is a conceptual framework, debriefing structure and script that facilitators can use for systems focused debriefing. The framework builds on the original PEARLS and maintains a blended model of debriefing to include plus/delta, focused facilitation, and directive feedback in a modified format.

The PEARLS for Systems Integration flow diagram and debriefing tool is available in the 2019 Simulation in Healthcare paper. In an effort to disseminate colour versions of both, we have obtained permission for free download. We’d like to acknowledge Simon Huang for his graphic design of the tools and hope to look at future translation in other languages.

We have created versions of the tool that can be viewed electronically on your phone, tablet, or computer and printed as a pocket card or poster. We hope that it assists with faculty development and your own debriefing. Feel free to print the pocket card for personal use, hang the posters on the walls of your debriefing rooms, and download the electronic versions to your personal devices. Printing instructions are provided below.

The Pocket Card (5.8" x 7.2"), Small Poster (8.5" x 11"), and Large Poster (24" x 36") formats are designed to be printed. For the Pocket Card, we recommend printing on both sides of the same sheet of paper then cutting it out and laminating it for durability. The Small Poster can be printed as a double-sided handout or a single-sided table/wall poster. The Large Poster is intended to be printed on two separate sheets and hung on the wall. If you require a different size please let us know how you plan to use it and we will aim to make it for you.

The PEARLS for Systems Integration Debriefing Tool has been produced with permission from Simulation in Healthcare. It is published and should be referenced as: Dube M, Reid J, Kaba A, Cheng A, Eppich W, Grant V, Stone K. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simulation in Healthcare: Publish Ahead of Print. [Link]