# 1.4 Unburdening the process

## How video reflection eases the strain

We understand that adding anything to the already overloaded schedules of healthcare professionals can seem counterintuitive. The key to video reflection is that, while it requires an initial investment, it ultimately unburdens processes, creates efficiencies, and offers much-needed breathing room in the long run.

**How it works:**

* **Exposing hidden time-sinks:** Video recordings reveals the often-invisible inefficiencies within procedures and team interactions. By identifying these areas, you streamline processes and reclaim precious time.
* **Learning from the past, saving time in the future:** Video review enables in-depth analysis, helping you recognize patterns. This translates to a better understanding of what works well, what needs improvement, and the ability to anticipate future challenges.

## The payoff: more time for what matters

The initial implementation of video reflection takes effort. But the rewards far outweigh the investment:

* **Workflow optimization:** Efficient processes and collaboration directly translate to more time for patient care.
* **Team empowerment:** Video reflection fosters collaborative growth and reduces reliance solely on top-down instruction.

## A tool for a smoother workflow

Yes, implementing video reflection takes an initial investment of time and effort. However, the payoff is a streamlined workflow, improved efficiency, and ultimately, more time to focus on what truly matters - delivering exceptional patient care. Think of video reflection as a tool that allows you to work smarter, not harder.

{% tabs %}
{% tab title="Changes in guideline" %}
**Changes in guideline**

After weekly video review sessions were implemented, providers complied more often to the guideline (63 vs. 77%; p < 0.001).

{% embed url="<https://www.frontiersin.org/articles/10.3389/fped.2019.00294/full>" %}
Root et al. (2019)
{% endembed %}

***

Based on the results of the following study it was recommended to change the guideline for neonatal intubation during resuscitation.

{% embed url="<https://www.sciencedirect.com/science/article/pii/S0022347604001799?via%3Dihub>" %}
{% endtab %}

{% tab title="Quality improvement " %}
**Quality improvement**

Video review and feedback process was significantly associated with improvements in quality metrics for resuscitation in cardiac arrest amongst patients presented to the emergency department.

{% embed url="<https://onlinelibrary.wiley.com/doi/full/10.1111/ijcp.14525>" %}
Brooks et al (2021)
{% endembed %}
{% endtab %}

{% tab title="Teamwork" %}
**Teamwork**

Teamwork improved after debriefing with video recordings.

{% embed url="<https://qualitysafety.bmj.com/content/20/2/163.short>" %}
Nadler et al (2011)
{% endembed %}
{% endtab %}

{% tab title="Identifying areas for improvement" %}
**Identifying areas for improvement**

This study showed how video review empowered providers to identify and address various areas for improvement in neonatal care.

{% embed url="<https://doi.org/10.1038/s41390-024-03083-w>" %}
Heesters et al (2023)
{% endembed %}
{% endtab %}
{% endtabs %}


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