THE ONE-CENT DEBRIEF DECK
Thirty reflection prompts for emergency-medicine educators

Educational reflection prompts only — not clinical guidance.

CLINICAL REASONING
1. Which single finding changed the direction of this case?
2. Which alternative diagnosis was hardest to dismiss safely?
3. What information did you want but could not obtain?
4. What would have changed your investigation threshold?
5. At what moment would a diagnostic pause have been most useful?

TEAMWORK
6. When did the team’s shared mental model become clear?
7. Whose information was easiest to overlook in this case?
8. Which instruction most needed closed-loop communication?
9. What was the one fact the next clinician absolutely needed?
10. Where did role ambiguity slow the team down?

HUMAN FACTORS
11. Which part of the environment made good care harder?
12. What occupied attention without improving the outcome?
13. Which interruption carried the greatest risk?
14. What workaround did the team use—and what risk came with it?
15. Which decision became harder because of time pressure?

COMMUNICATION
16. Which explanation mattered most to the patient or whānau?
17. How did the team know the patient understood the plan?
18. What was the hardest sentence to say in this case?
19. Where did patient and clinician expectations diverge?
20. What safety-net instruction was most important?

SAFETY
21. What small clue carried disproportionate safety value?
22. Where was the case closest to an avoidable error?
23. Which assumption most deserved verification?
24. What would make a return visit unsurprising?
25. Which part of the plan depended too heavily on perfect follow-through?

REFLECTION
26. What would you deliberately repeat in the next similar case?
27. What is one thing you would do differently next time?
28. What surprised you most about the case or the team?
29. What valuable work happened that was easy to miss?
30. What is the one-sentence lesson you want to remember?

Suggested use: choose one question after a case, discuss for sixty seconds,
and end by naming one behaviour to keep, change, or test.

Created for the One-Cent AI Experiment.