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Gute Nachrede – Debriefing

  • Peter Dieckmann
Chapter

Zusammenfassung

Debriefing, die Nachbesprechung eines Simulationsszenarios, ist ein sehr wichtiger Bestandteil des simulationsgestützten Lernens. Viele der Reflexionen und Einsichten, die sich im Zusammenhang mit der Simulation ergeben, werden hier bewusst und explizit gemacht. Debriefings haben verschiedene Phasen, in der der Debriefer mit den Teilnehmern daran arbeitet, die Lernziele der Simulation umzusetzen. Gerade in den letzten Jahren bekam diese Kursphase viel Aufmerksamkeit, und eine Reihe von Verfahren wurde entwickelt. Gemeinsam ist diesen Modellen in der Regel, dass die Gruppe sich einen Überblick darüber verschafft, was im Szenario konkret geschah, dann einzelne Aspekte genauer analysiert und schließlich beschreibt, welche Lerneinsichten und Änderungsintentionen sich aus der Diskussion ergeben haben. Viele Faktoren beeinflussen, wie ein Debriefing abläuft, z. B. die Gruppendynamik, kulturelle Unterschiede und Gemeinsamkeiten innerhalb der Gruppe oder die Erfahrung der Debriefer und Teilnehmer. Zunehmend werden Debriefingmethoden, die in der Simulation entwickelt wurden, auch in klinischen Zusammenhängen eingesetzt.

Literatur

  1. 1.
    Dieckmann P, Molin FS, Lippert A, Ostergaard D (2009) The art and science of debriefing in simulation: ideal and practice. Med Teach 31(7):287–294CrossRefGoogle Scholar
  2. 2.
    Rall M, Manser T, Howard SK (2000) Key elements of debriefing for simulator training. Eur J Anaesthesiol 17(8):516CrossRefGoogle Scholar
  3. 3.
    Rudolph JW, Simon R, Raemer DB, Eppich WJ (2008) Debriefing as formative assessment: closing performance gaps in medical education. Acad Emerg Med 15(11):1010–1016CrossRefPubMedGoogle Scholar
  4. 4.
    Fanning RM, Gaba DM (2007) The role of debriefing in simulation-based learning. Simul Healthc 2(2):115–125CrossRefPubMedGoogle Scholar
  5. 5.
    Gardner R (2013) Introduction to debriefing. Semin Perinatol 37(3):166–174CrossRefPubMedGoogle Scholar
  6. 6.
    Krogh K, Bearman M, Nestel D (2016) Thinking on your feet – a qualitative study of debriefing practice. Adv Simul 14:1–11Google Scholar
  7. 7.
    Steinwachs B (1992) How to facilitate a debriefing. Simul Gaming 23(2):186–192CrossRefGoogle Scholar
  8. 8.
    Dismukes RK, Gaba DM, Howard SK (2006) So many roads: facilitated debriefing in healthcare. Simul Healthc 1(1):23–25CrossRefPubMedGoogle Scholar
  9. 9.
    Mitchell AM, Sakraida TJ, Kameg K (2003) Critical incident stress debriefing: implications for best practice. Disaster Manage Response 1(2):46–51CrossRefGoogle Scholar
  10. 10.
    Lewis GW (2012) Critical incident stress and trauma in the workplace. Routledge, New YorkGoogle Scholar
  11. 11.
    Giddens JB (2008) Critical incident stress debriefing/psychological debriefing: a critical review of the literature. ProQuest. http://www.zotero.org/groups/trauma_and_ptsd/items/itemKey/P3FP57DV. Zugegriffen: 12. Okt. 2017
  12. 12.
    Sawyer TL, Deering S (2013) Adaptation of the US Army’s after-action review for simulation debriefing in healthcare. Simul Healthc 8(6):388–397CrossRefPubMedGoogle Scholar
  13. 13.
    Brody JL, Gluck JP, Aragon AS (2000) Participants’ understanding of the process of psychological research: debriefing. Ethics Behav 10(1):13–25CrossRefPubMedGoogle Scholar
  14. 14.
    Brockbank A, McGill I (2012) Facilitating reflective learning. Kogan Page, LondonGoogle Scholar
  15. 15.
    Kolb AY, Kolb DA (2005) Learning styles and learning spaces: enhancing experiential learning in higher education. Academy of Management Learning & Education. Acad Manag 4(2):193–212CrossRefGoogle Scholar
  16. 16.
    Lederman LC (1992) Debriefing: toward a systematic assessment of theory and practice. Simul Gaming 23(2):145–160CrossRefGoogle Scholar
  17. 17.
    Rystedt H, Lindwall O (2004) The interactive construction of learning foci in simulation-based learning environments: a case study of an anaesthesia course. Psychol J 2(2):168–188Google Scholar
  18. 18.
    Lemke DS, Fielder EK, Hsu DC, Doughty CB (2016) Improved team performance during pediatric resuscitations after rapid cycle deliberate practice compared with traditional debriefing: a pilot study. Pediatr Emerg Care 6. E-publication ahead of print: https://www.ncbi.nlm.nih.gov/pubmed/27741071
  19. 19.
    Schön D (1987) Educating the reflective practitioner. Jossey-Bass, San FranciscoGoogle Scholar
  20. 20.
    Kolbe M, Weiss M, Grote G, Knauth A, Dambach M, Spahn DR et al (2013) TeamGAINS: a tool for structured debriefings for simulation-based team trainings. BMJ Qual Safety 22(7):541–553CrossRefGoogle Scholar
  21. 21.
    Eppich W, Cheng A (2015) Promoting excellence and reflective learning in simulation (PEARLS): development and rationale for a blended approach to health care simulation debriefing. Simul Healthc 10(2):106–115CrossRefPubMedGoogle Scholar
  22. 22.
    Christensen MD, Rieger K, Tan S, Dieckmann P, Ostergaard D, Watterson LM (2015) Remotely versus locally facilitated simulation-based training in management of the deteriorating patient by newly graduated health professionals. Simul Healthc 10(6):352–359CrossRefPubMedGoogle Scholar
  23. 23.
    Cheng A, Morse KJ, Rudolph J, Arab AA, Runnacles J, Eppich W (2016) Learner-centered debriefing for health care simulation education: lessons for faculty development. Simul Healthc 11(1):32–40CrossRefPubMedGoogle Scholar
  24. 24.
    Roh YS, Kelly M, Ha EH (2016) Comparison of instructor-led versus peer-led debriefing in nursing students. Nurs Health Sci 18(2):238–245CrossRefPubMedGoogle Scholar
  25. 25.
    Rudolph JW, Simon R, Dufresne RL, Raemer DB (2006) There’s no such thing as „nonjudgmental“ debriefing: a theory and method for debriefing with good judgment. Simul Healthc 1(1):49–55CrossRefPubMedGoogle Scholar
  26. 26.
    Al Sabei SD, Lasater K (2016) Simulation debriefing for clinical judgment development: a concept analysis. Nurse Educ Today 45:42–47CrossRefPubMedGoogle Scholar
  27. 27.
    Lavoie P, Pepin J, Cossette S (2015) Development of a post-simulation debriefing intervention to prepare nurses and nursing students to care for deteriorating patients. Nurse Educ Pract 5:1–11Google Scholar
  28. 28.
    Hunter LA (2016) Debriefing and feedback in the current healthcare environment. J Perinat Neonatal Nurs 30(3):174–178CrossRefPubMedGoogle Scholar
  29. 29.
    McDonnell LK, Jobe KK, Dismukes RK (1997) Facilitating LOS debriefings: a training manual – part 1: an introduction to facilitation. http://www.crm-devel.org/resources/nasa/losdbrf/losdbrf1.htm. Ames Research Center, Moffett Field
  30. 30.
    Eppich WJ, Hunt EA, Duval-Arnould JM, Siddall VJ, Cheng A (2015) Structuring feedback and debriefing to achieve mastery learning goals. Acad Med 90(11):1501–1508CrossRefPubMedGoogle Scholar
  31. 31.
    Reed SJ (2015) Written debriefing: evaluating the impact of the addition of a written component when debriefing simulations. Nurse Educ Pract 15(6):543–548CrossRefPubMedGoogle Scholar
  32. 32.
    Kutzin JM, Janicke P (2015) Incorporating rapid cycle deliberate practice into nursing staff continuing professional development. J Contin Educ Nurs 46(7):299–301CrossRefPubMedGoogle Scholar
  33. 33.
    Hunt EA, Duval-Arnould JM, Nelson-McMillan KL, Bradshaw JH, Diener-West M, Perretta JS et al (2014) Pediatric resident resuscitation skills improve after „rapid cycle deliberate practice“ training. Resuscitation 85(7):945–951CrossRefPubMedGoogle Scholar
  34. 34.
    McMullen M, Wilson R, Fleming M, Mark D, Sydor D, Wang L, Zamora J, Phelan R, Burjorjee JE (2016) „Debriefing-on-demand“: a pilot assessment of using a „pause button“ in medical simulation. Simul Healthc 11(3):157–163CrossRefPubMedGoogle Scholar
  35. 35.
    Van Heukelom JN, Begaz T, Treat R (2010) Comparison of postsimulation debriefing versus in-simulation debriefing in medical simulation. Simul Healthc 5(2):91–97CrossRefPubMedGoogle Scholar
  36. 36.
    Der Sahakian G, Alinier G, Savoldelli G (2015) Setting conditions for productive debriefing. Simul Gaming 9:1–12Google Scholar
  37. 37.
    Dieckmann P, Gaba D, Rall M (2007) Deepening the theoretical foundations of patient simulation as social practice. Simul Healthc 2(3):183–193CrossRefPubMedGoogle Scholar
  38. 38.
    Laucken U (2003) Theoretische Psychologie. Denkformen und Sozialpraxen. BIS, OldenburgGoogle Scholar
  39. 39.
    Dieckmann P, Reddersen S, Zieger J, Rall M (2008) A structure for video-assisted debriefing in simulator-based training of crisis resource management. In: Kyle R, Murray BW (Hrsg) Clinical simulation: operations, engineering, and management. Academic, Burlington, S 667–676CrossRefGoogle Scholar
  40. 40.
    Rall M, Gaba DM, Howard SK, Dieckmann P (2015) Human performance and patient safety. In: Miller R (Hrsg) Miller’s anesthesia. Elsevier, PhiladelphiaGoogle Scholar
  41. 41.
    Park CW, Holtschneider ME (2016) Interprofessional simulation: debriefing from the patient’s point of view. J Nurs Prof Dev 32(1):44–46CrossRefGoogle Scholar
  42. 42.
    Dieckmann P, Krage R (2013) Simulation and psychology: creating, recognizing and using learning opportunities. Curr Opin Anesthesiol 26(6):714–720CrossRefGoogle Scholar
  43. 43.
    Rudolph JW, Raemer DB, Simon R (2014) Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc 9(6):339–349CrossRefPubMedGoogle Scholar
  44. 44.
    Hartmann M, Rieger M, Funk R (2007) Zielgerichtet moderieren. Beltz, WeinheimGoogle Scholar
  45. 45.
    Seifert JW (2000) Visualisieren – Präsentieren – Moderieren, 14. Aufl. Gabal, OffenbachGoogle Scholar
  46. 46.
    Dieckmann P, Rall M, Sadler C (2008) What competence do simulation instructors need? Minerva Anestesiol 74(Suppl 1 al 10):277–281Google Scholar
  47. 47.
    Bergmann B (1999) Training für den Arbeitsprozess. Entwicklung und Evaluation aufgaben- und zielgruppenspezifischer Trainingsprogramme. vdf, ZürichGoogle Scholar
  48. 48.
    Reason J (1994) Menschliches Versagen. Psychologische Risikofaktoren und moderne Technologien. Spektrum Akademischer Verlag, HeidelbergGoogle Scholar
  49. 49.
    Hollnagel PE (2014) Safety-I and safety-II. Ashgate, FarnhamGoogle Scholar
  50. 50.
    Weizsäcker C von, Weizsäcker U von (1984) Fehlerfreundlichkeit. In: Kornwachs K (Hrsg) Offenheit – Zeitlichkeit – Komplexität: Zur Theorie der offenen Systeme. Campus, Frankfurt, S 167–201Google Scholar
  51. 51.
    Wehner T, Mehl K, Dieckmann P (2010) Fehlhandlungen und Prävention. In: Kleinbeck U (Hrsg) Enzyklopädie der Psychologie – Themenbereich D Praxisgebiete – Serie III Wirtschafts-, Organisations- und Arbeitspsychologie, Bd 1: Arbeitspsychologie. Hogrefe, Göttingen, S 785–820Google Scholar
  52. 52.
    Wehner T (1992) Sicherheit als Fehlerfreundlichkeit. Arbeits- und Sozialpsychologische Befunde für eine kritische Technikbewertung. Westdeutscher Verlag, OpladenGoogle Scholar
  53. 53.
    Edmondson AC (2011) Strategies of learning from failure. Harv Bus Rev 89(4):48–55PubMedGoogle Scholar
  54. 54.
    Mehl K (1993) Über einen funktionalen Aspekt von Handlungsfehlern – Was lernt man wie aus Fehlern. LIT, MünsterGoogle Scholar
  55. 55.
    Dörner D, Schaub H (1994) Errors in planning and decision-making and the nature of human information processing. Appl Psychol 43(4):433–453CrossRefGoogle Scholar
  56. 56.
    Hollnagel E (2012) The ETTO principle: efficiency-thoroughness trade-off. Ashgate, FarnhamGoogle Scholar
  57. 57.
    Hollnagel E (2012) FRAM: the functional resonance analysis method. Ashgate, FarnhamGoogle Scholar
  58. 58.
    Raemer D, Anderson M, Cheng A (2011) Research regarding debriefing as part of the learning process. Simul Healthc 6(Suppl):52–57. https://www.ncbi.nlm.nih.gov/pubmed/21817862CrossRefGoogle Scholar
  59. 59.
    Savoldelli GL, Naik VN, Park J, Joo HS, Chow R, Hamstra SJ (2006) Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology 105(2):279–285CrossRefPubMedGoogle Scholar
  60. 60.
    Farooq O, Thorley-Dickinson VA, Dieckmann P et al (2017) Comparison of oral and video debriefing and its effect on knowledge acquisition following simulation-based learning. BMJ Simul Technol Enhanc Learn 3:48–53CrossRefGoogle Scholar
  61. 61.
    Kittelberger R, Freisleben I (1994) Lernen mit Video und Film. Beltz, WeinheimGoogle Scholar
  62. 62.
    Iedema R, Mesman J, Carroll K (2013) Visualising health care practice improvement. Radcliffe, LondonGoogle Scholar
  63. 63.
    Lahlou S, Le Bellu S, Boesen-Mariani S (2015) Subjective evidence based ethnography: method and applications. Integ Psychol Behav Sci 49(2):216–238CrossRefGoogle Scholar
  64. 64.
    O’Meara P, Munro G, Williams B, Cooper S (2015) Developing situation awareness amongst nursing and paramedicine students utilizing eye tracking technology and video debriefing techniques: a proof of concept paper. Int Emerg Nurs 23(2):94–99CrossRefPubMedGoogle Scholar
  65. 65.
    Ahmed RA, Atkinson SS, Gable B, Yee J, Gardner AK (2016) Coaching from the sidelines. Simul Healthc 11(5):334–339CrossRefPubMedGoogle Scholar
  66. 66.
    Christensen MD, Rieger K, Tan S, Dieckmann P, Ostergaard D, Watterson LM (2015) Remotely versus locally facilitated simulation-based training in management of the deteriorating patient by newly graduated health professionals: a controlled trial. Simul Healthc 10(6):352–359CrossRefPubMedGoogle Scholar
  67. 67.
    Mann JH (1956) Experimental evaluations of role playing. Psychol Bull 53(3):227–234CrossRefPubMedGoogle Scholar
  68. 68.
    Bateson G (1994) Eine Theorie des Spiels und der Phantasie. Vortrag auf der APA Regional Research Conference in Mexico City am 11. März 1954. In: Bateson G (Hrsg) Ökologie des Geistes: anthropologische, psychologische, biologische und epistemologische Perspektiven, 5. Aufl. Suhrkamp, Frankfurt, S 241–260Google Scholar
  69. 69.
    Brown JF (1933) Über die dynamischen Eigenschaften der Realitäts- und Irrealitätsschichten. Psychol Forsch 18:2–26CrossRefGoogle Scholar
  70. 70.
    Dieckmann P, Krage R (2013) Simulation and psychology: creating, recognizing and using learning opportunities. Curr Opin Anesthesiol 26(6):714–720CrossRefGoogle Scholar
  71. 71.
    Dieckmann P, Rall M, Eich C, Schnabel K, Jünger J, Nikendei C (2008) Role playing as an essential element of simulation procedures in medicine. Z Evid Fortbild Qual Gesundhwes 102(10):642–647CrossRefPubMedGoogle Scholar
  72. 72.
    Dieckmann P (2009) Simulation settings for learning in acute medical care. In: Dieckmann P (Hrsg) Using simulations for education, training and research. Pabst, Lengerich, S 40–138Google Scholar
  73. 73.
    Goffman E (1977) Rahmenanalyse. Ein Versuch über die Organisation von Alltagserfahrungen. Suhrkamp, FrankfurtGoogle Scholar
  74. 74.
    Johnstone K (2000) Improvisation und Theater. Die Kunst spontan und kreativ zu agieren. Alexander, BerlinGoogle Scholar
  75. 75.
    Schaller R (2001) Das große Rollenspiel-Buch. Beltz, WeinheimGoogle Scholar
  76. 76.
    Cheng A, Grant V, Dieckmann P, Arora S, Robinson T, Eppich W (2015) Faculty development for simulation programs: five issues for the future of debriefing training. Simul Healthc 18;10(4):217–222CrossRefGoogle Scholar
  77. 77.
    Dieckmann P, Rall M (2008) Designing a scenario as a simulated clinical experience: the TüPASS Scenario Script. In: Kyle R, Murray BW (Hrsg) Clinical simulation: operations, engineering, and management. Academic, Burlington, S 541–550CrossRefGoogle Scholar
  78. 78.
    Dieckmann P, Lippert A, Rall M, Glavin R (2010) When things do not go as expected: scenario life savers. Simul Healthc 5(4):219–225CrossRefPubMedGoogle Scholar
  79. 79.
    Rudolph JW, Foldy EG, Robinson T, Kendall S, Taylor SS, Simon R (2013) Helping without harming. Simul Healthc 8(5):304–316CrossRefPubMedGoogle Scholar
  80. 80.
    Ameln F von, Kramer J (2007) Organisationen in Bewegung bringen. Handlungsorientierte Methoden für die Personal-, Team und Organisationsentwicklung. Springer, BerlinGoogle Scholar
  81. 81.
    Ameln F von, Gerstmann R, Kramer J (2004) Psychodrama. Springer, BerlinCrossRefGoogle Scholar
  82. 82.
    Dieckmann P, Yliniemi P (2012) Sociodrama and psychodrama and their relation to simulation in health care. In: Poikela E, Poikela P (Hrsg) Towards simulation pedagogy. Developing nursing simulation in a European network. Rovaniemi University of Applied Sciences, Rovaniemi, S 40–49Google Scholar
  83. 83.
    Garden AL, Le Fevre DM (2015) Debriefing after simulation-based non-technical skill training in healthcare: a systematic review of effective practice. Anaesth Intensive Care 43(3):300–308PubMedGoogle Scholar
  84. 84.
    Cheng A, Eppich W, Grant V, Sherbino J, Zendejas B, Cook DA (2014) Debriefing for technology-enhanced simulation: a systematic review and meta-analysis. Med Educ 48(7):657–666CrossRefPubMedGoogle Scholar
  85. 85.
    Nyström S, Dahlberg J, Edelbring S, Hult H, Dahlgren MA (2016) Debriefing practices in interprofessional simulation with students: a sociomaterial perspective. BMC Med Educ 16:148CrossRefPubMedPubMedCentralGoogle Scholar
  86. 86.
    Cheng A, Palaganas J, Eppich W, Rudolph J, Robinson T, Grant V (2015) Co-debriefing for simulation-based education: a primer for facilitators. Simul Healthc 10(2):69–75CrossRefPubMedGoogle Scholar
  87. 87.
    Cheng A, Hunt EA, Donoghue A, Nelson-McMillan K, Nishisaki A, Leflore J et al (2013) Examining pediatric resuscitation education using simulation and scripted debriefing: a multicenter randomized trial. JAMA Pediatric 167(6):528–536CrossRefGoogle Scholar
  88. 88.
    Kolbe M, Grande B, Spahn DR (2015) Briefing and debriefing during simulation-based training and beyond: content, structure, attitude and setting. Best Prac Res Clin Anaesthesiol 29(1):87–96CrossRefGoogle Scholar
  89. 89.
    Vaihinger H (1927) Die Philosophie des Als Ob. System der theoretischen, praktischen und religiösen Fiktionen der Menschheit auf Grund eines idealistischen Positivismus. Scientia, AalenGoogle Scholar
  90. 90.
    Brett-Fleegler M, Rudolph J, Eppich W, Monuteaux M, Fleegler E, Cheng A et al (2012) Debriefing assessment for simulation in healthcare: development and psychometric properties. Simul Healthc 7(5):288–294CrossRefPubMedGoogle Scholar
  91. 91.
    Lewin K (2013) Vorsatz Wille und Bedürfnis. Springer, BerlinGoogle Scholar
  92. 92.
    Lahlou S (2017) Installation theory. The societal construction and regulation of individual behaviour. Cambridge University Press, CambridgeGoogle Scholar
  93. 93.
    Waznonis AR (2014) Methods and evaluations for simulation debriefing in nursing education. J Nurs Educ 53(8):459–465CrossRefPubMedGoogle Scholar
  94. 94.
    Geißler KA (1997) Anfangssituationen – Was man tun und besser lassen sollte, 7. Aufl. Beltz, WeinheimGoogle Scholar
  95. 95.
    Geißler KA (1992) Schlußsituationen – Die Suche nach einem guten Ende. Beltz, WeinheimGoogle Scholar
  96. 96.
    Runnacles J, Thomas L, Sevdalis N, Kneebone R, Arora S (2014) Development of a tool to improve performance debriefing and learning: the paediatric Objective Structured Assessment of Debriefing (OSAD) tool. Postgrad Med J 90(1069):613–621CrossRefPubMedGoogle Scholar
  97. 97.
    Kihlgren P, Spanager L, Dieckmann P (2015) Investigating novice doctors’ reflections in debriefings after simulation scenarios. Med Teach 37(5):437–443CrossRefPubMedGoogle Scholar
  98. 98.
    Mariani B, Cantrell MA, Meakim C, Prieto P, Dreifuerst KT (2013) Structured debriefing and students’ clinical judgment abilities in simulation. Clin Simul Nurs 9(5):e147–e155CrossRefGoogle Scholar
  99. 99.
    Dufrene C, Young A (2014) Successful debriefing – best methods to achieve positive learning outcomes: a literature review. Nur Educ Today 34(3):372–376CrossRefGoogle Scholar
  100. 100.
    Levett-Jones T, Lapkin S (2014) A systematic review of the effectiveness of simulation debriefing in health professional education. Nur Educ Today 34(6):e58–e63CrossRefGoogle Scholar
  101. 101.
    Glavin RJ (2016) Lessons for simulation-based education from social psychology. Adv Simul 1:7CrossRefGoogle Scholar
  102. 102.
    Eppich W, Mullan PC, Brett-Fleegler M, Cheng A (2016) Let’s talk about it. Clin Pediatr Emerg Med 17(3):200–211CrossRefGoogle Scholar
  103. 103.
    Couper K, Salman B, Soar J, Finn J, Perkins GD (2013) Debriefing to improve outcomes from critical illness: a systematic review and meta-analysis. Intensive Care Med 39(9):1513–1523CrossRefPubMedGoogle Scholar
  104. 104.
    Francis DO, Eavey RD, Wright HV, Sinard RJ (2016) Incorporating postoperative debriefing into surgical education. J Surg Educ 73(3):448–452CrossRefPubMedGoogle Scholar
  105. 105.
    Nestel D, Bearman M (2014) Simulated patient methodology. Wiley, HobokenCrossRefGoogle Scholar
  106. 106.
    Cheng A, Kessler D, Mackinnon R, Chang TP, Nadkarni VM, Hunt EA et al (2016) Reporting guidelines for health care simulation research: extensions to the CONSORT and STROBE statements. Adv Simul 1(1):25CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human ResourcesHerlev HospitalHerlevDänemark

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