Anne van Dalen

60 I Chapter 2 The PubMed and Embase database and Cochrane Library were used with the following search terms: debrief, operating room, team, surgical, nurse, trauma, aviation, military, feedback, and training. The exact details of the literature search can be found in the online Appendix (https://bjssjournals.onlinelibrary.wiley.com/action/downloadSuppleme nt?doi=10.1002%2Fbjs.11198&file=bjs11198-sup-0001-SupInfo.doc). Articles reviewed revealed a broad range of methods, including descriptive or narrative reviews, systematic reviews, and qualitative and quantitative studies using both experimental and semi-experimental methods. Therefore, no attempt was made to validly grade the levels of evidence or perform a statistical analysis. 25 Instead, we hand searched the references of the articles reaching full text review. This was done to identify any articles possibly missed in the initial search and to transparently assess all possible relevant materials to provide a comprehensive overview of debriefing elements, tools, and models in the current medical literature. Second, the theories of Thomas et al. 16 and Ericsson 17 were combined to build a conceptual framework, which was used to define what a debrief model should include. 15 The authors combined relevant findings from literature, experience with team debriefing in simulation settings, and implementation of the OR Black Box and its performance report to develop a novel model to be used for video-assisted team debriefing. Finally, the proposed Amsterdam Black Box debrief model was tested in 35 multidisciplinary debriefing sessions with the use of the OR Black Box performance report. After every debriefing, the participating teammembers were asked to fill out a questionnaire to evaluate their satisfaction with the use of the OR Black Box, the performance report, and the debriefing session in general. The results regarding the team’s satisfaction with the OR Black Box are presented in another study. 19 Descriptive data, including means (standard deviation [SD]), of the questionnaire answers related to the debriefing sessions itself, are presented in this study to provide more information on the validation of the debrief model.