Anne van Dalen

2 Development of a model for video-assisted postoperative team debriefing I 71 Limitations This study has some limitations to take into account. This literature review was based mostly on narrative review articles. Therefore, a systematic review and corresponding critical appraisal of the identified articles was not performed. The debrief model was developed based on a summary of the identified debrief methods and experience with debriefing in simulation settings by the authors. Also, this model was only tested in one tertiary referral university medical center and with the use of one version of an MDR. Therefore, no strong conclusions can be made regarding the validation of the debrief model. More empirical evidence across user settings is recommended to better validate the model and to find more evidence on how to implement VAD models for clinical surgical settings. Another limitation is the lack of concrete results regarding actual performance improvement. The survey of the pilot study was only able to evaluate self- reported satisfaction. 19 Future studies should evaluate whether the use of the debrief model in video- assisted team debriefing may actually change the behavior of the participating team members when they face the debriefed events in a similar case. Finally, the use of an Figure 3. New OR Black Box performance report example.