{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T18:24:23Z","timestamp":1793298263938,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the acceptability and feasibility of implementing a structured \u2018hot debrief\u2019 tool, and its impact on team effectiveness, staff well\u2010being and identification of system\u2010level issues following critical events in two EDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a multi\u2010site quality improvement study across two metropolitan Australian EDs from 2023 to 2025. A standardised hot debrief process was implemented following predefined critical events, with senior staff trained as facilitators. Staff perceptions were assessed using anonymous pre\u2010, post\u2010 and final\u2010implementation surveys, with quantitative data analysed descriptively. Completed debrief proformas from two 6\u2010month trial periods were analysed using reflexive thematic analysis to identify recurring themes related to team function, well\u2010being and system issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 46 hot debriefs were conducted. In the final survey, 60 of 121 respondents (50%) had attended at least one debrief in the preceding 6\u2009months. Amongst attendees, 98% reported that debriefs created a psychologically safe space, and 59 of 60 found them useful overall. Likert\u2010scale responses indicated high perceived value, with most rating debriefs four or five out of five for team building, learning, issue identification and emotional processing. Thematic analysis identified five key system\u2010level issues: interdepartmental communication, medication dosing in rare events, staffing and handover pressures, staff safety during behavioural emergencies and environmental and crowd\u2010control challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A structured hot debrief tool was feasible and well accepted. It supported team reflection, staff well\u2010being and identification of recurrent system issues. Further research is needed to assess sustainability and downstream impacts on staff well\u2010being and patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70349","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:30:52Z","timestamp":1789551052000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Implementation of a Structured Hot Debrief Tool in a Metropolitan\n                    <scp>ED<\/scp>\n                    : A Quality Improvement Study"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9748-3018","authenticated-orcid":false,"given":"Jasmine","family":"Poonian","sequence":"first","affiliation":[{"name":"Emergency Medicine Sunshine Hospital, Western Health  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2028-6249","authenticated-orcid":false,"given":"Katie","family":"O'Halloran","sequence":"additional","affiliation":[{"name":"Emergency Medicine Sunshine Hospital, Western Health  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0295-8311","authenticated-orcid":false,"given":"Thomas","family":"Kilner","sequence":"additional","affiliation":[{"name":"Royal Adelaide Hospital  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7173-6993","authenticated-orcid":false,"given":"David","family":"Krieser","sequence":"additional","affiliation":[{"name":"Emergency Medicine Sunshine Hospital, Western Health  Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Burn\u2010Out an Occupational Phenomenon: International Classification of Diseases","author":"World Health Organization","year":"2019"},{"key":"e_1_2_11_3_1","volume-title":"WHO Guidelines on the Use of Simulation and Debriefing for Health Worker Education","author":"World Health Organization","year":"2011"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2018.369"},{"issue":"2","key":"e_1_2_11_5_1","first-page":"144","article-title":"Simulation\u2010Based Training Improves Patient Outcomes: A Systematic Review and Meta\u2010Analysis","volume":"28","author":"Anderson J. M.","year":"2019","journal-title":"BMJ Quality and Safety"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000072"},{"key":"e_1_2_11_7_1","first-page":"69","article-title":"Post\u2013Cardiac Arrest Debriefing in the Emergency Department: A Systematic Review","volume":"128","author":"Rose S.","year":"2018","journal-title":"Resuscitation"},{"issue":"10","key":"e_1_2_11_8_1","first-page":"1304","article-title":"Debriefing to Improve Outcomes From Cardiac Arrest: A Systematic Review","volume":"84","author":"Couper K.","year":"2013","journal-title":"Resuscitation"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000583"},{"key":"e_1_2_11_10_1","unstructured":"Royal Melbourne Hospital Emergency Department \u201cHot Debrief. OKSTOP \u201dhttps:\/\/edcentral.co\/wp\u2010content\/uploads\/2024\/08\/Traumatic\u2010Cardiac\u2010Arrest\u2010Guideline.pdf."},{"key":"e_1_2_11_11_1","unstructured":"Alfred Health \u201cHot Debriefing in the Emergency and Trauma Centre Training Document \u201dhttps:\/\/www.alfredemergency.org\/blank\u20101\u20101#:~:text=Hot%20Debriefs%20using%20STOP%20Process Paediatric%20Assessment%20Triangle%20(PAT)."},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.15441\/ceem.19.086"},{"issue":"1","key":"e_1_2_11_13_1","first-page":"145","article-title":"How to Lead a Hot Debrief in the Emergency Department","volume":"33","author":"Brazil V.","year":"2021","journal-title":"Emergency Medicine Australasia"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0018720812448394"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.10.019"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2020.1817349"},{"key":"e_1_2_11_19_1","volume-title":"Debriefing in the ED After Clinical Events: A Practical Guide","author":"Agency for Healthcare Research and Quality","year":"2015"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2022-015464"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2020-000913"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13767"},{"key":"e_1_2_11_23_1","first-page":"CD000560","article-title":"Psychological Debriefing for Preventing Post\u2010Traumatic Stress Disorder (PTSD)","volume":"2002","author":"Rose S.","year":"2002","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_24_1","first-page":"1","article-title":"Postresuscitation Debriefing in the Pediatric ED: A National Needs Assessment","volume":"15","author":"Sandhu N.","year":"2013","journal-title":"CJEM"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.70349","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T13:35:56Z","timestamp":1793194556000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/1742-6723.70349"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70349","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"2026-04-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70349"}}