Table 3 Development of SAFEE debriefing approach

Step 1: Review of existing debriefing frameworks

Review of existing debriefing strategies used for simulation-activities focused on systems and process testing

Identification of strategies from debriefing frameworks that could be applied to architectural testing

Identification of new strategies that needed to be applied to architectural design evaluation testing

Step 2: Review of architectural evidence-based design literature

Review of evidence-based design principles described by AHRQ and CHD [15, 21]

Step 3: Evidence-based design principles

Identification of evidence-based design principles applicable to pre-construction design evaluation [15, 21]

Step 4: Development and integration

Development of SAFEE debriefing approach

Creation of facilitator guide templates

Integration and utilization of debriefing approach during SbHDT schematic design simulations

Step 5: Iteration and revisions

Iteration and revisions of the script and approach during SbHDT detail design simulations

Step 6: Pilot testing (to be conducted over the next 2–3 years)

Framework and debriefing script to be shared and pilot tested at other simulation centers

Debriefing workshops to be presented at simulation conferences

Continued iterations and revisions based on feedback