Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 8
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Cicero, Mark X. and Weiner, Debra L. 2016. Comprehensive Healthcare Simulation: Pediatrics.


    Agboola, Foluso Bernard, Dorothy Savoia, Elena and Biddinger, Paul D. 2015. Development of an Online Toolkit for Measuring Performance in Health Emergency Response Exercises. Prehospital and Disaster Medicine, Vol. 30, Issue. 05, p. 503.


    Yeager, Valerie A. Hurst, David and Menachemi, Nir 2015. State Barriers to Appropriating Public Health Emergency Response Funds During the 2009 H1N1 Response. American Journal of Public Health, Vol. 105, Issue. S2, p. S274.


    Dausey, David J and Moore, Melinda 2014. Using exercises to improve public health preparedness in Asia, the Middle East and Africa. BMC Research Notes, Vol. 7, Issue. 1, p. 474.


    McCormick, Lisa C. Hites, Lisle Wakelee, Jessica F. Rucks, Andrew C. and Ginter, Peter M. 2014. Planning and Executing Complex Large-Scale Exercises. Journal of Public Health Management and Practice, Vol. 20, p. S37.


    Pucher, Philip H. Batrick, Nicola Taylor, Dave Chaudery, Muzzafer Cohen, Daniel and Darzi, Ara 2014. Virtual-world hospital simulation for real-world disaster response. Journal of Trauma and Acute Care Surgery, Vol. 77, Issue. 2, p. 315.


    Savoia, Elena Agboola, Foluso and Biddinger, Paul 2014. A Conceptual Framework to Measure Systems’ Performance during Emergency Preparedness Exercises. International Journal of Environmental Research and Public Health, Vol. 11, Issue. 9, p. 9712.


    Kupfer, Ramona Michalzik, Elisabeth and Lenz, Matthias 2013. Preparedness - Entscheidungen trotz Unsicherheit. Evaluation der Reaktionsbereitschaft von Pflegepersonal in Krankenhauskrisenübungen. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, Vol. 107, Issue. 9-10, p. 611.


    ×

A Consensus Process on the Use of Exercises and After Action Reports to Assess and Improve Public Health Emergency Preparedness and Response

  • Elena Savoia (a1), Jessica Preston (a2) and Paul D. Biddinger (a2) (a3)
  • DOI: http://dx.doi.org/10.1017/S1049023X13000289
  • Published online: 28 March 2013
Abstract
AbstractIntroduction

The objective of disaster preparedness is to ensure that appropriate systems, procedures, and resources are in place to provide prompt, effective assistance to disaster victims, thus facilitating relief measures and rehabilitation of services. Disaster preparedness efforts include the identification of possible health scenarios based on the probability of hazards and vulnerability of the population as a basis for creating a disaster plan. Exercises that simulate emergency response, involving the health and other sectors, have been suggested as useful tools to test the plans on a regular basis and measure preparedness efforts; the absence of actual testing is likely to negate even the best of abstract plans.

Problem

Exercises and after action reports (AARs) are used to document preparedness activities. However, to date, limited analysis has been performed on what makes an exercise an effective tool to assess public health emergency preparedness (PHEP), and how AARs can be developed and used to support PHEP improvement efforts. The scope of this project was to achieve consensus on: (1) what makes an exercise an effective tool to assess PHEP; and (2) what makes an AAR an effective tool to guide PHEP improvement efforts.

Methods

Sixty-one PHEP experts were convened by the use of Nominal Group Techniques to achieve consensus on a series of characteristics that exercises should have when designed to assess PHEP and on the recommendations for developing high-quality AARs.

Results

The panelists achieved consensus on a list of recommendations to improve the use of exercises and AARs in PHEP improvement efforts. Such recommendations ranged from the characteristics of the exercise audience to the evaluation methodology being used and the characteristics of the produced AAR such as its structure and content.

Conclusions

The characteristics of the exercise audience, scenario and scope are among the most important attributes to the effectiveness of an exercise conducted for PHEP evaluation purposes. The evaluation instruments used to gather observations need an appropriate matching between exercise objectives and the response capabilities tested during the exercise, to build the base for the production of a good AAR. Improvements in the design and creation of exercises and AARs could facilitate better reporting and measurement of preparedness outcomes.

SavoiaE, PrestonJ, BiddingerPD. A Consensus Process on the Use of Exercises and After Action Reports to Assess and Improve Public Health Emergency Preparedness and Response. Prehosp Disaster Med. 2013;28(3):1-4.

Copyright
Corresponding author
Correspondence: Elena Savoia, MD, MPH Division of Policy Translation and Leadership Development Harvard School of Public Health 401 Park Drive Boston, MA 02115 USA E-mail esavoia@hsph.harvard.edu
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

3.AS Kahn . Public health preparedness and response in the USA since 9/11: a national health security imperative. Lancet. 2011;378(9794):953-956.

4.M Seid , D Lotstein , VL Williams , et al. Quality improvement in public health emergency preparedness. Annu Rev of Public Health. 2007;28:19-31.

5.C Nelson , N Lurie , J Wasserman . Assessing public health emergency preparedness: concepts, tools, and challenges. Annu Rev of Public Health. 2007;28:1-18.

7.E Savoia , F Agboola , PD Biddinger . Use of after action reports (AARs) to promote organizational and systems learning in emergency preparedness. Int J Environ Res Public Health. 2012;9(8):2949-2963.

E Savoia , J Preston , PD Biddinger . A consensus process on the use of exercises and after action reports to assess and improve public health emergency preparedness and response. Prehosp Disaster Med. 2013;28(3):1-4

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: