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A Conceptual Framework to Measure Systems’ Performance during Emergency Preparedness Exercises

Bibliographic Data

ID15480839
AuthorsElena Savoia (0000-0002-8300-1177, Harvard University, corresponding author), Foluso Agboola (0009-0009-2367-7392, Harvard University), Paul D Biddinger (0000-0002-9664-6476, Harvard University), Paul Biddinger (Harvard School of Public Health)
Year2014
Volume11
Issue9
Pages9712-9722
Publication date2014-09-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph110909712
PMID25233015
PMCIDPMC4199045
OpenAlexW2162603373
LanguageEN
Citations received7
References cited12

Large-scale public health emergencies require a sophisticated, coordinated response involving multiple entities to protect health and minimize suffering. However, the rarity of such emergencies presents a barrier to gathering observational data about the effectiveness of the public health response before such events occur. For this reason, public health practitioners increasingly have relied on simulated emergencies, known as "exercises" as proxies to test their emergency capabilities. However, the formal evaluation of performance in these exercises, historically has been inconsistent, and there is little research to describe how data acquired from simulated emergencies actually support conclusions about the quality of the public health emergency response system. Over the past six years, we have designed and evaluated more than seventy public health emergency exercises, collaborating with public health agencies, hospitals and others to test a wide variety of systems and their capabilities. Using the data and experience that we gathered, we have developed a conceptual framework that describes the essential elements necessary to consider when applying performance measurement science to public health emergency exercises. We suggest that this framework may assist practitioners and researchers who wish to better measure performance in exercises and to improve public health emergency preparedness

Conceptual framework · Data collection · Emergency management · Emergency response · Medical emergency · Observational study · Political science · Preparedness · Public health · Quality (philosophy · Scale (ratio · Sociology · Test (biology · Variety (cybernetics · Computer Science · Disaster Management and Resilience · Disaster Response and Management · Health Policy Implementation Science · Medicine · Nursing

  • Cross-sectoral resilience

    Open Access•Serhiy Danylenko, Andriy Zagorodsky•Social Sciences & Humanities Open•2025

  • Driving the effectiveness of public health emergency management strategies through cross-departmental collaboration

    Open Access•Hongmei Wang, Jing Sun et al.•Frontiers in Public Health•2022

  • Evaluating communication capability across diverse groups for disaster medicine

    Open Access•Le Hong Giang Hoang, Takaaki Kato et al.•International Journal of Disaster…•2024

  • Decision support for medical disasters

    Open Access•Fabio Cibella, Simona Panunzi et al.•International Journal of Disaster…•2020

  • Evaluating simulations as preparation for health crises like CoVID-19

    Open Access•Karen Reddin, Henry Ngenyam Bang et al.•International Journal of Disaster…•2021

  • Simulation exercises and after action reviews – analysis of outputs during 2016–2019 to strengthen global health emergency preparedness and response

    Open Access•Frederik Anton Copper, Landry Ndriko Mayigane et al.•Globalization and Health•2020

  • Scientometric Analysis of Public Health Emergencies

    Open Access•Jing Liu, Yujie Wang et al.•International Journal of…•2022

  • Use of After Action Reports (AARs) to Promote Organizational and Systems Learning in Emergency Preparedness

    Open Access•Elena Savoia, Foluso Agboola et al.•International Journal of…•2012

  • Designing and conducting tabletop exercises to assess public health preparedness for manmade and naturally occurring biological threats

    Open Access•David J Dausey, James W Buehler et al.•BMC Public Health•2007

  • Building a Conceptual Framework

    Open Access•Y Jabareen•International Journal of…•2009

Unique citing works7
Citations per year1,17
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 7
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