[An After-Action Review at Municipal Level in the Public Health Service - Lessons Learned at the Corona Unit of the Duesseldorf Public Health Authority after the end of the Covid-19 Pandemic, March 2023].

IF 0.7 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Gesundheitswesen Pub Date : 2024-12-01 Epub Date: 2024-05-17 DOI:10.1055/a-2329-7058
Hannah Höglund-Braun, Anne Lisa Quartey, Maya Ganter, Lutz Ehlkes, Steffen Geis, Max Skorning, Sybille Rehmet, Anna Kuehne
{"title":"[An After-Action Review at Municipal Level in the Public Health Service - Lessons Learned at the Corona Unit of the Duesseldorf Public Health Authority after the end of the Covid-19 Pandemic, March 2023].","authors":"Hannah Höglund-Braun, Anne Lisa Quartey, Maya Ganter, Lutz Ehlkes, Steffen Geis, Max Skorning, Sybille Rehmet, Anna Kuehne","doi":"10.1055/a-2329-7058","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>After-Action Reviews (AARs) represent structured, qualitative evaluations of crisis interventions. Here, we describe the implementation of an AAR to assess the Corona Unit of the Duesseldorf Health Department.</p><p><strong>Methods: </strong>We employed an after-action review (AAR) using the working group format supplemented by structured interviews with key personnel. Our approach was guided by the guidelines for AARs provided by the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC).</p><p><strong>Results: </strong>Participants identified nine relevant challenges with potential for improvement in three categories: (I) challenges in recruiting requested personnel, (II) overarching coordination issues, and (III) frequent relocations. Participants proposed solutions for these challenges: (I) 1. Routine cross-agency inquiries for voluntarily available personnel, 2. consideration of resources from municipal subsidiaries and involvement of personnel with leadership experience from other departments, 3. Better coordination of deployment and onboarding, 4. proposal for early communication regarding different compensation regulations, (II) 5. establishment of an overarching coordination authority for the crisis unit, 6. clearer delineation of responsibilities within the crisis unit with explicit job profiles, 7. establishment of a shared working platform, and 8. creation of a central dashboard for generating all situation reports. Additionally, they identified (III) 9. a facility for housing a crisis unit in case of an emergency.</p><p><strong>Conclusion: </strong>This study represents one of the first applications of an AAR for evaluating crisis structures at the level of a local Public Health Authority (LPHA) in the context of the COVID-19 pandemic. While some of the identified challenges are specific to Duesseldorf, many municipalities faced personnel recruitment and coordination challenges during the COVID-19 pandemic. Municipal crisis plans can be reviewed and adjusted concerning the identified challenges. Sharing evaluation results among LPHA stakeholders can contribute to strengthening crisis structures in the long term.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"769-775"},"PeriodicalIF":0.7000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626909/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gesundheitswesen","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2329-7058","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/17 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Background: After-Action Reviews (AARs) represent structured, qualitative evaluations of crisis interventions. Here, we describe the implementation of an AAR to assess the Corona Unit of the Duesseldorf Health Department.

Methods: We employed an after-action review (AAR) using the working group format supplemented by structured interviews with key personnel. Our approach was guided by the guidelines for AARs provided by the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC).

Results: Participants identified nine relevant challenges with potential for improvement in three categories: (I) challenges in recruiting requested personnel, (II) overarching coordination issues, and (III) frequent relocations. Participants proposed solutions for these challenges: (I) 1. Routine cross-agency inquiries for voluntarily available personnel, 2. consideration of resources from municipal subsidiaries and involvement of personnel with leadership experience from other departments, 3. Better coordination of deployment and onboarding, 4. proposal for early communication regarding different compensation regulations, (II) 5. establishment of an overarching coordination authority for the crisis unit, 6. clearer delineation of responsibilities within the crisis unit with explicit job profiles, 7. establishment of a shared working platform, and 8. creation of a central dashboard for generating all situation reports. Additionally, they identified (III) 9. a facility for housing a crisis unit in case of an emergency.

Conclusion: This study represents one of the first applications of an AAR for evaluating crisis structures at the level of a local Public Health Authority (LPHA) in the context of the COVID-19 pandemic. While some of the identified challenges are specific to Duesseldorf, many municipalities faced personnel recruitment and coordination challenges during the COVID-19 pandemic. Municipal crisis plans can be reviewed and adjusted concerning the identified challenges. Sharing evaluation results among LPHA stakeholders can contribute to strengthening crisis structures in the long term.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
厄瓜多尔市政层面的事后总结:2023 年 3 月 Covid-19 大流行结束后杜塞尔多夫卫生局 Corona 部门的经验教训。
背景:行动后评估(AAR)是对危机干预措施进行的结构化、定性评估。在此,我们介绍了对杜塞尔多夫市卫生局科罗娜小组进行评估的 AAR 实施情况:我们采用了行动后回顾(AAR)的方法,以工作组的形式,辅以对关键人员的结构化访谈。我们的方法以世界卫生组织(WHO)和欧洲疾病预防与控制中心(ECDC)提供的行动后评估指南为指导:结果:与会者确定了九项有改进潜力的相关挑战,分为三类:(I) 招聘所需人员方面的挑战,(II) 总体协调问题,(III) 人员频繁调动。与会者针对这些挑战提出了解决方案:(I) 1.例行跨机构查询自愿提供的人员,2.考虑市政附属机构的资源和其他部门具有领导经验的人员的参与,3.更好地协调部署和入职,4.建议尽早就不同的补偿规定进行沟通,(II) 5.为危机单位建立一个总体协调机构,6.通过明确的职位说明更清晰地划分危机单位内部的职责,7.建立一个共享的工作平台,8.创建一个中央仪表板,用于生成所有情况报告。此外,他们还确定了(III)9:本研究是在 COVID-19 大流行的背景下,首次应用 AAR 评估地方公共卫生局(LPHA)的危机结构。虽然某些已确定的挑战是杜塞尔多夫特有的,但在 COVID-19 大流行期间,许多城市都面临着人员招聘和协调方面的挑战。可以针对所发现的挑战对市政危机计划进行审查和调整。在 LPHA 利益相关者之间分享评估结果有助于长期加强危机结构。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Gesundheitswesen
Gesundheitswesen PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
18.20%
发文量
308
期刊介绍: The health service informs you comprehensively and up-to-date about the most important topics of the health care system. In addition to guidelines, overviews and comments, you will find current research results and contributions to CME-certified continuing education and training. The journal offers a scientific discussion forum and a platform for communications from professional societies. The content quality is ensured by a publisher body, the expert advisory board and other experts in the peer review process.
期刊最新文献
[Contact-restricting measures in care facilities in the context of the COVID-19 pandemic and their impact on residents - a plea]. [Measures to increase the retention of migrant healthcare professionals in Germany: results from 14 years of research]. Prävention von Kinderübergewicht in Kommunen – partizipative Entwicklung von kommunalen Strategien zur Steigerung der Handlungsbereitschaft. Generalisierbarkeit von Phase III Klinischen Studien am Beispiel Zweier Bundesweiter Multiple Sklerose Register. [In times of crisis, utilization of medical services by mothers decreases - Are single mothers affected more?]
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1