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Confronting wicked problems and creeping crises: Integrated crisis management. 面对邪恶的问题和蔓延的危机:综合危机管理。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/QFYT8147
Brendan Monahan

The disciplines of crisis management, emergency management, business continuity and resilience are at an inflection point. Is the work of professionals in these fields subject to what some have called at recent industry conferences a failure of imagination? Are the tried-and-true methods and activities serving practitioners as well as they always have, or does today's world demand something different? The more important question is: In these conditions, how can crisis leaders do the most good? To answer that question, crisis management professionals may consider shifting their emphasis from planning, training and exercising alone and introducing more explicit focus on the delivery of good decision making - in other words, a transition of emphasis from response planning to more strategic programme management. All crises - whether fast burning, slow burning or creeping - require decision making. Ultimately in the aftermath, organisations and their leaders are judged not only on the outcomes of a crisis response, but on the decisions they made. Furthermore, this judgment is made not only on whether the decisions were right or wrong alone, but also whether they were defensible based on the best available information at the time. In confrontation with these realities, there is a unique role for enterprise crisis teams to define a value proposition along a set of guiding principles. From there, operational execution may be bridged through an integrated crisis management framework. This paper proposes a way forward along these lines. This article is also included in The Business & Management Collection which can be accessed at https://hstalks.com/business/.

危机管理、应急管理、业务连续性和复原力等学科正处于拐点。这些领域的专业人士的工作是否受到了一些人在最近的行业会议上所说的想象力失败的影响?那些久经考验的方法和活动是否一如既往地服务于从业者,或者今天的世界是否需要一些不同的东西?更重要的问题是:在这种情况下,危机领导者如何才能做到最好?要回答这个问题,危机管理专业人员可能会考虑将他们的重点从单纯的规划、培训和实践转移到更明确地侧重于提供良好的决策——换句话说,将重点从应对规划转移到更具战略性的方案管理。所有危机——无论是快速燃烧、缓慢燃烧还是蔓延——都需要决策。最终,在危机发生后,人们不仅根据危机应对的结果来评判组织及其领导人,还根据他们做出的决定来评判他们。此外,这种判断不仅取决于这些决定本身是对还是错,而且还取决于这些决定是否根据当时可获得的最佳信息进行辩护。在面对这些现实时,企业危机处理团队有一个独特的角色,即根据一组指导原则定义价值主张。在此基础上,可以通过集成的危机管理框架将操作执行连接起来。本文提出了沿着这些方向前进的方法。这篇文章也包含在商业和管理合集中,可以在https://hstalks.com/business/上访问。
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引用次数: 0
After the horse has bolted : A quantitative assessment of the count of civil protection officers in London local authorities between 2006 and 2024. 马跑了之后:2006年至2024年间伦敦地方当局民防官员数量的定量评估。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/NVHV9374
David McClory, Stephen Arundell

This paper examines trends in the employment of emergency planning officers (EPOs) within London's local governments over 18 years. The main aim is to assess how workforce levels in local authority resilience and civil protection roles have been influenced by policy and significant regional, national and international incidents and events. The paper analyses employment data, correlating EPO numbers with major legislative, economic and societal events to investigate perceived and actual workforce trends. Key findings reveal fluctuations in EPO employment, including a significant decline from 2009 to 2017 due to austerity, which was later offset by sharp increases following regional emergencies and new resilience policies. The 2023-24 period saw the highest EPO employment in London for the research period, although disparities in staffing levels between boroughs persist, potentially affecting regional resilience capabilities. Conclusions emphasise the critical yet reactionary nature of resilience staffing, with increases often prompted by recent crises rather than proactive planning. This pattern underscores vulnerabilities in organisational learning and continuity in civil protection functions. The study highlights the need for consistent investment in resilience personnel to address an increasingly complex risk environment. Further implications suggest that local resilience planning could benefit from standardised strategies and continued evaluation of EPO capacity to better support London's ability to respond to future emergencies. This article is also included in The Business & Management Collection which can be accessed at https://hstalks.com/business/.

本文考察了18年来伦敦地方政府中应急规划官员(epo)的就业趋势。主要目的是评估政策和重大区域、国家和国际事件对地方当局复原力和民防角色的劳动力水平的影响。本文分析了就业数据,将EPO数字与主要立法、经济和社会事件联系起来,以调查感知和实际的劳动力趋势。主要调查结果揭示了EPO就业的波动,包括2009年至2017年由于紧缩政策导致的大幅下降,后来被区域紧急情况和新的抵御力政策后的大幅增加所抵消。在研究期间,2023年至2024年期间,伦敦的EPO就业率最高,尽管各区之间的人员配备水平仍然存在差异,这可能会影响区域的应变能力。结论强调弹性人员配备的关键而反动的性质,其增加往往是由最近的危机而不是积极的计划推动的。这种模式强调了组织学习和民事保护职能连续性方面的脆弱性。该研究强调,需要对抗灾能力人员进行持续投资,以应对日益复杂的风险环境。进一步的影响表明,地方恢复力规划可以受益于标准化战略和对EPO能力的持续评估,以更好地支持伦敦应对未来紧急情况的能力。这篇文章也包含在商业和管理合集中,可以在https://hstalks.com/business/上访问。
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引用次数: 0
Opinion piece: The Federal Emergency Management Agency: We have met the enemy and he is us. 评论文章:联邦紧急事务管理局:我们遇到了敌人,他就是我们自己。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/JTHZ3702
Michael Martinet
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引用次数: 0
Evacuate or shelter-in-place? Applying a risk-informed decision support tool for long-term care facilities threatened by wildfire. 疏散还是就地避难?为受野火威胁的长期护理设施应用风险知情决策支持工具。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/IJET9958
Brent Hobbs, Alana Hicik, Jeffrey Tochkin, Andre Bloemink

The summer of 2023 was Canada's most destructive wildfire season in recorded history. The southern region of the province of British Columbia (BC) is prone to wildfires and flooding, placing infrastructure, communities and human lives at risk. Residents of long-term care (LTC) facilities are especially vulnerable to these events. Healthcare leaders face the challenge of deciding when and under what circumstances to evacuate an LTC facility. This requires careful evaluation of the dangers posed by the event and the risks associated with the sudden displacement of frail residents. This risk assessment leads to two decision points: is it safer for residents to shelter-in-place or to evacuate to an alternative care facility? Given the increasing frequency and severity of climate-related disasters and their impact on the health and well-being of LTC residents, health emergency incident managers identified the need to develop a standardised approach for evacuation decision making. This paper analyses how the Interior Health (IH) Authority collaborated with Health Emergency Management BC (HEMBC) to develop an Evacuation Risk Decision-Support Tool. This tool informed LTC facility evacuations during the 2023 McDougall Creek wildfire in West Kelowna, BC.

2023年夏天是加拿大有史以来最具破坏性的野火季节。不列颠哥伦比亚省南部地区容易发生野火和洪水,使基础设施、社区和人类生命处于危险之中。长期护理机构(LTC)的居民尤其容易受到这些事件的影响。医疗保健领导者面临着决定何时以及在何种情况下撤离LTC设施的挑战。这需要仔细评估该事件造成的危险以及与脆弱居民突然流离失所相关的风险。这种风险评估导致两个决策点:对居民来说,是就地避难更安全,还是疏散到另一个护理机构更安全?鉴于与气候有关的灾害日益频繁和严重,以及它们对LTC居民健康和福祉的影响,卫生应急事件管理人员确定有必要制定一种标准化的疏散决策方法。本文分析了内部卫生(IH)管理局如何与卫生应急管理BC (HEMBC)合作开发疏散风险决策支持工具。该工具在2023年西基洛纳麦克杜格尔溪野火期间通知了LTC设施撤离。
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引用次数: 0
Expanding the paradigm of evaluating community benefits in investments in grid resilience utilising a balanced scorecard approach. 扩展利用平衡计分卡方法评估电网弹性投资中的社区效益的范例。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/PYOK2320
Jeff Schlegelmilch, Sean Hansen, Ilina Hristova, Qëndresa Krasniqi, Alexandra Potter, Jacqueline Ratner, Antonia Samur

The electric grid is increasingly a major component in the impact of and recovery from disasters. Ultimately, investments in grid resilience help to sustain the ability of a community to withstand and recover after a disaster by mitigating the effects of widespread power outages and hardening critical infrastructure to better withstand and recover from disasters. This notion of 'resilience', however, has generally been more theoretical and aspirational rather than something that can be quantified and ultimately integrated into systems evaluation and decision-making paradigms. This paper describes how on resilience profile and balanced scorecard approaches, an evidence-informed approach towards quantifying resilience across various domains utilising a modified balanced scorecard methodology is presented.

电网日益成为灾害影响和灾后恢复的重要组成部分。最终,对电网恢复能力的投资有助于维持社区抵御灾害和灾后恢复的能力,减轻大范围停电的影响,强化关键基础设施,以更好地抵御灾害并从灾害中恢复。然而,这种“弹性”的概念通常更理论化和理想化,而不是可以量化并最终集成到系统评估和决策范式中的东西。本文描述了如何在弹性概况和平衡计分卡方法上,提出了一种基于证据的方法,利用改进的平衡计分卡方法对各个领域的弹性进行量化。
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引用次数: 0
Editorial. 社论。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/VOMH6630
Lyndon Bird
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引用次数: 0
Bolstering emergency power resilience for hospitals during power outages: How the Los Angeles County Emergency Medical Services Agency initiative offers a blueprint for other jurisdictions. 加强医院在停电期间的应急电力恢复能力:洛杉矶县紧急医疗服务机构的倡议如何为其他司法管辖区提供蓝图。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/BLRP8859
Eric Cote, Terry Crammer, Christopher Sandoval

This paper describes an initiative launched by the Los Angeles County (LAC) Emergency Medical Services (EMS) Agency to bolster emergency power resilience for hospitals operating in LAC. The multiyear initiative, launched in 2019 and concluded in October 2023, culminated in the publication of the 'Healthcare Facility Emergency Power Resilience Playbook',1 a heralded resource that introduces innovative protocols to address significant vulnerabilities uncovered during the initiative. These vulnerabilities included seriously outdated generators, facilities with no redundant emergency power and facilities with limited onsite generator fuel storage capacity. New protocols developed to address these gaps include accelerated emergency power threat reporting by hospitals and a first-ever, confidential risk rating of hospital emergency power systems by a government agency. This move is intended to help the LAC EMS Agency maintain closer vigilance of higher-risk facilities during an outage. The new protocols far exceed the federal government's emergency power requirements for hospitals. This paper also outlines the additional steps jurisdictions could consider to build on the LAC EMS Agency's groundbreaking work to achieve even higher levels of emergency power resilience. This article is also included in The Business & Management Collection which can be accessed at https://hstalks.com/business/.

本文描述了洛杉矶县(LAC)紧急医疗服务(EMS)机构发起的一项倡议,以加强在LAC运营的医院的应急电力弹性。这一多年期倡议于2019年启动,并于2023年10月结束,最终出版了《医疗机构应急电力弹性手册》1,这是一项备受欢迎的资源,引入了创新协议,以解决倡议期间发现的重大漏洞。这些漏洞包括严重过时的发电机、没有备用应急电源的设施以及现场发电机燃料储存能力有限的设施。为解决这些差距而制定的新协议包括加快医院紧急电力威胁报告,以及政府机构首次对医院紧急电力系统进行保密风险评级。此举旨在帮助LAC EMS机构在停电期间对高风险设施保持更密切的警惕。新协议远远超出了联邦政府对医院的应急电力要求。本文还概述了各司法管辖区可以考虑在LAC EMS机构开创性工作的基础上采取的额外步骤,以实现更高水平的应急电力恢复能力。这篇文章也包含在商业和管理合集中,可以在https://hstalks.com/business/上访问。
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引用次数: 0
Integrating cyber resilience: A critical component of comprehensive business resilience. 集成网络弹性:综合业务弹性的关键组成部分。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/LMGO9459
Robert Fernandes

This paper advocates for the integration of threat exposure monitoring (TEM) as a critical tool in cyber security resilience frameworks. As organisations face increasing cyber threats, TEM provides an essential, proactive approach to identifying potential vulnerabilities before they can be exploited. By monitoring various online environments, including the dark web, hacker forums and misconfigured cloud storage, TEM can uncover compromised credentials, exposed data and other risk factors that could lead to operational disruptions. This proactive monitoring strategy enhances an organisation's preparedness, helping to prevent costly incidents and mitigate risks before they escalate. Using notable case studies, such as the Colonial Pipeline ransomware incident and the Orange Spain outage, the paper illustrates the devastating impact of cyber breaches and underscores how TEM could help avoid similar disruptions. Readers will gain an understanding of how to implement a TEM programme, identify critical digital assets for monitoring and integrate TEM within broader threat intelligence practices. Ultimately, this paper provides resilience professionals with a structured approach to leveraging TEM for robust cyber defence, offering practical insights on reducing exposure risks and strengthening overall business resiliency. This article is also included in The Business & Management Collection which can be accessed at https://hstalks.com/business/.

本文主张将威胁暴露监测(TEM)作为网络安全弹性框架中的关键工具。随着企业面临越来越多的网络威胁,TEM提供了一种必要的、主动的方法,可以在潜在漏洞被利用之前识别它们。通过监控各种在线环境,包括暗网、黑客论坛和配置错误的云存储,TEM可以发现受损的凭证、暴露的数据和其他可能导致运营中断的风险因素。这种主动监控策略增强了组织的准备能力,有助于防止代价高昂的事件,并在风险升级之前降低风险。本文使用了一些著名的案例研究,例如Colonial Pipeline勒索软件事件和Orange Spain中断事件,说明了网络入侵的破坏性影响,并强调了TEM如何帮助避免类似的中断。读者将了解如何实施TEM计划,识别用于监控的关键数字资产,并将TEM整合到更广泛的威胁情报实践中。最后,本文为弹性专业人员提供了一种结构化的方法,以利用TEM进行强大的网络防御,为减少暴露风险和加强整体业务弹性提供实用的见解。这篇文章也包含在商业和管理合集中,可以在https://hstalks.com/business/上访问。
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引用次数: 0
Active shooters: The underutilisation of emergency operations centres - the need for a checklist to guide response and recovery. 主动射击者:紧急行动中心的利用不足——需要一份指导反应和恢复的清单。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/WFRD1370
Mikel Alford, Rachel Hollinger

The emergency operations centre (EOC) is a critical emergency response and recovery component that provides information management and resource allocation. EOCs are often used during all hazards; however, after reviewing over 25 after-action reports for active shooter incidents, they are frequently underutilised. Not activating or delaying activation can slow recovery efforts and lead to chaos for the first responders and the public due to a lack of situational awareness. Historical active shooter incidents, such as the San Bernardino attack, Uvalde school shooting and Aurora theatre shooting, highlight both the challenges and successes of EOC activations. Positive examples, including the Los Angeles International Airport (LAX) shooting and Pulse Nightclub attack, demonstrate how timely EOC activation improved resource coordination, victim services and public communications. A specialised active assailant checklist for EOC operations has remained largely absent even though the incidents pose a complex threat. The City of Murrieta and the City of Temecula worked to fill that void. They developed an 'Active Shooter EOC Checklist', informed by lessons learned from previous mass shootings and resources such as the 'United on Guns' protocol. The checklist guides the agencies through emergency operations, ensuring public communication, victim assistance, volunteer and donation management, recovery and other critical functions are not missed. This paper describes how EOC utilisation can streamline response operations, reduce fatalities and support community recovery efforts. This article is also included in The Business & Management Collection which can be accessed at https://hstalks.com/business/.

应急行动中心(EOC)是提供信息管理和资源分配的关键应急反应和恢复组成部分。eoc通常用于所有危险;然而,在审查了超过25份主动射击事件的事后报告后,他们经常没有得到充分利用。不启动或延迟启动可能会减缓恢复工作,并由于缺乏态势感知而导致第一响应者和公众的混乱。历史上的主动射击事件,如圣贝纳迪诺枪击案、乌瓦尔德学校枪击案和奥罗拉剧院枪击案,都突出了主动射击的挑战和成功。积极的例子,包括洛杉矶国际机场(LAX)枪击事件和Pulse夜总会袭击事件,都证明了及时启动EOC如何改善了资源协调、受害者服务和公众沟通。尽管这些事件构成了复杂的威胁,但EOC行动的专门主动攻击者清单在很大程度上仍然缺失。穆列塔市和特梅库拉市努力填补这一空白。他们根据以往大规模枪击事件的经验教训和“枪支联合”协议等资源,制定了一份“主动射手EOC清单”。该清单指导各机构开展紧急行动,确保公众沟通、受害者援助、志愿者和捐赠管理、恢复和其他关键职能不被遗漏。本文介绍了如何利用应急中心简化应急行动,减少死亡人数和支持社区恢复工作。这篇文章也包含在商业和管理合集中,可以在https://hstalks.com/business/上访问。
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引用次数: 0
Enhancing healthcare emergency management training through virtual reality simulation. 通过虚拟现实模拟加强医疗应急管理培训。
Q3 Medicine Pub Date : 2025-01-01 DOI: 10.69554/CTPY9516
Suzy Fitzgerald, Virginia Riggall, Jennifer Quevedo

This paper examines the challenges associated with training healthcare systems to respond effectively to rare, high-risk and complex disaster events. It explores the potential application of virtual reality (VR) simulation in healthcare emergency management training, describes a pilot education programme implemented by a large healthcare organisation for mass casualty incident (MCI) triage training using VR simulation, outlines steps to implement VR simulation into the healthcare emergency management training curriculum, and discusses possible future directions for further development and research in this area.

本文探讨了与培训医疗系统相关的挑战,以有效应对罕见,高风险和复杂的灾害事件。它探讨了虚拟现实(VR)模拟在医疗应急管理培训中的潜在应用,描述了一家大型医疗机构使用VR模拟实施的大规模伤亡事件(MCI)分诊培训试点教育计划,概述了将VR模拟应用于医疗应急管理培训课程的步骤,并讨论了该领域进一步发展和研究的未来可能方向。
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引用次数: 0
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Journal of business continuity & emergency planning
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