Department of Epidemiology, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA 15261, USA.
J Public Health (Oxf). 2010 Dec;32(4):467-71. doi: 10.1093/pubmed/fdp119. Epub 2009 Dec 10.
Public health departments often miss the opportunity to both learn from outbreaks and disasters and share any 'lessons learned' with other public health partners. These missed opportunities inhibit the public health system's ability to improve, change and adapt in an organized way.
In 2003, Western Pennsylvania experienced the largest documented hepatitis A outbreak in US history. The authors documented the key facets of both the outbreak and the response, and in the process developed improved methods for capturing the historical record in an efficient and comprehensive fashion. This process incorporates key aspects of oral history, along with typical public health parameters such as epidemic curves and environmental risk factors, and allows for creation of unique tools for documentation and sharing with diverse audiences.
Learning from experience is an essential part of reducing mistakes, improving public health response, and the methods described herein show one way that 'lessons learned' can become a valuable teaching/training tool for students and practitioners.
公共卫生部门常常错失从疫情和灾害中学习并与其他公共卫生伙伴分享“经验教训”的机会。这些错失的机会阻碍了公共卫生系统以有组织的方式进行改进、变革和适应的能力。
2003 年，宾夕法尼亚州西部经历了美国历史上最大规模的有记录的甲型肝炎疫情。作者记录了疫情和应对措施的关键方面，并在此过程中开发了更有效的全面记录历史记录的方法。该过程结合了口述历史的关键方面，以及典型的公共卫生参数，如疫情曲线和环境风险因素，并为记录和与不同受众共享创建了独特的工具。
从经验中学习是减少错误、改善公共卫生应对的重要组成部分，本文所述的方法展示了“经验教训”如何成为学生和从业者有价值的教学/培训工具的一种方式。
