School of Nursing and Health Studies, Georgetown University, Washington, District of Columbia 20057, USA.
J Public Health Manag Pract. 2013 Sep-Oct;19 Suppl 2:S93-4. doi: 10.1097/PHH.0b013e31828bf5b3.
As called for in the National Health Security Strategy, health departments currently use a number of "after action report" formats to collect data from actual public health emergency responses. The 2009 H1N1 pandemic revealed significant weaknesses in the use of these approaches, especially the absence both of reflective root-cause analyses and of a framework to describe performance in terms of public health emergency preparedness capabilities. To address these deficiencies and to develop an effective approach to learning from actual public health emergencies, we sought to understand how the concept and operations of a "critical incident registry," common in health care and other industries, could be adapted to meet the National Health Security Strategy objectives.
根据《国家卫生安全战略》的要求，卫生部门目前使用多种“事后报告”格式从实际公共卫生应急响应中收集数据。2009 年 H1N1 大流行暴露了这些方法使用中的重大缺陷，特别是缺乏反思性根本原因分析，也缺乏一个框架来根据公共卫生应急准备能力来描述绩效。为了解决这些不足，并制定一种从实际公共卫生突发事件中学习的有效方法，我们试图了解医疗保健和其他行业中常见的“关键事件登记”概念和操作如何适应国家卫生安全战略目标。
