McNeil Carrie, Divi Nomita, Smolinski Mark S
Ending Pandemics, San Francisco, California.
Disaster Med Public Health Prep. 2023 Mar 15;17:e355. doi: 10.1017/dmp.2022.302.
During health emergencies, such as the COVID-19 pandemic, systematic evaluation of capabilities, and multisector coordination are challenging while operating in triage mode. During Action Review and Tabletop (DART) identifies recommendations for strengthening readiness and resiliency by creating a single methodology integrating retrospective analysis of the response to date with a prospective analysis of future scenarios. DART utilizes a role-based questionnaire and participant-led discussion for retrospective response review and identification of future scenarios of concern. Tabletop exercises exploring those future scenarios are conducted in a multi-role format to assess readiness and resiliency. Participants evaluate findings to determine recommended actions to improve response capabilities. 3 COVID-19 focused DARTs demonstrated the ability of this participant-led approach to systematically assess, not only readiness for today, but also resiliency to future complications. While demonstrating its usefulness during COVID-19, DART's flexible and modular design promises to be an effective for any ongoing health emergency.
在诸如新冠疫情等卫生紧急情况期间，在采用分诊模式运作时，对能力进行系统评估以及多部门协调具有挑战性。行动回顾与桌面演练（DART）通过创建一种单一方法来确定加强准备和恢复能力的建议，该方法将对迄今为止应对措施的回顾性分析与对未来情景的前瞻性分析相结合。DART利用基于角色的问卷和参与者主导的讨论来进行回顾性应对审查，并确定未来关注的情景。针对这些未来情景的桌面演练以多角色形式进行，以评估准备情况和恢复能力。参与者评估结果，以确定提高应对能力的建议行动。3次聚焦新冠疫情的DART演练证明了这种由参与者主导的方法不仅能够系统地评估当前的准备情况，还能评估应对未来并发症的恢复能力。在证明其在新冠疫情期间的有用性的同时，DART灵活且模块化的设计有望对任何正在发生的卫生紧急情况都有效。
