Looking Ahead in the Rearview Mirror: During Action Review and Tabletop (DART) to Strengthen Health Emergency Readiness and Resiliency

Author:

McNeil CarrieORCID,Divi Nomita,Smolinski Mark S.

Abstract

Abstract 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.

Publisher

Cambridge University Press (CUP)

Subject

Public Health, Environmental and Occupational Health

Reference26 articles.

1. 12. United Nations Division of Healthcare Management and Occupational Safety and Health. COVID-19 pandemic tabletop exercise; 2020. https://www.un.org/sites/un2.un.org/files/coronavirus_ttxscenario_2020-03-11.pdf. Accessed June 25, 2021.

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4. Preparing for COVID-19 vaccine roll-out through simulation exercises

5. Tools for Assessment of Country Preparedness for Public Health Emergencies: A Critical Review

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