After Action Reviews of COVID-19 response: Case study of a large tertiary care hospital in Italy.
Int J Health Plann Manage
; 36(5): 1758-1771, 2021 Sep.
Article
in English
| MEDLINE | ID: covidwho-1258060
ABSTRACT
BACKGROUND:
After-Action Reviews (AARs) are management tools used to evaluate the response to public health emergencies at the national and subnational level. Aim of this study is to apply available AAR models to assess and critically appraise COVID-19 response of San Raffaele Scientific Institute, a large university hospital in Milan, Italy.METHODS:
We designed an AAR based on the key-informant interview format, following the methodology proposed by the 2019 World Health Organization Guidance for AAR. After systematic assessment of the hospital reorganization, we conducted 36 semi-structured interviews to professionals with executive, clinical, technical and administrative roles. We designed an ad-hoc questionnaire exploring four areas (i) staff management; (ii) logistics and supplies; (iii) COVID-19 diagnosis and clinical management; (iv) communication.RESULTS:
Overall, the hospital response was evaluated as effective and sufficiently prompt. Participants stressed the relevance of (i) strong governance and coordination; (ii) readiness and availability of healthcare personnel; (iii) definition of a model of care based on a multidisciplinary approach. Challenges were reported for communication management and staff training.CONCLUSIONS:
This study is one of the first applications of the AAR to the COVID-19 response in hospital settings, which can be successfully adapted or scaled up to other settings in order to implement preparedness strategies for future public health emergencies.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Tertiary Care Centers
/
COVID-19
Type of study:
Case report
/
Diagnostic study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
/
Systematic review/Meta Analysis
Limits:
Humans
Country/Region as subject:
Europa
Language:
English
Journal:
Int J Health Plann Manage
Journal subject:
Health Services Research
/
Health Services
Year:
2021
Document Type:
Article
Affiliation country:
Hpm.3258
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