| There are as many ways to write an after action | | | | Following the disaster or disaster drill, when it is |
| report as there are hospitals that are now | | | | time to perform the after action review the index |
| required to perform disaster drills and write after | | | | cards will be collected and taken to the review |
| action reports analyzing the performance of the | | | | committee. The hospital now has thousands of |
| institution following a disaster or a disaster | | | | eyes that have critiqued hospital operations. |
| exercise. Since there are 5,756 licensed hospitals | | | | When the committee meets, they will perform |
| in the United States, there are 5,756 different | | | | their usual analysis of those things that went well |
| ways that are currently employed to write the | | | | and those areas of failure. They will still perform |
| after action review. At most institutions, after | | | | their usual root cause analysis attempting to |
| action reviews are written by a committee | | | | identify the reasons for all failures. Then they will |
| between 12 and 18 individuals, managers and | | | | turn to the index cards. |
| supervisors who in addition to their regular duties, | | | | If the committee is very, very lucky, on the |
| have been charged with analyzing the | | | | front of the index cards, they will find that the |
| performance of their departments during an | | | | employees saw the same successes as the |
| adverse event or disaster exercise. | | | | committee identified. The committee now knows, |
| When these individuals meet, they review the | | | | with certainty, what items to keep as part of the |
| disaster plan and the performance of each division | | | | disaster plan. |
| of the organization seeking to identify those areas | | | | In review, those areas where the employees saw |
| where they enjoyed success. This list of | | | | the plan fail; they will find that the committee's list |
| successes will represent what the committee will | | | | of critical failures matches the observations of |
| keep as part of all future plans. | | | | those who worked during the disaster or disaster |
| The committee will then review performance to | | | | drill. The committee now knows that their analysis |
| determine where the plan failed. From this list of | | | | is valid. They identified the same failures as the |
| failures, they will perform a "root cause analysis" | | | | employees. |
| seeking to determine why the failure occurred at | | | | If the committee is very, very, very lucky, there |
| each of these critical locations. This list of failures, | | | | will be one index card that identifies the early |
| along with the list of root causes, will become the | | | | critical failure that started the domino-like cascade |
| list of those items to be changed in the next plan. | | | | that ultimately led to the failure of the hospital's |
| In the last year, however, a new | | | | disaster plan. When the committee fixes this early |
| recommendation for a more effective after | | | | failure, the hospital's disaster plan will be that much |
| action review process has come to light. The | | | | closer to a perfect plan. |
| recommendation does involve spending a small | | | | Unfortunately, there are no absolutely perfect |
| amount of money. The one best technique for | | | | disaster plans. However, a "near perfect" plan can |
| maximizing your disaster plan is to buy index | | | | be achieved. The "near perfect" is that disaster |
| cards. | | | | plan that continues to function until one second |
| During a disaster or a disaster exercise, every | | | | after the last emergency room patient resulting |
| individual involved in the operation of the hospital, | | | | from the disaster is moved from the emergency |
| regardless of their role or job, receives an index | | | | room gurney into a regular hospital bed. Because, |
| card. On the front of the index card, these | | | | if a plan can last until one second after the last |
| employees will write the one thing that they saw | | | | emergency room patient resulting from that |
| that went extremely well during the disaster or | | | | disaster leaves the emergency room, then the |
| disaster drill. On the back of the card, these | | | | plan has lasted until recovery has begun. |
| employees will write the one key failure that they | | | | Take this one best step and maximize your |
| saw during the course of the disaster operation | | | | disaster plan. |
| or disaster exercise. | | | | |