Journal of Contingencies and Crisis Management · 2010 · 65 citations · 28 references
EngineeringEmergency ManagementSafety ScienceEmergency Department AdministrationInjury PreventionProgram EvaluationEmergency Medical ServicesRisk ManagementSystems EngineeringIncident ManagementEvaluating Emergency ResponseEmergency ResponseBetter UnderstandingPast EmergenciesEmergency PreparednessPatient SafetyMedicineEmergency CommunicationEmergency Medicine
Information can be provided by studying and evaluating past emergencies and the response in connection to them. This information would then be useful in efforts directed at preventing, mitigating and/or preparing for future emergencies. However, the analysis and evaluation of emergency response operations is not an easy task, especially when the operation involves several cooperating actors (e.g. the fire and rescue services, the police, the emergency medical services, etc.). Here, we identify and discuss four aspects of this challenge: (1) issues related to the values governing the evaluation, (2) issues related to the complexity of the systems involved, (3) issues related to the validity of the information on which the analysis and evaluation is based and (4) issues related to the limiting conditions under which the emergency response system operated. An outline of a framework for such an analysis and evaluation, influenced by systems theory, accident investigation theories and programme evaluation theories dealing with the above aspects, is introduced, discussed and exemplified using empirical results from a case study. We conclude that the proposed framework may provide a better understanding of how an emergency response system functioned during a specific operation, and help to identify the potential events and/or circumstances that could significantly affect the performance of the emergency response system, either negatively or positively. The insights gained from using the framework may allow the actors involved in the response operation to gain a better understanding of how the emergency response system functioned as a whole, as well as how the actors performed as individual components of the system. Furthermore, the information can also be useful for actors preparing for future emergencies.
28
Human error: models and management
James Reason · BMJ · 2000 · 5.2K citations · Full text
Risk management in a dynamic society: a modelling problem
Jens Rasmussen · Safety Science · 1997 · 2.8K citations
A new accident model for engineering safer systems
Nancy Leveson · Safety Science · 2003 · 2.1K citations