Methodological Lessons Learned

Although the system is a prototype, validation results suggest the suitability of the approach developed in this paperMore research  with the SEDD project is neededThe authors emphasize the need to develop decision support tools specifically to address the problem of unrealistic complexity in standard existing DSS. They show that it is possible to design such a practical decision support tool so that it can be implemented in context such as developing countries or NGOs.

Methods applied are useful

Short computer based simulation exercises provide opportunities for head nurses to improve management skills and increase their general self-efficacyIt is important not to overestimate the association between reported self-efficacy and abilities.There are two ways to interpret the results: i) that the trainees have improved general skill of managing surge which will translate to more efficient handling during a real MI, or ii) that the trainees have improved specifically in their skill at running the simulator only and will be no better at handling a real MI.It is not possible from this study alone to conclude anything about the simulation validity.Further studies are needed specifically aimed at addressing the question of simulation validity

The results of this review provide an evidence base for public health practitioners responsible for enhancing key components of preparedness and response such as communication, training and planning effortsResearch gaps remain, in particular in the area of information sharing, communication to the public, and the development of criteria and metricsThe authors acknowledge that the literature search strategy, adopted from a previous study to allow comparisons over time, may lack specificity in this field.This synthesis does not include articles related to research areas that were not considered a priority by the 2008 IOM letter report, limiting the findings to this niche of research.The authors recognize that results from systematic reviews can direct and influence the development of future research agendas in a meaningful way only when well integrated with input from practitioners on what knowledge production is most needed to address practice questions. As well as on the best ways to disseminate existing knowledge that does not reach practitioners. Thus, this review should be considered only a first step in this direction.Future steps will consist in combining these results with feedback from practitioners engaged in preparedness efforts.

The model could be applied to a more complex process such as a petrochemical plant in the future, and higher effectiveness of training is expected as the operating procedure becomes more complex

Heuristic evaluation is an inspection method, requiring experts in interactive technologies and usability.

development of a dynamic model, focusing on computational methodologies

As emergency management departments continue to adopt and use social media, it will become increasingly important for both practitioners and academics to better understand this complex, ever-evolving communication tool.

a review process after a simulationIncreased accuracy through holistic approach to projectsJoined-up; improved coherency; greater transparencyMore efficient and effective use of resourcesCommon understanding of issues; enhanced decision makingBetter understanding by non- experts

only simulation runs …