Savoia, E., Agboola, F., and Biddinger, P. (2014). A Conceptual Framework to Measure Systems’ Performance during Emergency Preparedness Exercises. International Journal of Environmental Research and Public Health. 11(9): 9712-9722.
The authors spent six years designing and reviewing over 70 public health emergency exercises and used their findings to create a conceptual framework that lists the essential elements necessary to scientifically measure performance. They list two main limitations that contribute to this field’s delay in progression: fear of public criticism often precludes jurisdictions from sharing exercise results and evaluations are often carried out in a qualitative versus quantitative process.