What are some of the biggest challenges in developing and implementing a preparedness exercise in a hospital setting?

What differences/similarities exist between hospital and municipal preparedness exercises?

We have said it many times. For a plan to work, it must be practiced, revised and practiced again. The days of a haphazard “drill” to meet regulatory agency requirements are over. Appropriately, agencies such as TJC have specific and clearly defined expectations. Hospital emergency managers need to know what needs to be addressed during an exercise. (Think HVA…) He / she needs to know how to develop and carry out the exercise. Thankfully, there is help from HSEEP and others.


  • Reilly, M., &Markenson, D. S. (2010). Health Care Emergency Management: Principles and Practice
    • Chapter 6: Introduction to Exercise Design and Evaluation
    • Chapter 8: Education and Training Emergency management principles and practices for healthcare systems (2006).

    Kaji, A, Langford, V, Lewis,R (2008) Assessing Hospital Disaster Preparedness: A Comparison of an On-Site Survey, Directly Observed Drill Performance, and Video Analysis of Teamwork, Annals of Emergency Medicine V52, No3, 195-201

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