Learning as a system - use of a multi-agency constructive debrief to drive improvements in preventing and responding to outbreaks
PHE ePoster Library. Gilbert A. Sep 11, 2018; 221428; 174
Dr. Alexis Gilbert
Dr. Alexis Gilbert
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Abstract
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Abstract IntroductionThere was an outbreak of measles in Leeds from November 2017 to January 2018 with a total of 36 confirmed cases. A strong multi-agency response implemented control measures to reduce the risk of spread of measles, including school vaccination sessions, recall of patients for MMR vaccine by GP practices, community vaccination sessions and a wide ranging communication strategy.MethodsFollowing the outbreak, a constructive debrief process was conducted to capture the learning from the incident and ensure that lessons identified were acted upon and implemented.Qualitative data were obtained from a multi-agency debrief meeting, affected schools, discussions with the teams and individuals involved in planning and responding to the outbreak, and HP Zone notes. Quantitative data were supplied by the Screening and Immunisation Team, CCG, Field Epidemiology Service, Business Support and HP Zone data.ResultsThe results of the debrief and recommendations produced were presented to the Outbreak Control Team. The lessons identified sought to build on strong local collaborative working and engage organisations in a system-wide approach to increasing vaccine uptake to prevent future outbreaks, and responding to them effectively when they do occur. The local Health Protection Board noted MMR uptake as a local priority and an urgent action plan to address this was instigated.ConclusionA constructive debrief can be an effective tool in supporting cross-agency working and collaboration. Furthermore, the specific recommendations produced from a debrief can be used to drive quality improvement in public health across a local health economy. External funding details None
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