title: [Looking back but facing ahead: implementing lessons learned from the 2nd Lebanon War].
abstract: The medical system utilizes a structured culture for learning lessons in order to improve the supply of services. Various tools are utilized to evaluate performance. The aim of the article is to describe the processes for learning lessons which were carried out following the Second Lebanon War and the major lessons that were identified and implemented. Three processes were performed: a process of learning Lessons of the heaLthcare system, initiated and led by the Supreme HeaLth Authority (SHA); After action review (AAR), initiated and led by the military Medical Corps and; at a later stage, a critique, initiated and led by the State Comptroller, that examined the performance of the medical system, as part of a critique on the preparedness of the home front. The following elements were defined as highly prioritized for improvement to elevate the preparedness for a future war: (1) deployment of unified clinics in conflict areas; (2) supply of medical services to the population in shelters; (3) deploying emergency medicine services, including the relationship between the Ministry of Health (MOH) and the Home Front Command (HFC); (4) defining the relationships between the MOH and HFC in deploying the community health services in emergencies; (5) protecting medical facilities and personal protection equipment for medical teams and; (6) treating acute stress reactions. The AAR, critique and learning lessons signify three different processes that can sometimes be contradictory. Nevertheless, it is possible to achieve organizational improvement white integrating between these three processes, as was displayed by the SHA.
authors.affiliation: Ministry of Health. adini@netvision.net.il
authors.forename: Bruria
authors.initials: B
authors.lastname: Adini
authors.forename: Danny
authors.initials: D
authors.lastname: Laor
authors.forename: Boaz
authors.initials: B
authors.lastname: Lev
authors.forename: Avi
authors.initials: A
authors.lastname: Israeli
mesh_terms: D002959:Civil Defense / Q000458:organization & administration*; D003153:Community Health Services / Q000458:organization & administration; D004632:Emergency Medical Services / Q000458:organization & administration*; D006296:Health Services / Q000600:supply & distribution; D006801:Humans; D007557:Israel / Q000453:epidemiology; D007861:Lebanon; D011785:Quality Assurance, Health Care; D040701:Stress Disorders, Traumatic, Acute / Q000209:etiology / Q000628:therapy; D014857:Warfare