{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:03:51Z","timestamp":1790143431274,"version":"4.0.1"},"reference-count":61,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"unspecified","delay-in-days":265,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326104248_sec1\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>While tabletop exercises (TTX) are frequently used for disaster preparedness, their value for strengthening hospital pharmacies\u2019 (HPs) business continuity plans (BCPs) remains uncertain. This study aimed to assess the impact of a TTX on the quality of HPs\u2019 BCPs and on links between BCPs and crisis response training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104248_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Swiss HPs\u2019 BCPs were evaluated with a grid scoring 48 items (5-point Likert scale; 1 = \u201cnot at all sufficient\u201d to 5 = \u201cexcellent\u201d; 3 = minimal satisfactory expectation). Baseline BCP assessments were followed by a TTX simulating a blackout. A hot debriefing immediately after the TTX, followed by a written report from investigators, highlighted areas of improvement in business continuity management. Nine months later, follow-up BCP assessments were followed by a full-scale exercise (FSX) simulating cyberattacks and observed by four assessors. Participants reported satisfaction using questionnaires. The primary outcome was the difference between pre- and post-TTX BCP scores; the secondary outcome was the correlation between follow-up BCP scores and overall FSX responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104248_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean percentage of expected key items included in five HPs\u2019 BCPs rose from 47.9% to 54.2% (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). Mean overall BCP score increased by 8.6%, from 1.74 \u00b1 0.15 to 1.89 \u00b1 0.16 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). Aspects relating to risk reduction or response improved more than those involving risk readiness or recovery. HPs with better BCP scores responded better to the FSX (R\n                      <jats:sup>2<\/jats:sup>\n                      = 0.78). Participants greatly appreciated both exercises.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104248_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HPs\u2019 BCPs slightly improved, with a correlation between BCP quality and HPs\u2019 ability to deal with crisis. The study highlighted the benefits of strengthening HPs\u2019 business continuity preparedness and the usefulness of disaster simulations, including TTX.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10424","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:22:16Z","timestamp":1790140936000},"source":"Crossref","is-referenced-by-count":0,"title":["Tabletop Exercise for Training and Improving Business Continuity Plan Development in Hospital Pharmacies"],"prefix":"10.1017","volume":"20","author":[{"given":"Ferdinand","family":"Le Bloc\u2019h","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01swzsf04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Geneva"},{"id":[{"id":"https:\/\/ror.org\/009x7v589","id-type":"ROR","asserted-by":"publisher"}],"name":"Pharmacy of the Eastern Vaud Hospitals"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Schumacher","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01swzsf04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Geneva"},{"id":[{"id":"https:\/\/ror.org\/01a4wmz90","id-type":"ROR","asserted-by":"publisher"}],"name":"Geneva University Hospitals"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Bonnabry","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01swzsf04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Geneva"},{"id":[{"id":"https:\/\/ror.org\/01a4wmz90","id-type":"ROR","asserted-by":"publisher"}],"name":"Geneva University Hospitals"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7392-2418","authenticated-orcid":false,"given":"Nicolas","family":"Widmer","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01swzsf04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Geneva"},{"id":[{"id":"https:\/\/ror.org\/009x7v589","id-type":"ROR","asserted-by":"publisher"}],"name":"Pharmacy of the Eastern Vaud Hospitals"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"S1935789326104248_r39","doi-asserted-by":"publisher","DOI":"10.5688\/ajpe80350"},{"key":"S1935789326104248_r44","unstructured":"44. Ridgway-Green, S , Doulags, J , Clark, L , et al. Business continuity management\u2014a CPPE guide. Rachel Winterbottom, assistant editor, CPPE. Centre for Pharmacy Postgraduate Education (CPPE); Manchester, United Kingdom. 2021. https:\/\/cpe.org.uk\/wp-content\/uploads\/2013\/10\/Pharmacy-Business-Continuity-Plan-2014-Final.doc"},{"key":"S1935789326104248_r16","volume-title":"Threat and Hazard Identification and Risk Assessment (THIRA) and Stakeholder Preparedness Review (SPR)\u2014Comprehensive Preparedness Guide (CPG) 201","year":"2018"},{"key":"S1935789326104248_r22","unstructured":"22. Directorate-General for Energy. In focus: EU energy security and gas supplies [Online]. European Commission. Updated 15.02.2024. 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Geneva, Switzerland. 2010. http:\/\/iris.wpro.who.int\/handle\/10665.1\/5502"},{"key":"S1935789326104248_r58","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2019.112"},{"key":"S1935789326104248_r6","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2020.11.017"},{"key":"S1935789326104248_r8","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e318245c61c"},{"key":"S1935789326104248_r12","doi-asserted-by":"publisher","DOI":"10.1097\/DMP.0b013e31819e6d8f"},{"key":"S1935789326104248_r51","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2016.12.010"},{"key":"S1935789326104248_r7","first-page":"13","article-title":"De la vuln\u00e9rabilit\u00e9 des soci\u00e9t\u00e9s modernes [About the Vulnerability of Modern Societies]","author":"Julliand","year":"2008","journal-title":"Rev Mil Suisse"},{"key":"S1935789326104248_r53","doi-asserted-by":"publisher","DOI":"10.15766\/mep_2374-8265.11119"},{"key":"S1935789326104248_r30","unstructured":"30. 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