After Action Review

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After Action Review (AAR)

Evaluate all activities!

After Action Review (AAR) is a record of the main outcomes and improvement actions, and is presented as a short list of key lessons learned.

What is AAR?
AAR is a facilitated discussion that supports continuous improvement through prompting us to reflect on how successful we were at achieving our aim by comparing what actually happened with what was intended.
An example of how to visualise AAR
After-Action-Review-Visualisation-v1
How You Might Use This Tool/ Method
AAR should be used on a regular basis and planned into key stages of a project, event or task, rather than waiting until things have gone wrong.

The review meeting should be held as soon as possible after an event so that people's memories are fresh and team members are still available.

It needn't take long meetings could last half-a-day, or even half-an-hour but all the key members of the team should be included. There is a need for openness and honesty so set some ground rules such as respect for others' views and set an expectation that everyone should take part.

A facilitator should be appointed to help create an open environment, promote discussion and draw out lessons learned. This can be a member of the team, but ideally it will be someone not directly involved so that they can remain objective but have a good understanding of the issues.

Structure your discussion as follows:

Revisit the objectives in order to establish a common understanding of the activity: Ask the following questions…
  • What did we set out to achieve?
  • What actually happened?
  • Why were these differences?
Reflect on the strengths and weaknesses….
  • What worked well? Why?
  • What could have been improved? How?
Finally identify specific actions for improvement:
  • What would you do differently next time?

Tips:
  • A meeting space large enough for all the members of the team.
  • Flipcharts and pens to record the key points and actions.
  • If time is limited it may be helpful to distribute the questions in advance, responses can be collated and shared to stimulate discussion.
  • Write the questions on flipchart sheets before the meeting and stick these up around the room to focus participants' minds.
  • Keep asking "why?" to draw out the reasons behind the strengths and weaknesses and "how?" to identify specific actionable recommendations.
Templates

Boost After Action Review Visualisation

Examples
An article describing how University College London Hospitals NHS Trust used AAR to stimulate learning and improvement can be found at

https://pmc.ncbi.nlm.nih.gov/articles/PMC3407393/

After action reviews: a new model for learning. Emerg Nurse. 2009 Jun;17(3):32-5

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