Hospital Disaster Preparedness in Los Angeles County

Kaji, Amy H.; Lewis, Russell J.

doi:10.1197/j.aem.2006.05.007

Cited by 105 publications

(103 citation statements)

References 24 publications

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“…Estimation of the potential increased demand in an emergency and considering areas for hospitalized patients in this situation are among the strengths of the hospitals. Identifying ways to increase hospital capacity at the time of disaster, considering vehicles and the resources required for transportation of patients in these conditions and identifying other locations with the possibility of converting them to patient care units such as hospital auditorium were the works done in this area which was consistent with Kaji et al study [16]. This study was conducted to evaluate the preparedness of Los Angeles Hospital.…”

Section: Discussionsupporting

confidence: 67%

The Effect of Teaching Principles of Hospital Preparedness According to the National Program on Preparedness of Shahid Motahari Burns Hospital of Tehran in Response to Disasters

Karimiyan

Khankeh

Dalvandi

et al. 2017

HDQ

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Background:In the event of a disaster, hospitals and health care centers are among the first response units that their efficient and timely health care provision can have a crucial and decisive role in reducing mortality and rescuing injured patients. Accidents and disasters always have a negative impact on public health and welfare of their damaged population and health care measures are the main factors for survival in this situation. Hospitals are among the first centers that are engaged in unexpected complications of accidents. These events pose unique problems, responding to which requires preparation. This study aimed to investigate the effect of teaching principles of hospital preparedness according to the national program on preparedness of Shahid Motahari Burns Hospital of Tehran in response to disasters. Materials and Methods:This research was an interventional study of a quasi-experimental design with pretest and posttest. Tehran Shahid Motahari Burns Hospital has been purposefully selected as a research environment. Data collection instrument was the World Health Organization standard checklist comprised of 9 components and 91 questions which was used after confirming its validity and reliability. The researcher collected the relevant data by interview and observation. Training program which included 1-day workshop on hospital preparedness in accidents and disasters based on national program was taught to directors and crisis committee members. One month later, the study instrument was completed by the researcher again as the posttest. Wilcoxon test was used to analyze the data. Results:The results showed that total score of hospital preparedness changed from 178 to 210 in the follow-up. Before the intervention, the hospital had the highest preparedness regarding components of command and control and the lowest preparedness in the post-disaster recovery. After the intervention, the highest increase of preparedness was observed in the communication component. Also with respect to safety and security, the preparedness of the hospital did not change.

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Section: Discussionsupporting

confidence: 67%

The Effect of Teaching Principles of Hospital Preparedness According to the National Program on Preparedness of Shahid Motahari Burns Hospital of Tehran in Response to Disasters

Karimiyan

Khankeh

Dalvandi

et al. 2017

HDQ

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“…reported that in Los Angeles hospitals, preparedness to disaster was low due to problems in planning and correct training. These findings are in line with our study [12]. In the study of Seyedin, evaluating the safety of 6 hospitals in Tehran, most of the studied hospitals had high safety level [13].…”

Section: Discussionsupporting

confidence: 81%

Non-structural and Functional Vulnerability of Rehabilitation Centers of Tehran Welfare Organization in Disaster

Hosseini¹,

Mirzayi²,

Kovari³

et al. 2016

HDQ

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Background:The safety of rehabilitation centers is of great importance to ensure the well-being of patients. The present study aimed to determine non-structural and functional vulnerability of state rehabilitation centers of Tehran City welfare organization in disasters using national standard instruments in 2014. Materials and Methods:This study has a descriptive and cross-sectional design. A total of 17 rehabilitation centers affiliated with Tehran welfare organization are investigated. The vulnerability of centers was measured using 2 checklists of non-structural and functional vulnerability of the World Health Organization. The reliabilities of the non-structural and functional vulnerability instuments were 0.79 and 0.91, respectively, using the Cronbach α. The data were collected through observation and interview with authorities of centers and their staffs. The data analysis was performed through descriptive statistics and 1-sample t-test using SPSS 16.Results: Among 17 rehabilitation centers, the mean functional safety of 11 centers (64.7%) was high and showed low vulnerability and safety of 6 centers (35.3%) was average and showed average vulnerability. With regard to non-structural safety level, 9 centers (53% of centers) had high safety level and showed low vulnerability. Eight centers (47% of centers) had average safety level and showed average vulnerability. The results of 1-sample t test showed that at the significance level of 0.05, there was no significant difference between functional and non-structural safety of centers. Conclusion:The functional and non-structural safety of state rehabilitation centers of Tehran welfare organization was above average and vulnerability of centers to disaster was average, too. We suggest that the required planning be performed to improve non-structural and functional safety quality of centers and reduce their vulnerability.

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“…33 Prior investigations of academic ED leaders, 6,10,34 emergency health professionals, 9 hospital administrators, 35,36 infection prevention specialists, 37 and epidemiologists 38 document significant gaps, notably related to presence of general pandemic plans, 35 ED-specific plans, 9 pediatric-specific plans, 34 conduction of epidemic or pandemic simulations or drills, 6,8,9 plans for staffing and supply augmentation, 9,35 perceived pandemic readiness, 9,10,38 and coordination with public health agencies or other health care institutions. [35][36][37]39,40 Our findings parallel those in the existing literature but expand on prior work by contributing novel characterizations of preparedness from the pediatric EP leaders' perspective. Furthermore, in recognition of the vulnerability of the pediatric population during such an event, 33,[41][42][43][44][45] our study focused specifically on preparedness in pediatric institutions.…”

Section: Discussionsupporting

confidence: 79%

Pandemic Planning and Response in Academic Pediatric Emergency Departments During the 2009 H1N1 Influenza Pandemic

Filice

Vaca

Curry

et al. 2013

Academic Emergency Medicine

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Objectives: The terrorist attacks of September 11, 2001, initiated a shift toward a comprehensive, or "allhazards," framework of emergency preparedness in the United States. Since then, the threat of H5N1 avian influenza, the severe acute respiratory syndrome epidemic, and the 2009 H1N1 influenza pandemic have underscored the importance of considering infectious events within such a framework. Pediatric emergency departments (EDs) were disproportionately burdened by the 2009 H1N1 influenza pandemic and therefore serve as a robust context for evaluation of pandemic preparedness. The objective of this study was to explore pediatric ED leaders' experiences with preparedness, response, and postincident actions related to the H1N1 pandemic to inform future pandemic and all-hazards planning and policy for EDs. Methods:The authors selected a qualitative design, well suited for exploring complex, multifaceted organizational processes such as planning for and responding to a pandemic and learning from institutional experiences. Purposeful sampling was used to recruit medical directors or their designated physician respondents from pediatric emergency medicine training institutions representing a range of geographic regions across the United States, hospital types, and annual ED volumes; snowball sampling identified additional information-rich respondents. Recruitment began in May 2011 and continued until thematic saturation was reached in January 2012 (n = 20). Data were collected through in-depth individual phone interviews that were recorded and professionally transcribed. Using a standard interview guide, respondents were asked open-ended questions about pandemic planning, response, and institutional learning related to the H1N1 pandemic. Data analysis was performed by a multidisciplinary team using a grounded theory approach to generate themes inductively from respondents' expressed perspectives. The constant comparative method was used to identify emerging themes.Results: Five common themes characterized respondents' experiences with pandemic planning and response: 1) national pandemic influenza preparedness guidance has not fully penetrated to the level of pediatric emergency physician (EP) leaders, leading to variable states of preparedness; 2) pediatric EDs that maintained strong relationships with local public health and other health care entities found those relationships to be beneficial to pandemic response; 3) pediatric EP leaders reported difficulty reconciling public health guidance with the reality of ED practice; 4) although many anticipated obstacles did not materialize, in some cases pediatric EP leaders experienced unexpected institutional challenges; and 5) pediatric EP leaders described varied experiences with organizational learning following the H1N1 pandemic experience.

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Hospital Disaster Preparedness in Los Angeles County

Abstract: Among hospitals in Los Angeles County, disaster preparedness and surge capacity appear to be limited by a failure to fully integrate interagency training and planning and a severely limited surge capacity, although there is a generally high level of availability of equipment and supplies.

Cited by 105 publications

References 24 publications

The Effect of Teaching Principles of Hospital Preparedness According to the National Program on Preparedness of Shahid Motahari Burns Hospital of Tehran in Response to Disasters

The Effect of Teaching Principles of Hospital Preparedness According to the National Program on Preparedness of Shahid Motahari Burns Hospital of Tehran in Response to Disasters

Non-structural and Functional Vulnerability of Rehabilitation Centers of Tehran Welfare Organization in Disaster

Pandemic Planning and Response in Academic Pediatric Emergency Departments During the 2009 H1N1 Influenza Pandemic

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