Hospital Emergency Readiness Overview Study

Kollek, Daniel; Cwinn, A. Adam

doi:10.1017/s1049023x11006212

Cited by 29 publications

(29 citation statements)

References 7 publications

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“…2 The assessment of hospital disaster preparedness and response performance is a way to find and remove possible gaps and weaknesses in the hospital disaster management functions and effectiveness. 12,21,22 Even though some studies have evaluated the correlation between level of hospital preparedness and response in a simulated disaster, only few functional elements or groups of hazards have been assessed underlining, once again, the lack of internationally-accepted standards for preparedness and response performance measures. 6,[11][12][13][14] Various indicators and methods have been created by researchers and authorities to evaluate either preparedness level or response performance of a hospital disaster management system, 2,3,6,11,13,[15][16][17][18][19][20] but there is no consensus on valid and standardized methods and tools.…”

Section: Introductionmentioning

confidence: 99%

Does Hospital Disaster Preparedness Predict Response Performance During a Full-scale Exercise? A Pilot Study

Djalali

Carenzo

Ragazzoni

et al. 2014

Prehosp. Disaster med.

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This pilot study showed that it is possible to use standardized evaluations tools, to simultaneously assess the relationship between preparedness elements and response performance measures. An experimental study including a group of hospitals, also using more comprehensive evaluation tools, should be done to evaluate the correlation between the level of preparedness and the response performance of a hospital, and the impact of hospital disaster planning, on the outcome of disasters victims.

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Section: Introductionmentioning

confidence: 99%

Does Hospital Disaster Preparedness Predict Response Performance During a Full-scale Exercise? A Pilot Study

Djalali

Carenzo

Ragazzoni

et al. 2014

Prehosp. Disaster med.

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“…Response 11,21,30,34,35,26,36,37,38,39,40 Response is determined by first receivers willingness to respond to unknown CBRNe exposure and the organisational management of surge capacity 3. Decontamination 5,13,16,23,41,42,43,44,45,46 Decontamination remains an area of ambiguity, amplified by first receivers lack of knowledge on decontamination procedures 4. PPE problems 13,30,41,45,47,48 Inadequate PPE provision, dexterity issues, and cumbersome fit results in PPE problems…”

Section: Resultsmentioning

confidence: 99%

Emergency Department Response to Chemical, Biological, Radiological, Nuclear, and Explosive Events: A Systematic Review

Razak

Hignett

Barnes

2018

Prehosp. Disaster med.

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IntroductionA Chemical, Biological, Radiological, Nuclear, and explosive (CBRNe) event is an emergency which can result in injury, illness, or loss of life. The emergency department (ED) as a health system is at the forefront of the CBRNe response with staff acting as first receivers. Emergency departments are under-prepared to respond to CBRNe events - recognizing key factors which underlie the ED CBRNe response is crucial to provide evidence-based knowledge to inform policies and, most importantly, clinical practice.ProblemChallenges in detection, decontamination, and diagnosis are associated with the ED CBRNe response when faced with self-presenting patients.MethodsA systematic review was carried out in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). An in-depth search strategy was devised to identify studies which focused on the ED and CBRNe events. The inclusion criteria were stringent in terms of the environment (ED), participants (first receivers), situation (CBRNe response), and actions (detection, decontamination, and diagnosis). Fifteen databases and topic-specific journals were searched. Studies were critically appraised using the Mixed Methods Appraisal Tool (MMAT). Papers were thematically coded and synthesized using NVivo 10 (QSR International Ltd, Melbourne, Australia).ResultsSixty-seven full-text papers were critically appraised using the MMAT; 70% were included (n = 60) as medium- or high-quality studies. Data were grouped into four themes: preparedness, response, decontamination, and personal protective equipment (PPE) problems.DiscussionThis study has recognized the ED as a system which depends on four key factors - preparedness, response, decontamination, and PPE problems - which highlight challenges, uncertainties, inconsistencies, and obstacles associated with the ED CBRNe response. This review suggests that response planning and preparation should be considered at three levels: organizational (policies and procedures); technological (decontamination, communication, security, clinical care, and treatment); and individual (willingness to respond, PPE, knowledge, and competence). Finally, this study highlighted that there was a void specific to detection and diagnosis of CBRNe exposure on self-presenting patients in the ED.Conclusion:The review identified concerns for both knowledge and behaviors which suggests that a systems approach would help understand the ED response to CBRNe events more effectively. The four themes provide an evidence-based summary for the state of science in ED CBRNe response, which can be used to inform future policies and clinical procedures.RazakS, HignettS, BarnesJ. Emergency department response to chemical, biological, radiological, nuclear, and explosive events: a systematic review. Prehosp Disaster Med. 2018;33(5):543–549.

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“…6 When examined for their preparation for CBRN events, there was a widespread lack of standard assessment and readiness knowledge when helping contaminated patients. 9 Training for disaster situations at hospitals can also be improved. Of surveyed Canadian trauma centres, 43% of institutions had not run any drill in the previous 2 years 7 and nurses across the country feel unprepared to respond to large disasters, with feeling the least prepared for CBRN events.…”

Section: Local Hospital Preparednessmentioning

confidence: 99%