Hurricane Sandy and the greater New York health care system

Teperman, Sheldon

doi:10.1097/ta.0b013e318296fa9f

Cited by 23 publications

(27 citation statements)

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“…Access to medical records was identified as a problem in other post-Hurricane Sandy studies as well, further highlighting the importance of interoperable information and the need for facilities to provide their patients with updated treatment plans on a regular basis and in anticipation of potential disruptions. 22,23 From a broader policy perspective, advances in data and geospatial mapping have begun to assist state and local health officials, KCER, ESRD Networks, dialysis facilities, and the local health care systems to better anticipate potential dialysis patient and facility needs and hospital surge patterns during emergencies. 15,24,25 The US Department of Health and Human Services' Office of the Assistant Secretary for Preparedness and Response and CMS have demonstrated the utility of mapping deidentified ESRD patient-and facility-level data at the local level to inform and support emergency planning and preparedness activities prior to an emergency.…”

Section: Discussionmentioning

confidence: 99%

Early Dialysis and Adverse Outcomes After Hurricane Sandy

Lurie

Finne

Worrall

et al. 2015

American Journal of Kidney Diseases

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Section: Discussionmentioning

confidence: 99%

Early Dialysis and Adverse Outcomes After Hurricane Sandy

Lurie

Finne

Worrall

et al. 2015

American Journal of Kidney Diseases

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“…Just because experienced personnel comprised the medical staff, we envisioned addressing clinical issues with regard to shared mental models, teamwork, and scope of practice across a wide range of emergency procedures and protocols. In addition, LH-GV's location in a densely urban environment where there exist long-standing and well-founded concerns over severe weather-related emergencies, 35,36 and terrorism suggested further training objectives. 37,38 Cultural diversity and the presence of a substantial lesbian, gay, bisexual, and transgender community were further considerations.…”

Section: Methodsmentioning

confidence: 99%

Simulation for Operational Readiness in a New Freestanding Emergency Department

et al. 2016

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Summary StatementSimulation in multiple contexts over the course of a 10-week period served as a core learning strategy to orient experienced clinicians before opening a large new urban freestanding emergency department. To ensure technical and procedural skills of all team members, who would provide care without on-site recourse to specialty backup, we designed a comprehensive interprofessional curriculum to verify and regularize a wide range of competencies and best practices for all clinicians. Formulated under the rubric of systems integration, simulation activities aimed to instill a shared culture of patient safety among the entire cohort of 43 experienced emergency physicians, physician assistants, nurses, and patient technicians, most newly hired to the health system, who had never before worked together. Methods throughout the preoperational term included predominantly hands-on skills review, high-fidelity simulation, and simulation with standardized patients. We also used simulation during instruction in disaster preparedness, sexual assault forensics, and community outreach. Our program culminated with 2 days of in-situ simulation deployed in simultaneous and overlapping timeframes to challenge system response capabilities, resilience, and flexibility; this work revealed latent safety threats, lapses in communication, issues of intake procedure and patient flow, and the persistence of inapt or inapplicable mental models in responding to clinical emergencies.

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“…The vulnerability of these facilities to climaterelated extreme events is reflected in some of the effects that Hurricane Sandy had on them. Specifically, five acute-care hospitals shut down in New York City due to Hurricane Sandy, two of which evacuated before and three of which were evacuated after the storm hit (Kinney et al, 2015;Teperman, 2013). Since some hospitals were unable to ensure continuity of operations, there were substantial delays in returning to normal functions (Powell et al, 2012).…”

Section: Vulnerabilitymentioning

confidence: 99%