Preparing for an active shooter event in the health care setting

Hauk, Lisa

doi:10.1002/aorn.12379

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…Active shooter events are increasingly frequent situations that challenge hospitals to establish an emergency preparedness strategy. 21 Prespecified protocols and longitudinal training are essential to efficiently and effectively support the institutional and clinical response. The rarity of this type of event precludes reliance on a real situation to test the policy and protocol.…”

Section: Discussionmentioning

confidence: 99%

An Active Shooter in Your Hospital: A Novel Method to Develop a Response Policy Using In Situ Simulation and Video Framework Analysis

Argintaru

Hicks

et al. 2020

Disaster med. public health prep.

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Hospital shootings (Code Silver) are events that pose extreme risk to staff, patients, and visitors. Hospitals are faced with unique challenges to train staff and develop protocols to manage these high-risk events. In situ simulation is an innovative technique that can evaluate institutional responses to emergent situations. This study highlights the design of an active shooter in situ simulation conducted at a Canadian level-1 trauma center to test a Code Silver active shooter protocol response. We further apply a modified framework analysis to extract latent safety threats (LSTs) from the simulation using ethnographic observation of the response by law enforcement, hospital security, logistics, and medical personnel. The video-based framework analysis identified 110 LSTs, which were assigned hazard scores, highlighting 3 high-risk LSTs that did not have effective control measures or were not easily discoverable. These included lack of security during patient transport, inadequate situational awareness outside the clinical area, and poor coordination of critical tasks among interprofessional team members. In situ simulation is a novel approach to support the design and implementation of similar events at other institutions. Findings from ethnographic observations and a video-based analysis form a structured framework to address safety, logistical, and medical response considerations.

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Section: Discussionmentioning

confidence: 99%

An Active Shooter in Your Hospital: A Novel Method to Develop a Response Policy Using In Situ Simulation and Video Framework Analysis

Argintaru

Hicks

et al. 2020

Disaster med. public health prep.

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“…There are three or four crucial steps consistently noted in active shooter survival training and literature even though the words differ: “Run, Hide, Fight”; 12 “Avoid, Deny, Defend, Treat”; 1 and “Avoid, Barricade, Confront.” 13 …”

Section: Steps For Survivalmentioning

confidence: 99%

“…• "Run, Hide, Fight"; 12 • "Avoid, Deny, Defend, Treat"; 1 and • "Avoid, Barricade, Confront." 13 In the OR (and elsewhere), personnel can respond to an active shooter event by defusing the event, escaping, or locking or barricading doors.…”

Section: Steps For Survivalmentioning

confidence: 99%

Active Shooter Preparedness: Is Your OR Ready?

Scott‐Herring¹

2022

AORN Journal

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Active shooter events, including those in health care facilities, are expected to increase in incidence. Perioperative personnel may be underprepared for such an event. Understanding how to make the best decision regarding whether to escape, hide, or fight, and being aware of the communication channels during these types of events are crucial to adequate preparation. Health care facilities and critical areas such as the OR should be prepared for an active shooter event. This article briefly describes a firsthand shooting event experience at Johns Hopkins Hospital and includes a review of the literature on active shooter events in health care settings to determine the most practical application of event preparedness for staff members working in the OR. It also discusses the highly relevant concept of patient abandonment.

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