The patient safety practices of emergency medical teams in disaster zones: a systematic analysis

El-khani, Ussamah; Ashrafian, Hutan; Veen, Harald; Darwish, Ammar; Nott, David; Darzi, Ara

doi:10.1136/bmjgh-2019-001889

Cited by 7 publications

(13 citation statements)

References 47 publications

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“…As of 2016, there were estimated to be just over 64 EMT from 25 countries (Burkle, 2016 ) with the US, for example, failing to provide an EMT. In addition, because of their focus on emergency/disaster management, the teams are weighted towards surgical/clinical care with less knowledge of other health areas such as NCDs, or public health, which may be more relevant to pandemic control (El‐Khani et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

Taking Systems Thinking to the Global Level: Using the WHO Building Blocks to Describe and Appraise the Global Health System in Relation to COVID‐19

Borghi

Brown

2022

Global Policy

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Adequately preparing for and containing global shocks, such as COVID‐19, is a key challenge facing health systems globally. COVID‐19 highlights that health systems are multilevel systems, a continuum from local to global. Goals and monitoring indicators have been key to strengthening national health systems but are missing at the supranational level. A framework to strengthen the global system—the global health actors and the governance, finance, and delivery arrangements within which they operate—is urgently needed. In this article, we illustrate how the World Health Organization Building Blocks framework, which has been used to monitor the performance of national health systems, can be applied to describe and appraise the global health system and its response to COVID‐19, and identify potential reforms. Key weaknesses in the global response included: fragmented and voluntary financing; non‐transparent pricing of medicines and supplies, poor quality standards, and inequities in procurement and distribution; and weak leadership and governance. We also identify positive achievements and identify potential reforms of the global health system for greater resilience to future shocks. We discuss the limitations of the Building Blocks framework and future research directions and reflect on political economy challenges to reform.

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Section: Resultsmentioning

confidence: 99%

Taking Systems Thinking to the Global Level: Using the WHO Building Blocks to Describe and Appraise the Global Health System in Relation to COVID‐19

Borghi

Brown

2022

Global Policy

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“…There is no consensus on disaster-zone-specific performance indicators. These deficiencies represent opportunities to improve patient safety in disaster zones (El-Khani et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Post Tsunami Impact on Hypertension and Diabetes Mellitus Cases in Pandeglang District, Banten, Indonesia

Wahidin¹,

Kong²,

Safaat³

2020

JBE

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Background: Pandeglang, a district in Banten province, Indonesia, was the worst affected area of the Sunda Strait tsunami which occurred on 22nd December, 2018. Aside from threats of communicable disease outbreaks, the district faced the challenges of managing non-communicable diseases (NCD) in the community. Purpose: The aim of the study is to describe the post tsunami impact on cases of hypertension and diabetes mellitus and the expected one-year projections of these diseases in the district of Pandeglang, Banten. Methods: In January 2019, we collected primary data from Pandeglang District Health Office (DHO) and 15 Public Health Centres (PHCs) that were heavily affected by the tsunami. Surveillance officers were also interviewed for their subjective opinions on disease projections in both the DHO and PHCs. Aggregated data of cases presenting to the PHCs for assistance were analysed in relation to the post tsunami period. The diseases of interest included hypertension and diabetes mellitus. Results: Reported cases of hypertension and diabetes mellitus increased a few days after the tsunami. For hypertension, the cases spiked on the 5th and 8th days, but for diabetes mellitus the spike came much later. Average cases of hypertension and diabetes mellitus per PHC were 62 and 3, respectively. At district and PHC level, hypertension and diabetes mellitus were considered as minor contributing factors to the morbidity and mortality in the affected communities. The projection of these diseases was optimistic after the first month. Conclusion: It can be concluded that the volume of cases with hypertension and diabetes in the district of Pandeglang tended to be in the first few weeks post tsunami These diseases are projected to lessen in the second month after the disaster due to the recovery of local health services.

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“…Serious injuries resulting from various types of an emergency situation such as terrorist attacks, natural disasters and major traffic accidents require urgent immediate action to save lives, take care of the injured and transport them from the affected area to hospitals [1]. Following emergency situations, victims are often treated by EMTs, including Emergency Medical Services (EMS) and Emergency Departments (ED) in hospitals [2]. The World Health Organization (WHO) has defined an EMT as a group of paramedics, doctors and nurses who treat sick and injured people affected by an emergency or disaster [3].…”

Section: Introductionmentioning

confidence: 99%

“…A growing body of literature recognises the need for patient information to be upto-date, accurate and communicated efficiently between EMTs, that is, between EMS and ED teams [4,5]. As first responders to an incident, call takers and medical dispatchers in the emergency operations centre have the principal role in sharing important information about an incident with paramedics and ED staff [6]. The use of ICT is critical for effective emergencies management and contributes greatly to the workflow of EMTs [7,8].…”

Section: Introductionmentioning

confidence: 99%

The use of information and communication technology between emergency medical teams in emergency situations: A systematic review

Alshehri

Alshehri²,

Gormley³

et al. 2022

Preprint

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Following an emergency incident, critically injured patients are often treated by multiple healthcare professionals from Emergency Medical Teams (EMTs) over a short period of time. The process of transportation from the site of an incident to definitive health care therefore depends on coordination and information-sharing which is reliant on the use of Information and Communication Technology (ICT). ICT is essential to ensure the necessary organizational responses to emergency situations by facilitating information-sharing, sustained coordination and collaboration to protect and save the injured. This literature review provides a broad overview which can facilitate an understanding of the experiences between EMTs in emergencies using ICT by systematically finding, reviewing, assessing and synthesizing current evidence. A systematic search guided by PRISMA was performed using relevant electronic databases and manual searches. Studies were limited to original research and only articles published between 2009 and 2021 were included. This review highlights that only a limited number of publications reported ICT use between EMTs in different emergencies in a single study. Fifteen papers were found which reported the experience of coordination and communication using ICT between EMTs in emergency situations in different countries. The findings of these papers indicate that although communication systems during an emergency are crucial, poor quality telecommunications infrastructure affected by difficult weather conditions often led to communication failures between respondents. The majority of these studies highlighted that the use of mobile phones is preferred over other systems due to their multi-functionality. Some of the studies reported issues in coordination between EMTs in which the limited information shared between EMTs affected their preparedness. Furthermore, the review shows that disaster simulation exercises between EMTs are insufficient and require improvement. Future research needs to include the perspectives of emergency operations centre staff along with nurses, physicians and paramedics in a single study to comprehensively explore the EMT response in emergency situations.

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The patient safety practices of emergency medical teams in disaster zones: a systematic analysis

Cited by 7 publications

References 47 publications

Taking Systems Thinking to the Global Level: Using the WHO Building Blocks to Describe and Appraise the Global Health System in Relation to COVID‐19

Taking Systems Thinking to the Global Level: Using the WHO Building Blocks to Describe and Appraise the Global Health System in Relation to COVID‐19

Post Tsunami Impact on Hypertension and Diabetes Mellitus Cases in Pandeglang District, Banten, Indonesia

The use of information and communication technology between emergency medical teams in emergency situations: A systematic review

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