Performance Indicators for Prehospital Command and Control Developed for Civilian Use Tested in a Military Training Setting, A Pilot Study

Abstract

Measurable performance indicators for prehospital command and control were to some extent found to be applicable also to a military environment. Future developments may make it possible for the concept of measuring results using civilian performance indicators to become a quality control tool in a military setting.

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

“…Also, it is unclear whether the evaluation tools can reliably predict the effectiveness of a hospital function during an actual disaster. 3 A modification of a standardized Swedish method 18,26,27 has been used by Centro di Ricerca Interdipartimentale in Medicina d'Emergenza e dei Disastri ed Informatica applicata alla pratica Medicina (CRIMEDIM) in fullscale disaster exercises and standardized with respect to a new scoring method. 12,[23][24][25] The Hospital Safety Index (HSI), an all-hazards checklist developed by the World Health Organization (WHO), is a standardized, internationally-accepted method.…”

Literature Review on Medical Incident Command

“…- 35 Finally, 76 articles or books, henceforth both described as papers, were included in the synthesis (Supplementary Material 4; available online only) 2 3 , 19 , 21 , 36 - 107 Most of the included papers were written by authors working in North American or Western European institutions (Figure 2). The context of the papers was distributed between Emergency Medical Services (EMS), fire and rescue, military, police, and interdisciplinary (Figure 3).…”

Professional confidence in the roles as ambulance and medical incident commander

“…(, ), and Lundberg et al. () used in this study were for the role of AIC how often they manage to (a) give a first report within 2 minutes, (b) take a decision on the guidelines for a response within 3 minutes and (c) give a second report from the incident site within 10 minutes from arrival. For MIC, a single performance indicator was used.…”

“…There have been different attempts to measure or evaluate the work of ambulance and medical incident commanders, but there is no single agreed way to do this evaluation (Rimstad et al., ). One way is to use performance indicators (Gryth, Rådestad, Nilsson, Nerf, Svensson, Castrén, & Rüter, ; Lundberg, Jonsson, Vikström, & Rüters, ; Nilsson, Vikström, & Jonson, ; Rüter, ). Rüter and colleagues developed and tested 11 measurable performance indicators involving, for example, a first report within 2 minutes, formulating guidelines for the response within 3 minutes, and a second report within 10 minutes from arrival at the incident site (Lundberg et al., ; Rüter, ; Rüter, Örtenwall, & Vikström, ; Rüter & Vikström, ).…”

“…One way is to use performance indicators (Gryth, Rådestad, Nilsson, Nerf, Svensson, Castrén, & Rüter, ; Lundberg, Jonsson, Vikström, & Rüters, ; Nilsson, Vikström, & Jonson, ; Rüter, ). Rüter and colleagues developed and tested 11 measurable performance indicators involving, for example, a first report within 2 minutes, formulating guidelines for the response within 3 minutes, and a second report within 10 minutes from arrival at the incident site (Lundberg et al., ; Rüter, ; Rüter, Örtenwall, & Vikström, ; Rüter & Vikström, ). Training programmes in disaster medicine for nurses and doctors have been shown to increase self‐efficacy (Smith, Farra, Dempsey, & Arms, ; Watters, Reedy, Ross, Morgan, Handslip, & Jaye, ).…”