Tools and Checklists Used for the Evaluation of Hospital Disaster Preparedness: A Systematic Review

Nekoie-Moghadam, Mahmood; Kurland, Lisa; Moosazadeh, Mahmood; Ingrassia, Pier Luigi; Corte, Francesco Della; Djalali, Ahmadreza

doi:10.1017/dmp.2016.30

Cited by 60 publications

(89 citation statements)

References 43 publications

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“…Building and maintaining a continuous appropriate level of preparedness to emergencies has proven to be a challenge to most healthcare systems world-wide [2,24,36,37]. More so, as routine tasks significantly impact the time, logistic, and manpower resources of most systems, developing and sustaining such readiness for events that do not occur frequently, it proves to be even more ambitious and complex.…”

Section: Discussionmentioning

confidence: 99%

“…A vital component in building and maintaining preparedness for emergencies is the ongoing evaluation of strengths (that need to be sustained) and areas for improvement (that need to be modified). Towards this goal, varied evaluation tools have been designed, aimed at delineating benchmarks of appropriate actions that need to be implemented to ensure capacity to effectively respond to anticipated and unanticipated emergencies [2,33,34]. However, despite the development and utilization of varied evaluation tools, to date, there is no consensus on which tool is productive in recognizing gaps and areas for improvements and in achieving the overall goal that is the sustenance of a continued level of emergency preparedness [2,33,35].…”

Section: Evaluation As a Vital Component To Maintain Readinessmentioning

confidence: 99%

“…Towards this goal, varied evaluation tools have been designed, aimed at delineating benchmarks of appropriate actions that need to be implemented to ensure capacity to effectively respond to anticipated and unanticipated emergencies [2,33,34]. However, despite the development and utilization of varied evaluation tools, to date, there is no consensus on which tool is productive in recognizing gaps and areas for improvements and in achieving the overall goal that is the sustenance of a continued level of emergency preparedness [2,33,35]. The Israeli healthcare system has developed and utilized in the past decade an evaluation tool of the readiness for disasters, which is based on measurable, objective parameters that encompass the appraisal of the effectiveness of Standard Operating Procedures (SOPs), training and drills, staff's knowledge, and infrastructure and equipment [33,34].…”

Section: Evaluation As a Vital Component To Maintain Readinessmentioning

confidence: 99%

“…To mitigate potential morbidity and mortality that may result from such emergencies, healthcare systems are required to maintain an ongoing level of preparedness, to ensure resilience and the capacity to effectively respond to any type of mass casualty incident (MCI) that may occur [1]. Many of the hazards occur sporadically or even rarely, but as they may pose a very high risk to both the population and the healthcare system, they cannot be ignored [2].…”

Section: Introductionmentioning

confidence: 99%

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Maintaining Preparedness to Severe Though Infrequent Threats—Can It Be Done?

Siman‐Tov

Davidson

Adini

2020

IJERPH

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Background: A mass casualty incident (MCI) caused by toxicological/chemical materials constitutes a potential though uncommon risk that may cause great devastation. Presentation of casualties exposed to such materials in hospitals, if not immediately identified, may cause secondary contamination resulting in dysfunction of the emergency department. The study examined the impact of a longitudinal evaluation process on the ongoing emergency preparedness of hospitals for toxicological MCIs, over a decade. Methods: Emergency preparedness for toxicological incidents of all Israeli hospitals were periodically evaluated, over ten years. The evaluation was based on a structured tool developed to encourage ongoing preparedness of Standard Operating Procedures (SOPs), equipment and infrastructure, knowledge of personnel, and training and exercises. The benchmarks were distributed to all hospitals, to be used as a foundation to build and improve emergency preparedness. Scores were compared within and between hospitals. Results: Overall mean scores of emergency preparedness increased over the five measurements from 88 to 95. A significant increase between T1 (first evaluation) and T5 (last evaluation) occurred in SOPs (p = 0.006), training and exercises (p = 0.003), and in the overall score (p = 0.004). No significant changes were found concerning equipment and infrastructure and knowledge; their scores were consistently very high throughout the decade. An interaction effect was found between the cycles of evaluation and the hospitals’ geographical location (F (1,20) = 3.0, p = 0.056), proximity to other medical facilities (F (1,20) = 10.0 p = 0.005), and type of area (Urban vs. Periphery) (F (1,20) = 13.1, p = 0.002). At T5, all hospitals achieved similar high scores of emergency preparedness. Conclusions: Use of accessible benchmarks, which clearly delineate what needs to be continually implemented, facilitates an ongoing sustenance of effective levels of emergency preparedness. As this was demonstrated for a risk that does not frequently occur, it may be assumed that it is possible and practical to achieve and maintain emergency preparedness for other potential risks.

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Section: Discussionmentioning

confidence: 99%

Section: Evaluation As a Vital Component To Maintain Readinessmentioning

confidence: 99%

Section: Evaluation As a Vital Component To Maintain Readinessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Maintaining Preparedness to Severe Though Infrequent Threats—Can It Be Done?

Siman‐Tov

Davidson

Adini

2020

IJERPH

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“…However, a significant limitation in research studies in the disaster medicine area is related to the lack of standards for collecting and reporting data [1]. The research tools are not validated [142], or available to use or utilizable during a disaster [138].…”

Section: Scientific Approachmentioning

confidence: 99%

TRIAGE : Management of the trauma patient

Lampi¹

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Triage, derived from the French word for sorting, aims to assess and prioritize injured patients, regardless of whether the injuries are sustained from everyday road traffic accident with few injured or a mass casualty incident. Triage seeks to provide the greatest benefit to the largest number of casualties in order to minimize morbidity and mortality. Triage in a pre-hospital setting entails management and sorting of patients according to an assessment of medical need, prioritization, and evacuation. In-hospital triage aims to rapidly identify the most injured and ensure timely and appropriate treatment according to the patient's clinical urgency. A number of different systems for performing triage have been established and implemented globally. The methodology is recognized and utilized but there is still a need for an evidence-based strategy to optimize training and the efficacy of the different systems.The main aim of this thesis was to determine triage performance among prehospital personnel and investigate the potential advantage of a triage system for trauma patients. The papers included in this thesis evaluated the triage skills of physicians, pre-hospital personnel, and rescue services personnel by testing their performance before and after an educational intervention. The last paper evaluated potential benefits of using a triage system for trauma patients admitted to the emergency department at MOI Teaching and Referral Hospital in Eldoret, Kenya.The results presented in this thesis illustrate that triage skills are lacking among physicians. Experienced pre-hospital personnel are more skilled in performing triage than physicians. The triage skills of the rescue services personnel improved significantly after the educational intervention. Moreover, the potential benefit to trauma patients of implementing an in-hospital triage system in a resource-poor environment was shown. In conclusion, health care personnel, especially physicians without experience but highly involved in trauma patient management, seem to be in need of triage training. How to train, how to implement, and how to evaluate triage skills must be considered in order to develop effective training. POPULÄRVETENSKAPLIG SAMMANFATTNINGOrdet triage kommer från franskans "sortera" och är ett av det första stegen i omhändertagandet av skadade när det råder resursbrist. Från 1800-talets blodiga slagfält, till dagens skadeplats och akutmottagningar har sättet att triagera patienter utvecklats. Men då, som nu, är grundtanken den samma, att sortera och prioritera de skadade utifrån tillgängliga resurser och patienternas vårdbehov. Följaktligen har begreppet kommit att bli centralt inom ämnet katastrofmedicin. Att avlida till följd av skador i samband med allvarliga händelser men också skador i till exempel vardagstrafiken är ett globalt hälsoproblem. Tiden från olycka till sjukhusbehandling är en viktig och ofta avgörande överlevnadsfaktor för en patient. I det här sammanhanget talas det om "den gyllene timmen", som påvisar vikten av att få ...

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Basics of Hospital Response

Christou¹

2021

Hot Topics in Acute Care Surgery and Trauma

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Tools and Checklists Used for the Evaluation of Hospital Disaster Preparedness: A Systematic Review

Cited by 60 publications

References 43 publications

Maintaining Preparedness to Severe Though Infrequent Threats—Can It Be Done?

Maintaining Preparedness to Severe Though Infrequent Threats—Can It Be Done?

TRIAGE : Management of the trauma patient

Basics of Hospital Response

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