Trials and tribulations: how we established a major incident database

Hardy, Sophie; Fattah, Sabina

doi:10.1186/s13049-017-0351-7

Cited by 8 publications

(9 citation statements)

References 14 publications

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“…As we explained above we designed a new template for the evaluation of the Wuerzburg terror attack in order to particularly concentrate on the terror related aspects of the attack. Nevertheless we fully support the goals of Fatah et al and other authors [ 5 , 6 , 13 ] to significantly increase and improve the disposition to systematically report and evaluate major incidents but also mass killing events. In the future a close international collaboration between the different researchers and caregivers dealing with the issue might help to find the best template in order to improve these missions outcome.…”

Section: Discussionsupporting

confidence: 81%

“…After the introduction and the subsequent application of the template to several incidents, some limitations were noted by Fattah et al [ 14 ]. Consequently, the authors revised the template, which is now available less detailed and more user-friendly [ 6 ]. As we explained above we designed a new template for the evaluation of the Wuerzburg terror attack in order to particularly concentrate on the terror related aspects of the attack.…”

Section: Discussionmentioning

confidence: 99%

“…Despite these very important publications, there have not been any systematic and scientific evaluations of the most recent terror attacks so far. Qualified experts however clearly state the need for such evaluations [ 5 , 6 ]. Systematic reports will allow for the description, assessment and comparison of civil emergency rescue operations during terrorist attacks and they may serve as a very important basis in order to define and communicate the lessons learned [ 5 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Structured analysis, evaluation and report of the emergency response to a terrorist attack in Wuerzburg, Germany using a new template of standardised quality indicators

Wurmb

Schorscher

Justice³

et al. 2018

Scand J Trauma Resusc Emerg Med

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BackgroundUntil now there has been a reported lack of systematic reports and scientific evaluations of rescue missions during terror attacks. This however is urgently required in order to improve the performance of emergency medical services and to be able to compare different missions with each other. Aim of the presented work was to report the systematic evaluation and the lessons learned from the response to a terror attack that happened in Wuerzburg, Germany in 2016.MethodsA team of 14 experts developed a template of quality indicators and operational characteristics, which allow for the description, assessment and comparison of civil emergency rescue missions during mass killing incidents. The entire systematic evaluation process consisted of three main steps. The first step was the systematic data collection according to the quality indicators and operational characteristics. Second was the systematic stratification and assessment of the data. The last step was the prioritisation of the identified weaknesses and the definition of the lessons learned.ResultsFive important “lessons learned” have been defined. First of all, a comprehensive concept for rescue missions during terror attacks is essential. Furthermore, the establishment of a defined high priority communication infrastructure between the different dispatch centres (“red phone”) is vital. The goal is to secure the continuity of information between a few well-defined individuals. Thirdly, the organization of the incident scene needs to be commonly decided and communicated between police, medical services and fire services during the mission. A successful mission tactic requires continuous flux of reports to the on-site command post. Therefore, a predefined and common communication infrastructure for all operational forces is a crucial point. Finally, all strategies need to be extensively trained before the real life scenario hits.ConclusionAccording to a systematic evaluation, we defined the lessons learned from a terror attack in 2016. Further systematic reports and academic work surrounding life threatening rescue missions and mass killing incidents are needed in order to ultimately improve such mission outcomes. In the future, a close international collaboration might help to find the best database to report and evaluate major incidents but also mass killing events.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Structured analysis, evaluation and report of the emergency response to a terrorist attack in Wuerzburg, Germany using a new template of standardised quality indicators

Wurmb

Schorscher

Justice³

et al. 2018

Scand J Trauma Resusc Emerg Med

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“…This was a retrospective pilot study based on an open access database available on http://www.majorincidentreporting.net [ 20 , 21 ] (Fig. 2 ).…”

Section: Methodsmentioning

confidence: 99%

Systematic reporting to improve the emergency medical response to major incidents: a pilot study

et al. 2018

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BackgroundMajor incidents affect us globally, and are occurring with increasing frequency. There is still no evidence-based standard regarding the best medical emergency response to major incidents. Currently, reports on major incidents are non-standardised and variable in quality. This pilot study examines the first systematic reports from a consensus-based, freely accessible database, aiming to identify how descriptive analysis of reports submitted to this database can be used to improve the major incident response.MethodsMajorincidentreporting.net is a website collecting reports on major incidents using a standardised template. Data from these reports were analysed to compare the emergency response to each incident.ResultsData from eight reports showed that effective triage by experienced individuals and the use of volunteers for transport were notable successes of the major incident response. Inadequate resources, lack of a common triage system, confusion over command and control and failure of communication were reported failures. The following trends were identified: Fires had the slowest times for several aspects of the response and the only three countries to have a single dialling number for all three emergency services had faster response times. Helicopter Emergency Medical services (HEMS) were used for transport and treatment in rural locations and for triage and treatment in urban locations. In two incidents, a major incident was declared before the arrival of the first Emergency Medical Services (EMS) personnel.ConclusionThis study shows that we can obtain relevant data from major incidents by using systematic reporting. Though the sample size from this pilot study is not large enough to draw any specific conclusions it illustrates the potential for future analyses. Identified lessons could be used to improve the emergency medical response to major incidents.

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“…The proposed templates are mainly focused on prehospital management and field response and often address hospital disaster reaction only marginally. 1,[4][5][6][7][8] Although hospitals are the cornerstone of health and medical systems during disasters, to our knowledge, there is not a specific model for reporting hospital disaster response. Anyway, the "Utstein-style template for uniform data reporting of acute medical response in disasters" contains several reproducible indicators of hospital reaction but was neither used nor validated before.…”

mentioning

confidence: 99%

The August 24, 2016, Central Italy Earthquake: Validation of the “Modified Utstein Template for Hospital Disaster Response Reporting” As a New Tool for Reporting Hospitals’ Response to Disasters

Paganini

Ragazzoni

Rossitto

et al. 2019

Disaster med. public health prep.

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Background:After-action reports analyze events and improve knowledge about how to prevent and react to unexpected situations. Anyway, there is no consensus among the templates developed for disaster events reporting, and there is not a specific model for reporting hospital disaster response.Objective:The study was aimed to pilot the use of a new assessment tool for hospital response to natural disasters.Methods:A data collection tool, focused on hospital disaster response to natural disasters, was created modifying the “Utstein-Style Template for Uniform Data Reporting of Acute Medical Response in Disasters” and tested the reaction of the nearest hospitals to the epicenter after the August 24, 2016, Central Italy earthquake.Results:Four hospitals were included. The completion rate of the tool was 97.10%. A total of 613 patients accessed the 4 emergency departments, most of them in Rieti Hospital (178; 29.04%). Three hundred thirty-six (54.81%) patients were classified as earthquake-related, most with trauma injuries (260; 77.38%).Conclusions:This template seemed to be a valid instrument for hospital disaster management reporting and could be used for better comprehension of hospital disaster reaction, debriefing activities, and hospital disaster plan revisions.

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Trials and tribulations: how we established a major incident database

Cited by 8 publications

References 14 publications

Structured analysis, evaluation and report of the emergency response to a terrorist attack in Wuerzburg, Germany using a new template of standardised quality indicators

Structured analysis, evaluation and report of the emergency response to a terrorist attack in Wuerzburg, Germany using a new template of standardised quality indicators

Systematic reporting to improve the emergency medical response to major incidents: a pilot study

The August 24, 2016, Central Italy Earthquake: Validation of the “Modified Utstein Template for Hospital Disaster Response Reporting” As a New Tool for Reporting Hospitals’ Response to Disasters

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