Health Care Emergency Management: Establishing the Science of Managing Mass Casualty and Mass Effect Incidents

2009 ◽  
Vol 3 (S1) ◽  
pp. S52-S58 ◽  
Author(s):  
Anthony G. Macintyre ◽  
Joseph A. Barbera ◽  
Peter Brewster
Keyword(s):  
Health Care ◽  
Emergency Management ◽  
Emergency Response ◽  
Mass Effect ◽  
Mass Casualty ◽  
Conceptual Approach ◽  
Health Care Administrators ◽  
Emergency Response System ◽  
Care Integration ◽  
Security Personnel

ABSTRACTParticularly since 2001, the health care industry has witnessed many independent and often competing efforts to address mitigation and preparedness for emergencies. Clinicians, health care administrators, engineers, safety and security personnel, and others have each developed relatively independent efforts to improve emergency response. A broader conceptual approach through the development of a health care emergency management profession should be considered to integrate these various critical initiatives. When based on long-standing emergency management principles and practices, health care emergency management provides standardized, widely accepted management principles, application concepts, and terminology. This approach could also promote health care integration into the larger community emergency response system. The case for a formally defined health care emergency management profession is presented with discussion points outlining the advantages of this approach. (Disaster Med Public Health Preparedness. 2009;3(Suppl 1):S52–S58)

Analysis of Emergency Health Care Workforce and Service Readiness for a Mass Casualty Event in the Republic of Ireland

2018 ◽  
Vol 13 (02) ◽  
pp. 243-255 ◽  
Author(s):  
Tener Goodwin Veenema ◽  
Fiona Boland ◽  
Declan Patton ◽  
Tom O’Connor ◽  
Zena Moore ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Response ◽  
Large Scale ◽  
Mass Casualty ◽  
Republic Of Ireland ◽  
Emergency Responders ◽  
Mass Casualty Event ◽  
Service Readiness ◽  
The Republic ◽  
Professional Disciplines

ABSTRACTObjectiveUltimately, a country’s capacity for a large-scale major emergency response will be directly related to the competence of its health care provider (HCP) workforce and communication between emergency responders and hospitals. The purpose of this study was to assess HCP preparedness and service readiness for a major emergency involving mass casualties (mass casualty event or MCE) in Ireland.MethodsA cross-sectional study using a 53-item survey was administered to a purposive sample of emergency responders and HCPs in the Republic of Ireland. Data collection was achieved using the Qualtrics® Research Suite. Descriptive statistics and appropriate tests of comparison between professional disciplines were conducted using Stata 13.ResultsA total of 385 respondents, registered nurses (43.4%), paramedics (37.9%), medical doctors (10.1%), and administrators/managers (8.6%), participated in the study. In general, a level of knowledge of MCEs and knowledge of clinical response activities and self-assessed clinical competence varied drastically across many aspects of the survey. Knowledge and confidence also varied across professional disciplines (P<0.05) with nurses, in general, reporting the least knowledge and/or confidence.ConclusionsThe results demonstrate that serious deficits exist in HCP knowledge, skills, and self-perceived abilities to participate in a large-scale MCE. Results also suggest a poor knowledge base of existing major emergency response plans. (Disaster Med Public Health Preparedness. 2019;13:243–255)

scholarly journals USING GEO-DATA CORPORATELY ON THE RESPONSE PHASE OF EMERGENCY MANAGEMENT

2015 ◽  
Vol XL-3/W3 ◽  
pp. 269-275
Author(s):  
E. Demir Ozbek ◽  
S. Ates ◽  
A. C. Aydinoglu
Keyword(s):  
Emergency Management ◽  
Emergency Response ◽  
Fire Risk ◽  
Industrial Facility ◽  
Conceptual Approach ◽  
Working Cycle ◽  
Industrial Fire ◽  
Preparation Phase ◽  
Response Phase ◽  
General Response

Response phase of emergency management is the most complex phase in the entire cycle because it requires cooperation between various actors relating to emergency sectors. A variety of geo-data is needed at the emergency response such as; existing data provided by different institutions and dynamic data collected by different sectors at the time of the disaster. Disaster event is managed according to elaborately defined activity-actor-task-geodata cycle. In this concept, every activity of emergency response is determined with Standard Operation Procedure that enables users to understand their tasks and required data in any activity. In this study, a general conceptual approach for disaster and emergency management system is developed based on the regulations to serve applications in Istanbul Governorship Provincial Disaster and Emergency Directorate. The approach is implemented to industrial facility explosion example. In preparation phase, optimum ambulance locations are determined according to general response time of the ambulance to all injury cases in addition to areas that have industrial fire risk. Management of the industrial fire case is organized according to defined actors, activities, and working cycle that describe required geo-data. A response scenario was prepared and performed for an industrial facility explosion event to exercise effective working cycle of actors. This scenario provides using geo-data corporately between different actors while required data for each task is defined to manage the industrial facility explosion event. Following developing web technologies, this scenario based approach can be effective to use geo-data on the web corporately.

When and Why Health Care Personnel Respond to a Disaster: The State of the Science

2014 ◽  
Vol 29 (3) ◽  
pp. 270-274 ◽  
Author(s):  
Susan B. Connor
Keyword(s):  
Health Care ◽  
Emergency Response ◽  
Health Care Services ◽  
Mass Casualty ◽  
The State ◽  
Health Care Personnel ◽  
Current Evidence ◽  
Evidence Based ◽  
Publication Type ◽  
State Of The Science

AbstractObjectiveEmergency response relies on the assumption that essential health care services will continue to operate and be available to provide quality patient care during and after a patient surge. The observed successes and failures of health care systems during recent mass-casualty events and the concern that these assumptions are not evidence based prompted this review.MethodThe aims of this systematic review were to explore the factors associated with the intention of health care personnel (HCP) to respond to uncommon events, such as a natural disaster or pandemic, determine the state of the science, and bolster evidence-based measures that have been shown to facilitate staff response.ResultsAuthors of the 70 studies (five mixed-methods, 49 quantitative, 16 qualitative) that met inclusion criteria reported a variety of variables that influenced the intent of HCP to respond. Current evidence suggests that four primary factors emerged as either facilitating or hindering the willingness of HCP to respond to an event: (1) the nature of the event; (2) competing obligations; (3) the work environment and climate; and (4) the relationship between knowledge and perceptions of efficacy.ConclusionsFindings of this study could influence and strengthen policy making by emergency response planners, staffing coordinators, health educators, and health system administrators.ConnorSB. When and why health care personnel respond to a disaster: the state of the science. Prehosp Disaster Med. 2014;29(3):1-5.

Emergency Response to Mass Casualty Incidents in Lebanon

2013 ◽  
Vol 7 (4) ◽  
pp. 433-438 ◽  
Author(s):  
Mazen J. El Sayed
Keyword(s):  
Emergency Management ◽  
Emergency Response ◽  
Large Scale ◽  
The United States ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Incident Management ◽  
Response Process ◽  
Response Systems ◽  
Emergency Response Systems

AbstractThe emergency response to mass casualty incidents in Lebanon lacks uniformity. Three recent large-scale incidents have challenged the existing emergency response process and have raised the need to improve and develop incident management for better resilience in times of crisis. We describe some simple emergency management principles that are currently applied in the United States. These principles can be easily adopted by Lebanon and other developing countries to standardize and improve their emergency response systems using existing infrastructure. (Disaster Med Public Health Preparedness. 2013;0:1–6)

Washington State Disaster Risk and Preparedness: A Primer for Health Care Providers

2020 ◽  
Vol 35 (3) ◽  
pp. 341-345
Author(s):  
Stephen C. Morris
Keyword(s):  
Health Care ◽  
Emergency Management ◽  
Emergency Response ◽  
Health Care Providers ◽  
Disaster Response ◽  
Washington State ◽  
Care Providers ◽  
Disaster Assessment ◽  
Response And Recovery ◽  
National Emergency

AbstractDisaster in Washington State (USA) is inevitable. It is incumbent on health care providers to understand the practice environment as it will be affected by disasters. This means understanding the basic concepts of emergency management, local to national emergency response structure, and the risks and vulnerabilities of the region where one works. This understanding will help health care providers anticipate and prepare for disaster response and recovery. Washington State has many unique features with regard to climate and geography, population, public health, and general infrastructure that create significant vulnerabilities to disaster and strengths with regard to potential response and recovery. This report attempts to define and contextualize emergency management and to condense the extensive research and planning that has been conducted in Washington State surrounding disaster assessment, planning, mitigation, and response from a health care providerʼs prospective. The aim is to increase awareness of and preparation for disaster-related topics among health care providers by creating informed responders.

scholarly journals Code red: Towards authentic transformational leadership of emergency management

2015 ◽  
Vol 4 (5) ◽  
pp. 67 ◽  
Author(s):  
Denis HJ Caro
Keyword(s):  
Health Care ◽  
Transformational Leadership ◽  
Emergency Management ◽  
Management Systems ◽  
Health Care Administrators ◽  
Leadership Challenges ◽  
Qualitative Research Study ◽  
System Leaders ◽  
Emergency Events ◽  
Transformation Leadership

In this 21st century of unprecedented global, national and regional threats and innovative technologies, this study underscores the unique authentic transformational leadership challenges posed in emergency management systems. These open complex systems adapt to a range of critical emergency events, including mass emergencies, disasters and catastrophes. This qualitative research study based on grounded theory examines the phenomenology of emergency management systems by deploying triangulation to isolate the particular theoretical underpinnings of authentic transformational leadership models relevant to this domain. Using a key informant approach and a semi-structured confidential questionnaire, the perspectives of 103 emergency, health care and technological leaders of diverse professional backgrounds on the challenges of emergency management systems are presented. The response rate was 83.5 percent from 81 organizations across Canada. This study underscores the need for authentic transformational leadership and identifies seven critical and specific leadership imperatives for this domain. The implications for hospital and health care administrators are also presented. This qualitative study of diverse emergency system leaders is original in that it has not hitherto been done across Canada nor internationally. This study underscores the relevance of leadership theory and principles in the extant literature, but extends this to highlight those that are critical and unique to leaders of emergency management systems. In so doing, calls on the need for authentic transformation leadership of an order and caliber yet to be fully potentiated to manage future emergency events in Canada.

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