scholarly journals A Study on Planning and Evaluation of Disaster Exercise Based on Disaster Records

2021 ◽  
Vol 7 (1) ◽  
pp. 23-30
Author(s):  
Chisato KAJIHARA ◽  
Takayuki MASUI ◽  
Takahiro ATSUMI ◽  
Katsuya ONOKI ◽  
Masahiko MUNECHIKA
Keyword(s):  
2015 ◽  
Vol 12 (4) ◽  
pp. 891-914 ◽  
Author(s):  
Xuesong Guo ◽  
Naim Kapucu

Abstract Purpose of the research is to examine coordination in disaster response by computer simulation using Petri net. We addressed issues on coordination in disaster response by focusing on interorganizational processes. Defining the processes according to disaster exercise, we developed the model based on Stochastic Petri Net. Index items, including average delay time and busyness probability, were introduced to facilitate discussion. Simulation demonstrated utilization of process analysis in performance assessment of collaborative disaster response. Since fragmentation is critical factor hindering efficient response, its remedy or elimination should be focused for system optimization.


2016 ◽  
Vol 25 (1) ◽  
pp. 11-26 ◽  
Author(s):  
Marion L. Mitchell ◽  
Loretta McKinnon ◽  
Leanne M Aitken ◽  
Sarah Weber ◽  
Sean Birgan ◽  
...  

Purpose – The number of disasters has increased by 30 per cent worldwide in the past 30 years. Nurses constitute the largest clinical group within a hospital and their ability to respond to disasters is crucial to the provision of quality patient care. The purpose of this paper is to evaluate a four-year disaster preparedness partnership between two tertiary hospitals from the perspective of executive staff, senior clinical managers and specialist nurses. The national disaster response centre was situated in one hospital and the other hospital was located 3,500 km away. Design/methodology/approach – The intervention involved selected nurses working at the partner hospital to enable familiarisation with policies, procedures and layout in the event of a request for back-up in the event of a national disaster. A mixed-methods design was used to elicit the strengths and limitations of the partnership. Surveys, in-depth interviews and focus groups were used. Findings – In total, 67 participants provided evaluations including ten executive staff, 17 clinical management nurses and 38 nurses from the disaster response team. Improvements in some aspects of communication were recommended. The successful recruitment of highly skilled and committed nurses was a strength. A disaster exercise resulted in 79 per cent of nurses, able and willing to go immediately to the partner hospital for up to 14 days. Research limitations/implications – During the four year partnership, no actual disaster occurred that required support. This limited the ability to fully trial the partnership in an authentic manner. The disaster exercise, although helpful in trialling the processes and assessing nurse availability, it has some limitations. Originality/value – This innovative partnership successfully prepared specialist nurses from geographically distant hospitals for a disaster response. This together with a willingness to be deployed enhanced Australia’s capacity in the event of a disaster.


2020 ◽  
pp. bmjstel-2020-000626 ◽  
Author(s):  
Hani M S Lababidi ◽  
Usamah Alzoraigi ◽  
Abdullah Abdulaziz Almarshed ◽  
Waleed AlHarbi ◽  
Mohamad AlAmar ◽  
...  

BackgroundCOVID-19 pandemic is presenting serious challenges to the world’s healthcare systems. The high communicability of the COVID-19 necessitates robust medical preparedness and vigilance.ObjectiveTo report on the simulation-based training and test preparedness activities to prepare healthcare workers (HCWs) for effective and safe handling of patients with COVID-19.MethodologyTwo activities were conducted: simulation-based training to all HCWs and a full-scale unannounced simulation-based disaster exercise at King Fahad Medical City (KFMC). The online module was designed to enhance the knowledge on COVID-19. This module was available to all KFMC staff. The five hands-on practical part of the course was available to frontliner HCWs. The unannounced undercover simulated patients’ full-scale COVID-19 simulation-based disaster exercise took place in the emergency department over 3 hours. Six scenarios were executed to test the existing plan in providing care of suspected COVID-19 cases.Results2620 HCWs took the online module, 17 courses were conducted and 337 frontliner HCWs were trained. 94% of learners were satisfied and recommended the activity to others. The overall compliance rate of the full-scale COVID-19 disaster drill with infection control guidelines was 90%. Post-drill debriefing sessions recommended reinforcing PPE training, ensuring availability of different sizes of PPEs and developing an algorithm to transfer patients to designated quarantine areas.ConclusionSimulation-based training and preparedness testing activities are vital in identifying gaps to apply corrective actions immediately. In the presence of a highly hazardous contagious disease like COVID-19, such exercises are a necessity to any healthcare institution.


2021 ◽  
Vol 19 (3) ◽  
pp. 253-265
Author(s):  
Jeffrey T. Tochkin, MA, CEM ◽  
Hung Tan, MSc ◽  
Caroline Nolan ◽  
Harrison Carmichael, MD ◽  
Andrew Willmore, MD ◽  
...  

Providing care in a twenty-first century urban emergency department (ED) and trauma center is a complex high-pressure practice environment. The pressure is intensified during patient surge scenarios commonly seen during mass casualty incidents, such that response must be practiced regularly. Beyond clinical mastery of individual patient trauma care, a coordinated system-level response is essential to optimize patient care during these relatively infrequent events. This paper highlights the need to perform exercises in hospitals while providing practical advice on how to utilize in situ simulation for mass casualty testing. Eleven lessons are presented to assist other emergency management professionals, hospital administrators, or clinical staff to achieve success with in situ simulation. Based upon our experience designing and executing an in situ mass casualty simulation within an ED, we offer lessons applicable to any type of disaster exercise. Simulation offers a powerful tool for the conduct of disaster preparedness exercises for staff across multiple hospital departments and professions.


1968 ◽  
Vol 278 (15) ◽  
pp. 822-824 ◽  
Author(s):  
Leonard F. Menczer
Keyword(s):  

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