scholarly journals Iranian Primary Healthcare System's Response to Pandemic Covid- 19 Using Healthcare Incident Command System

Author(s):  
Arezoo Yari ◽  
Homa Yousefi-Khoshsabeghe ◽  
Yadolah Zarezadeh ◽  
Majid Amraei ◽  
Mohsen Soufi Boubakran ◽  
...  

Abstract Background: The healthcare incident command system (HICS) is a potent disaster management tool in healthcare systems. The present study aimed to evaluate the effects of HICS on the district health networks (DHNs) covered by provincial Medical Universities (PMU) in terms of the management and commanding of the corona crisis in Iran. Methods: This cross-sectional research was performed in June 2020 in Iran. Data were collected using the HICS assessment tool by trained crisis management experts in the DHNs. In addition, we investigated the effects of the HICS use on the management and commanding of the corona crisis. Furthermore, the effects of the HICS use were evaluated on two groups of DHNs with active HICS and DHNs with inactive or no HICS. Results: The total mean score of the corona incident command and management was 78.79±11.90 (range: 20-100) in all the DHNs. The DHNs had the highest scores in the dimensions of organizational support and coordination and the lowest score in the dimension of support and planning. Significant differences were observed between the DHNs with active HICS and DHNs with inactive or no HICS in terms of the mean scores of incident management and command and its dimensions.Conclusions: According to the results, the HICS use had a positive impact on the improvement of incident management and command and all of its dimensions. Therefore, the HICS could be used in primary healthcare for the systematic and proper management of infectious disease crises and increasing their efficiency in response to these phenomena.

1997 ◽  
Vol 1997 (1) ◽  
pp. 737-742
Author(s):  
LT Tina M. Burke ◽  
LT John P. Flynn

ABSTRACT In recent years, the usefulness of the incident command system (ICS) has received much attention. Much of the oil industry and several government agencies involved in all types of emergency response have been using ICS for many years. In addition, the U.S. Coast Guard formally adopted the national interagency incident management system (NIIMS) ICS as the response management system of choice in February of 1996. The response to the tank barge North Cape grounding was a complex multiagency effort that brought with it many of the issues and problems responders face when dealing with crisis situations. This paper describes the ICS-based organization that was established to respond to the major North Cape oil spill, analyzes the organization compared to standard ICS, and discusses how the ICS framework and principles contributed to the success of the response. It also explains how closer conformity to standard ICS could have remedied many of the issues that later surfaced as lessons learned, resulting in improved response efficiency. The North Cape response provides a vivid example of how ICS is a helpful management tool that, if rigorously learned and applied in a widespread fashion, can greatly enhance the nation's oil spill response posture.


2019 ◽  
Vol 3 (1) ◽  
pp. e000493 ◽  
Author(s):  
Punit Virk ◽  
Samara Laskin ◽  
Rebecca Gokiert ◽  
Chris Richardson ◽  
Mandi Newton ◽  
...  

BackgroundPaediatric mental health-related visits to the emergency department are rising. However, few tools exist to identify concerns early and connect youth with appropriate mental healthcare. Our objective was to develop a digital youth psychosocial assessment and management tool (MyHEARTSMAP) and evaluate its inter-rater reliability when self-administered by a community-based sample of youth and parents.MethodsWe conducted a multiphasic, multimethod study. In phase 1, focus group sessions were used to inform tool development, through an iterative modification process. In phase 2, a cross-sectional study was conducted in two rounds of evaluation, where participants used MyHEARTSMAP to assess 25 fictional cases.ResultsMyHEARTSMAP displays good face and content validity, as supported by feedback from phase 1 focus groups with youth and parents (n=38). Among phase 2 participants (n=30), the tool showed moderate to excellent agreement across all psychosocial sections (κ=0.76–0.98).ConclusionsOur findings show that MyHEARTSMAP is an approachable and interpretable psychosocial assessment and management tool that can be reliably applied by a diverse community sample of youth and parents.


2009 ◽  
Vol 3 (3) ◽  
pp. 609
Author(s):  
Mirela Borges ◽  
Sergio José Nicoletti

ABSTRACTObjectives: to describe, in the perception of nurses, the impact of a Nutritional Support training on the job and Identify the correlations between support organizational support to the transfer and characteristics of customers with the impact of training in the work of nurses. Method: it’s a nature quantitative research, a cross-sectional, correlacional and descriptive study. The data was collected by means a questionnaire asked to 114 nursing professionals. The data was stored and analyzed using the program Statistical Package for the Social Sciences, being carried out analyses descriptive and relevant to study. Results: more than 50% of trainees agreed have a positive impact of training support nutrition at work. The impact of training in nutritional therapy of nursing was significantly correlated with the support organizational (r=0,64, p=0,00). Conclusion: the higher the support of the Organization to training, the higher the positive impact on the work of trainees. Descriptors: organizational support; education; nursing; job training.RESUMOObjetivos: descrever, na percepção dos profissionais de enfermagem, o impacto do treinamento admissional em Suporte Nutricional no trabalho e identificar as correlações entre Suporte Organizacional, Suporte à Transferência e Características da Clientela com o impacto do treinamento no trabalho dos profissionais de enfermagem. Método: pesquisa de natureza quantitativa, onde se realizou um estudo transversal, correlacional e descritivo. Os dados foram obtidos mediante questionário aplicado a 114 profissionais de enfermagem, armazenados e analisados utilizando-se do programa Statistical Package for the Social Sciences (versão 13.0), cujas análises foram descritivas e inferenciais. Resultados: mais de 50% dos treinandos concordaram ter um impacto positivo do treinamento Suporte Nutricional no trabalho. O Impacto do treinamento em terapia nutricional no trabalho da equipe de enfermagem esteve significativamente correlacionado com o Suporte Organizacional (r=0,64, p=0,00). Conclusão: conclui-se que, quanto maior o Suporte de Transferência e o Suporte Organizacional maior foi o Impacto do treinamento no trabalho. Descritores: suporte organizacional; educação; enfermagem; capacitação profissional.RESUMENObjetivo: describir, en la percepción de las enfermerías, el impacto de la capacitación en apoyo nutricional en el lugar de trabajo y determinar las correlaciones entre el apoyo organizativo, apoyo del la transferencia y las características del cliente con el impacto de la capacitación en el trabajo de las enfermerías. Métodos: investigación de carácter cuantitativo, donde há sido hecho un estudio transversal, descriptivo y correlacional. Los datos fueron obtenidos mediante un cuestionario aplicado a 114 profesionales de enfermería. Los datos fueron almacenados y analizados utilizando el programa Statistical Package for the Social Sciences, y se lleva a cabo el análisis descriptivo e inferencial de interés para el estudio. Resultados: más del 50% de los alunos de acuerdo a tener un impacto positivo de apoyo nutricional de formación en el trabajo. El impacto de la formación en la terapia nutricional en el trabajo del personal de enfermería fue significativamente correlacionado con el apoyo organizativo (r=0,64, p=0,00). Conclusión: en conclusión, cuanto mayor sea el apoyo a la transferencia y el apoyo organizativo fue el mayor impacto de la formación en el trabajo. Descriptores: apoyo organizativo; educación; enfermería; capacitación profesional.


2021 ◽  
Vol 19 (4) ◽  
pp. 387-417
Author(s):  
John K. Nichols, MS, LCC ◽  
Magdalena Denham, EdD

This paper investigates the use of the National Incident Management System (NIMS)’s Incident Command System (ICS) in law enforcement since Homeland Security Presidential Directive 5 was issued in 2003. It attempts to answer the following questions: (a) To what degree has law enforcement adopted the NIMS style ICS?; (b) To what degree has the NIMS/ICS framework been applicable to law enforcement?; and (c) Is the NIMS style ICS effective in the law enforcement response environment? The research includes a review of relevant case studies and literature and also includes the analysis of a survey instrument sent to 1,220 current and former law enforcement practitioners across the United States. The survey includes both open- and closed-ended questions. The data from closed-ended questions were compiled and displayed. Data from open-ended questions were grouped thematically. Responses were then assessed and compared with information gleaned from the literature review. Results indicate the system has been widely adopted by law enforcement, and its use is applicable and effective in some law enforcement responses. Its use in the highly chaotic initial phase of incidents, however, remains an open question.


2002 ◽  
Vol 17 (2) ◽  
pp. 132-153 ◽  
Author(s):  
Thomas Golaszewski ◽  
Brian Fisher

Purpose. The purpose of this article is to document the development, testing, and application of an organizational assessment tool used to measure employer support for heart health. Additional information is presented on its future research and applications plan. Design. This article represents the pooling of results from multiple studies using a variety of designs, including pilot tests, cross-sectional analyses, and quasi-experiments. Setting. Worksites covering the spectrum of employers across industry types and size, and throughout all of New York State. Subjects. Over 10,000 New York employees and 1000 New York employers are represented in the multiple phases of this research. Measures. Heart Check is a 226-item inventory designed to measure such features in the worksite as organizational foundations, administrative supports, tobacco control, nutrition support, physical activity support, stress management, screening services, and company demographics. Additional side studies used professional judgments and behavioral surveys. Results. As an assessment tool Heart Check shows evidence for reliability and validity. Applications of the instrument show characteristics that define high-scoring companies, quasi standards for New York employers, and, when applied during interventions, positive changes in organizational support levels. Conclusions. A relatively inexpensive, easy-to-use, and metrically tested instrument exists for measuring the construct of organizational support for employee heart health. The instrument shows promise as part of a system to enhance heart health through public health-based interventions in the workplace.


2003 ◽  
Vol 2003 (1) ◽  
pp. 1179-1183
Author(s):  
Duane Michael Smith

ABSTRACT There are likely few that would argue with the proposal that a national incident management system would be of benefit. Numerous articles have been put forward over time, both for and against the adoption of an incident command system (ICS) as the model for a national incident management system. Those in favor of its adoption point out to its many successes, from major wildfires to the 2002 Olympics. Many seem to view ICS as simply another way of expressing the term command and control. In reality, ICS is not another way to say command and control; rather it is a specific of command and control system. The question then is whether ICS, and in particular the National Inter-agency Incident Management System – Incident Command System (NIIMS-ICS) is the model upon which this national system should be based. Most of the studies and papers regarding the use and adoption of ICS have focused on its use within the fire service community. This may be somewhat intuitive, given the origins of the system; however, if we are to truly gauge the applicability of this system to all risks, we must begin to exam it in those other events. It was a series of disasters that led to the development of the initial ICS system. It has been a subsequent series of disasters or national emergencies that have led to the continued evolution of ICS toward a national model. The question now before us is whether we need another disaster to take that final step to a truly national incident management system or are we willing to go there now. In this time of heightened national security we owe it to ourselves to have the best incident management system in the world.


2019 ◽  
Vol 11 (12) ◽  
pp. 3484 ◽  
Author(s):  
Kwoting Fang ◽  
Shuoche Lin

This paper presents the TTIPP methodology, an integration of task analysis, task ontology, integration definition function modeling (IDEF0), Petri net, and Petri net mark language (PNML), to organize and model the task knowledge in the form of natural language expressions acquired during the knowledge-acquisition process. The goal of the methodology is to make the tasks more useful, accessible, and sharable through the web for a variety of stakeholders interested in solving a problem which is expressed mostly in linguistic form, and to shed light on the nature of problem-solving knowledge. This study provides a core epistemology for the knowledge engineer while developing the task ontology for a generic task. The proposed model overcomes the drawbacks of IDEF0, which are its static nature and Petri net which has no concept of hierarchy. A good number of countries lie on the typhoon and earthquake belts, which make them vulnerable to natural calamities. However, a practical incident command system (ICS) that provides a common framework to allow emergency responders of different backgrounds to work together effectively for standardized, on-the-scene, incident management has yet to be developed. There is a strong need to explicitly share, copy, and reuse the existing problem-solving knowledge in a complex ICS. As an example, the TTIPP model is applied to the task of emergency response for debris-flow during a typhoon as a part of an ICS.


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