Abstract Introduction Hospitals are expected to continue provide medical care during disasters. However, they often fail function under these circumstances. Vulnerability disasters has been shown be related the socioeconomic level of a country. This study compares hospital preparedness, as measured by functional capacity, between Iran and Sweden. Methods Hospital affiliation size, type hazards, were compared The capacity was evaluated calculated using Safety Index (HSI) from World Health...

Major incidents continue to pose a threat health care systems by overwhelming them with sudden surge of patients. A major factor impacting hospital's capacity is the skills, abilities, and knowledge emergency department (ED) registered nurses (RN). The level disaster nursing competency they possess affects patient safety outcome. ED RNs' ability accurately assess their imperative for mitigating effect incidents. RN's perception overall preparedness has not been thoroughly addressed. aim this...

Registration of data from a major incident or disaster serves several purposes such as to record for evaluation response well research. Data needed can often be retrieved after an while other must recorded during the incident. There is need consensus on what essential response. The aim this study was identify key indicators initial medical registration. By meant nationally accepted processes involved, time emergency call communication centre until care provided at department. A three round...

Abstract Aim This study explores HICGs’ experience of disaster response during a terrorist-induced major incident incident. Design A qualitative descriptive design with individual semi-structured interviews was used. Methods based on seven interviews. Participants were members hospital command groups terror attack. The transcribed verbatim and analyzed using deductive content analysis. SRQR checklist used to report the findings. Results data created from identified barriers facilitators for...

Abstract Introdution: Large, functional, disaster exercises are expensive to plan and execute, often difficult evaluate objectively. Command control in medicine organizations can benefit from objective results identify areas that must be improved. Objective: The of this pilot study was examine if it is possible use performance indicators for documentation evaluation medical command a full-scale major incident exercise at two levels: (1) local level (scene the hospital); (2) strategic...

In recent decades, analyses of hospitals evacuations have generated valuable knowledge. Unfortunately, these evacuation case studies often lack crucial details and policies that would be helpful in preparedness. The aim this study was to use a simulation model illustrate how it can aid emergency planners the development, testing, revising plans. This includes exercises at two Region Stockholm, Sweden.A scientifically validated system for "table top" used interactive training hospital medical...

Disaster medicine is a fairly young scientific discipline and there need for the development of new methods evaluation research. This includes full-scale disaster exercisers. A standardized concept on how to evaluate these exercises, could lead easier identification pitfalls caused by system-errors in organization. The aim this study was demonstrate feasibility using combination performance outcome indicators so that results can be compared exercises. Two multidisciplinary, exercises were...

In mass-casualty situations, communications and information management to improve situational awareness is a major challenge for responders. this study, the feasibility of prototype system that utilizes commercially available, low-cost components, including Radio Frequency Identification (RFID) mobile phone technology, was tested in two simulated incidents.The direct benefits were evaluated situations: one Finland involving passenger ship accident resulting multiple drowning/hypothermia...

Introduction Disaster triage is the allocation of limited medical resources in order to optimize patient outcome. There are several studies showing poor use tagging, but there few that have investigated reasons behind this. The aim this study was explore ambulance personnel attitude towards, and experiences of, practicing tagging during day-to-day management trauma patients, as well major incidents (MIs).A mixed method design used. first part form a web-survey attitudes answered by...

Abstract Background Hospital incident command groups’ (HICG) performance may have a profound impact on hospital response to major incidents. Previous research has assessed group capacity as opposed and factors associated performance. The objective was assess associations between decision-making staff procedure skills of the group. Methods This prospective observational study using indicators A total six hospitals in Stockholm, Sweden, with their respective HICGs participated. Associations...

Abstract Objective The objective of this study was to highlight 2 models, the Hospital Incident Command System (HICS) and Disaster Management Indicator model (DiMI), for evaluating in-hospital management a disaster situation through simulation exercises. Methods Two exercises, A B, with similar scenarios were performed. Both exercises evaluated regard actions, processes, structures. After results calculated compared. Results In exercise HICS indicated that 32% required positions immediate...

To explore registered nurses' experiences as disaster preparedness coordinators of hospital incident command groups' during a major incident.A qualitative descriptive design using semi-structured interview.This was study based on one focus group discussion and six individual follow-up interviews. Participants were nurses in their capacity with experience from Major Incident simulations real-life Incident. The interviews transcribed verbatim analysed content analysis. COREQ checklist used for...

Emergency department charge nurses are expected to oversee the quality of patient care, direct work, and allocation resources. The nurse is unit's frontline leader, he/she must have proper leadership training support carry out duties effectively. This study explores how perceive their role in managing daily work major incidents at emergency department.A qualitative based on focus group discussions using a semi-structured interview. Participants were 12 from four Swedish departments.For data...

Abstract Background An incident command structure is commonly used to manage responses major incidents. In the hospital structure, medical officer in charge (MOC) a key position. The decision-making process essential effective management, but little known about which factors influence process. Therefore, current study aimed describe influencing of MOCs. Methods A conventional content analysis was conducted based on 16 individual interviews with doctors who had been deployed as MOCs at...

Background There is a need to address the implementation of technological innovation into emergency medical services facilitate and improve information exchange between prehospital care providers, command centers, hospitals during major incidents enable better allocation resources minimize loss life. At present, there lack technology supporting real-time sharing in managing optimize use available. Objective The aim this protocol develop, design, evaluate innovations for response incidents....

<sec> <title>BACKGROUND</title> There is a need to address the implementation of technological innovation into emergency medical services facilitate and improve information exchange between prehospital care providers, command centers, hospitals during major incidents enable better allocation resources minimize loss life. At present, there lack technology supporting real-time sharing in managing optimize use available. </sec> <title>OBJECTIVE</title> The aim this protocol develop, design,...

Purpose The purpose of this study was from a Swedish perspective to map experts' opinions on theoretical statements essential collaboration activities for management mining injury incidents. Design/methodology/approach A Delphi technique performed, asking experts in iterative rounds generate understanding and form consensus group opinion around multi-agency management. were personnel emergency medical service, rescue service mine industry, all with operative command positions. Findings Three...

Introduction Disaster medicine is a young discipline and there need for the development of methods evaluation research. This includes full-scale disaster exercises that are quite costly. Within each organization these seldom conducted. If was standardized concept on how to conduct as well evaluate exercises, this could lead better knowledge cost effectiveness. The aim study increase awareness possibility develop in different settings using performance indicators combined with related patient...

Abstract Background Major incidents continue to pose a threat health care systems by overwhelming them with sudden surge of patients. A major factor impacting hospital's capacity is the skills, abilities, and knowledge emergency department registered nurses. The level disaster nursing competency they possess affects patient safety outcome. ED RNs' ability accurately assess their imperative for mitigating effect incidents. RN’s perception overall preparedness has not been thoroughly...

Abstract Background Hospital incident command groups’ (HICG) performance may have a profound impact on hospital response to major incidents. Previous research has assessed group capacity as opposed and factors associated performance. The objective was assess associations between decision-making staff procedure skills of the group. Methods This prospective observational study using indicators A total six hospitals in Stockholm, Sweden, with their respective HICGs participated. Associations...

Abstract Background Hospital incident command groups’ (HICG) performance may have a profound impact on hospital response to major incidents. Previous research has assessed group capacity as opposed and factors associated performance. The objective was assess associations between decision-making staff procedure skills of the group. Methods This prospective observational study using indicators A total six hospitals in Stockholm, Sweden, with their respective HICGs participated. Associations...