When disaster strikes: Bridging the hospital preparedness gap
DOI:
https://doi.org/10.5055/jem.2009.0029Keywords:
hospital preparedness, disaster, bioterrorismAbstract
Bioterrorism has emerged as a serious public health threat in the United States and continues to warrant significant public health concern. In the event of a bioterrorist attack, hospitals and healthcare providers will play a primary role in the community’s response. However, recent research has suggested that hospitals are unprepared to respond to a bioterrorism event lacking personnel, equipment, knowledge, and experience. The current article highlights the gaps between need and implementation of disaster preparedness programs in healthcare settings; presents a program designed to address these limitations in a cost-effective, portable, accessible training package; and analyzes data from a basic evaluation of the program. The program is a 4.5-day training developed by the a state Area Health Education Consortium (AHEC) to help prepare hospitals for a bioterrorist attack by training personnel in the creation of a decontamination team responsible for decontaminating patients before they enter the hospital. A basic evaluation of the program found that participants who complete the training reported high ratings of competency related to decontamination procedures, their confidence in future performance, and the training overall. Results suggest that the training program holds promise in beginning to address hospital preparedness gaps.References
Markenson D, DiMaggio C, Redlener I: Preparing health professions students for terrorism, disaster, and public health emergencies: Core competencies. Acad Med. 2005; 80: 517-526.
Benson L, Westphal RG: Emergency department preparedness trainings in New York state: A needs assessment. J Public Health Manag Pract. 2005; 11: S135-S137.
Jasper E, Miller M, Sweeney B, et al.: Preparedness of hospitals to respond to a radiological terrorism event as assessed by a fullscale exercise. J Public Health Manag Pract. 2005; 11: S11-S16.
Hobfoll SE, Watson P, Bell CC, et al.: Five essential elements of immediate and mid-term mass trauma intervention: Empirical evidence. Psychiatry. 2007; 70(4): 283-316.
Bell CC, Flay B, Paikoff R: Strategies for health and behavioral change. In Chunn J (ed.): The Health Behavioral Change Imperative: Theory, Education, and Practice in Diverse Populations. New York: Kluwer Academic/Plenum Publishers, 2002: 17-40.
Pynoos RS, Goenjian A, Steinberg AM: Strategies of disaster intervention for children and adolescents. In Hobfoll SE, de Vries M (eds.): Extreme Stress and Communities: Impact and Intervention. Dordrecht, Netherlands: Kluwer, 1998: 445-471.
Leiberman AF, Compton NC,Van Horn P, et al.: Losing a Parent to Death in the Early Years: Guidelines for the Treatment of Traumatic Bereavement in Infancy and Early Childhood. Washington, DC: Zero to Three, 2003.
Pynoos RS, Schreiber MD, Steinberg AM, et al.: Impact of terrorism on children. In Sadock BJ, Sadock VA (eds.): Comprehensive Textbook of Psychiatry, 8th ed. Philadelphia: Lippencott,Williams & Wilkins, 2005: 3551-3564.
Chen FM, Hickner J, Fink KS, et al.: On the front lines: Family physicians’ preparedness for bioterrorism. J Family Pract. 2002; 51: 745-750.
Mosca NW, Sweeney PM, Hazy JM, et al.: Assessing bioterrorism and disaster preparedness training needs for school nurses. J Public Health Manag Pract. 2005; November (Suppl): S38-S44.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO): Environment of Care Standards 4.10 and 4.20. Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: JCAHO, 2007.
Gebbie K, Merrill J: Public health worker competencies for emergency response. J Public Health Manag Pract. 2002; 8(3): 73-81.
Centers for Disease Control and Prevention (CDC): Emergency preparedness core competencies for all public health workers (brochure). Available at www.cdc.gov/niosh/docs/2004-173/2004- 173b.html. Accessed October 21, 2007.
Qureshi KA, Gershon R, Merrill JA, et al.: Effectiveness of an emergency preparedness training program for public health nurses in New York City. Fam Community Health. 2004; 27: 242-249.
American Heart Association (AHA): Pediatric Advanced Life Support Manual. Dallas, TX: AHA, 2001.
Yale-New Haven Hospital System: Brochure.Available at http://yalenewhavenhealth.org/emergency/commu/about.html#mission. Accessed October 21, 2007.
Published
How to Cite
Issue
Section
License
Copyright 2007-2023, Weston Medical Publishing, LLC and Journal of Emergency Management. All Rights Reserved