Disaster Exercises to Prepare Hospitals for Mass-Casualty Incidents: Does it Contribute to Preparedness or is it Ritualism?

Prehospital and Disaster Medicine
Marlous Lmi VerheulJoost Jlm Bierens

Abstract

IntroductionThe central question this study sought to answer was whether the team members of Strategic Crisis Teams (SCTs) participating in mass-casualty incident (MCI) exercises in the Netherlands learn from their participation. Evaluation reports of exercises that took place at two different times were collected and analyzed against a theoretical model with several dimensions, looking at both the quality of the evaluation methodology (three criteria: objectives described, link between objective and items for improvement, and data-collection method) and the learning effect of the exercise (one criterion: the change in number of items for improvement). Of all 32 evaluation reports, 81% described exercise objectives; 30% of the items for improvement in the reports were linked to these objectives, and 22% of the 32 evaluation reports used a structured template to describe the items for improvement. In six evaluation categories, the number of items for improvement increased between the first (T1) and the last (T2) evaluation report submitted by hospitals. The number of items remained equal for two evaluation categories and decreased in six evaluation categories. The evaluation reports do not support the ideal-typical disaster exer...Continue Reading

References

Dec 16, 1998·Annals of Internal Medicine·D M Berwick
Jun 11, 1999·Critical Care Medicine·I Tur-KaspaJ Shemer
Dec 2, 2004·Prehospital and Disaster Medicine·Edbert B HsuEric B Bass
May 15, 2010·Prehospital and Disaster Medicine·Jorine Juffermans, Joost J L M Bierens
Oct 16, 2012·International Journal of Environmental Research and Public Health·Elena SavoiaPaul D Biddinger
Jul 30, 2014·BMC Research Notes·David J Dausey, Melinda Moore

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Citations

Dec 13, 2019·Prehospital and Disaster Medicine·Marlous Lmi Verheul, Michel LA Dückers
Apr 5, 2020·International Journal of Environmental Research and Public Health·Maya Siman-TovBruria Adini

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