Evacuate or Shelter-in-place? The Role of Corporate Memory and Political Environment in Hospital-evacuation Decision Making

Prehospital and Disaster Medicine
Karen A RicciAram Dobalian

Abstract

Hospital-evacuation decisions are rarely straightforward in protracted advance-warning events. Previous work provides little insight into the decision-making process around evacuation. This study was conducted to identify factors that most heavily influenced the decisions to evacuate the US Department of Veterans Affairs (VA) New York Harbor Healthcare System's (NYHHS; New York USA) Manhattan Campus before Hurricane Irene in 2011 and before Superstorm Sandy in 2012. Semi-structured interviews with 11 senior leaders were conducted on the processes and factors that influenced the evacuation decisions prior to each event. The most influential factor in the decision to evacuate the Manhattan Campus before Hurricane Irene was New York City's (NYC's) hospital-evacuation mandate. As a federal facility, the Manhattan VA medical center (VAMC) was exempt from the city's order, but decision makers felt compelled to comply. In the case of Superstorm Sandy, corporate memory of a similar 1992 storm that crippled the Manhattan facility drove the decision to evacuate before the storm hit. Results suggest that hospital-evacuation decisions are confounded by political considerations and are influenced by past disaster experience. Greater shared ...Continue Reading

References

Jul 1, 1996·The Journal of Emergency Medicine·C W Chavez, B Binder
Oct 28, 2004·Prehospital and Disaster Medicine·Ernest SternbergDanial Huard
Nov 22, 2005·Prehospital and Disaster Medicine·Carl H SchultzRobert Olson
Oct 14, 2006·Journal of Neural Transmission·R Schliebs, T Arendt
May 8, 2007·Journal of Health Care for the Poor and Underserved·Bradford H Gray, Kathy Hebert
Feb 10, 2009·Journal of Public Health Management and Practice : JPHMP·James C ThomasEmily Wenink
Jan 13, 2010·Prehospital and Disaster Medicine·Jayshree BagariaVirginia Murray
Aug 21, 2012·Archives of Gerontology and Geriatrics·Maria ClaverMelanie Horn Mallers
Nov 23, 2012·The New England Journal of Medicine·Irwin Redlener, Michael J Reilly
Dec 25, 2012·American Journal of Disaster Medicine·Paul K Carlton, Dottie Bringle
Jan 3, 2013·JAMA : the Journal of the American Medical Association·Tia PowellLawrence O Gostin
Feb 22, 2013·Prehospital and Disaster Medicine·Erin L DowneyCarl H Schultz
May 22, 2013·Prehospital and Disaster Medicine·Erin L DowneyCarl H Schultz
Nov 8, 2013·The New England Journal of Medicine·Jennifer Leaning, Debarati Guha-Sapir

❮ Previous
Next ❯

Citations

Feb 26, 2016·Journal of Public Health Management and Practice : JPHMP·Meghan D McGintyLainie Rutkow
Dec 28, 2018·Hospital Topics·Lilia R LukowskyAram Dobalian
Feb 1, 2018·Journal of Telemedicine and Telecare·Claudia Der-MartirosianAram Dobalian
May 8, 2018·Journal of Healthcare Management / American College of Healthcare Executives·Tamar Wyte-LakeAram Dobalian
Jul 28, 2019·Journal of Primary Care & Community Health·Lilia R LukowskyClaudia Der-Martirosian

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Continuing Education in Nursing
C L Stokamer, D A Soccio
Frontiers in Public Health
Christina Ngoc Tram TranJoseph Habboushe
Disaster Medicine and Public Health Preparedness
David M Abramson, Irwin Redlener
© 2021 Meta ULC. All rights reserved