Hospital incident command groups’ performance during major incident simulations: a prospective observational study
| Autor: | Lisa Kurland, Jason P. Murphy, Monica Rådestad, Anders Rüter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Hälso- och sjukvårdsorganisation
hälsopolitik och hälsoekonomi medicine.medical_specialty Safety Management Simulation exercises genetic structures Performance indicators Decision Making education Disaster Planning Critical Care and Intensive Care Medicine behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine Hospital disaster preparedness Procedural skill Hospital Administration Major incident Medicine Humans 030212 general & internal medicine Prospective Studies Group performance Original Research Sweden Risk Management business.industry Process Assessment Health Care lcsh:Medical emergencies. Critical care. Intensive care. First aid Hospital incident command group 030208 emergency & critical care medicine Health Care Service and Management Health Policy and Services and Health Economy lcsh:RC86-88.9 Hospital management Predictive factor Emergency Medicine Physical therapy Observational study Performance indicator business Decision-making |
| Zdroj: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 28, Iss 1, Pp 1-7 (2020) Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| ISSN: | 1757-7241 |
| DOI: | 10.1186/s13049-020-00763-4 |
| Popis: | Background Hospital incident command groups’ (HICG) performance may have a profound impact on hospital response to major incidents. Previous research has assessed hospital incident command group capacity as opposed to performance and factors associated to performance. The objective was to assess associations between decision-making and staff procedure skills of the hospital incident command group. Methods This was a prospective observational study using performance indicators to assess hospital incident command groups’ decision-making and performance. A total of six hospitals in Stockholm, Sweden, with their respective HICGs participated. Associations between decision-making skills and staff procedure skills during major incident simulations were assessed using measurable performance indicators. Results Decision-making skills are correlated to staff procedure skills and overall HICG performance. Proactive decision-making skills had significantly lower means than reactive decision-making skills and are significantly correlated to staff procedure skills. Conclusion There is a significant correlation between decision-making skills and staff procedural skills. Hospital incident command groups’ proactive decision-making abilities tended to be less developed than reactive decision-making abilities. These proactive decision-making skills may be a predictive factor for overall hospital incident command group performance. A lack of proactive decision-making ability may hamper efforts to mitigate the effects of a major incident. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink