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Assessing Hospital Preparedness: Comparison of an On-site Survey with a Self-reported, Internet-based, Long-distance Tabletop Drill

Published online by Cambridge University Press:  21 May 2013

Walter Valesky ,
Patricia Roblin ,
Brijal Patel ,
John Adelaine ,
Shahriar Zehtabchi  and
Bonnie Arquilla
Walter Valesky
Affiliation:
Department of Emergency Medicine, State University of New York Downstate Medical Center, Brooklyn, New York USA
Patricia Roblin
Affiliation:
Department of Emergency Medicine, State University of New York Downstate Medical Center, Brooklyn, New York USA
Brijal Patel
Affiliation:
Department of Emergency Medicine, George Washington University, Washington, D.C. USA
John Adelaine
Affiliation:
Department of Emergency Medicine, State University of New York Downstate Medical Center, Brooklyn, New York USA
Shahriar Zehtabchi
Affiliation:
Department of Emergency Medicine, State University of New York Downstate Medical Center, Brooklyn, New York USA
Bonnie Arquilla*
Affiliation:
Department of Emergency Medicine, State University of New York Downstate Medical Center, Brooklyn, New York USA
*
Correspondence: Bonnie Arquilla, DO Department of Emergency Medicine State University of New York Health Science Center at Brooklyn Box 1260 440 Lenox Road Brooklyn, New York 11203 USA E-mail bonniearquilla@gmail.com
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Abstract

Background

Methods of defining hospital disaster preparedness are poorly defined in the literature, leaving wide discrepancies between a hospital's self-reported preparedness and that assessed by an objective reviewer.

Objectives

This study compared self-reported surge capacity data from individual hospitals, obtained from a previously reported long-distance tabletop drill (LDTT) prior to the 2010 FIFA World Cup tournament in Cape Town, South Africa, with surge capacity data assessed by an on-site survey inspection team.

Methods

In this prospective, observational study, contact persons used in the prior LDTT assessing hospital disaster preparedness in the lead-up to the 2010 FIFA World Cup made surge capacity assessments (licensed bed capacity plus surge capacity beds) for the respiratory intensive care unit (RICU), neonatal intensive care unit (NICU), medical intensive care unit (MICU), and general medical/surgical beds in each hospital. Following the 2010 World Cup, this data was then re-evaluated by an on-site survey team consisting of two of the authors.

Results

The contact persons for the individual hospitals from the LDTT underreported their individual hospital's surge capacity in 86% (95% CI, 46%-99%) of RICU beds; 100% (95% CI, 63%-100%) of MICU beds; 75% (95% CI, 40%-94%) of NICU beds; and 71% (95% CI, 35%-92%) of medical/surgical beds compared with the on-site inspection team.

Conclusions

The contact persons for the LDTT overwhelmingly underreported surge capacity beds compared with the surge capacity determined by the on-site inspection team.

ValeskyW, RoblinP, PatelB, AdelaineJ, ZehtabchiS, ArquillaB. Assessing Hospital Preparedness: Comparison of an On-site Survey with a Self-reported, Internet-based, Long-distance Tabletop Drill. Prehosp Disaster Med. 2013;28(4):1-4.

Keywords

disaster medicinemass-casualty eventpreparednesssurge capacity
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 28 , Issue 5 , October 2013 , pp. 441 - 444
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

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