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Emergency and Disaster Preparedness at a Tertiary Medical City

Published online by Cambridge University Press:  11 May 2020

Housam Adin M. AlHarastani*
Affiliation:
Disaster Management Department, King Fahad Medical City, Riyadh, Saudi Arabia
Yousef Ibrahim Alawad
Affiliation:
Disaster Management Department, King Fahad Medical City, Riyadh, Saudi Arabia
Bandana Devi
Affiliation:
Out-Patient Department, King Fahad Medical City, Riyadh, Saudi Arabia
Benly G. Mosqueda
Affiliation:
Emergency Medicine Administration, King Fahad Medical City, Riyadh, Saudi Arabia
Vanessa Tamayo
Affiliation:
Emergency Medicine Administration, King Fahad Medical City, Riyadh, Saudi Arabia
Freiha Kyoung
Affiliation:
Medical Auditing Department, King Fahad Medical City, Riyadh, Saudi Arabia
Amani Abu Shaheen
Affiliation:
Research Center, King Fahad Medical City, Riyadh, Saudi Arabia
Shirley Sierra
Affiliation:
Disaster Management Department, King Fahad Medical City, Riyadh, Saudi Arabia
*
Correspondence and reprint requests to Housam Adin AlHarastani, PO Box 366497, Riyadh 11393 (e-mail: mdhousam@gmail.com).

Abstract

Objective:

The aim of this study was to evaluate the readiness of a tertiary medical cityʼs response to a disaster by assessing the hospital resources and knowledge, attitudes, practices, and familiarity of health care providers toward disaster and emergency preparedness.

Methods:

All KFMC (King Fahad Medical City) staff with > 1 year of clinical experience were eligible to participate in a cross-sectional study. Participants responded to the Emergency Preparedness Information Questionnaire (EPIQ), knowledge and practice questionnaires, and a disaster planning attitude checklist. Data about resources were collected using the hospital disaster preparedness self-assessment tool.

Results:

The overall mean knowledge score for disaster and emergency preparedness was 4.4 ± 1.1, and the mean overall familiarity score was 3.43 ± 0.97. Most participants knew that disaster drills (90.2%) and training (74.6%) are ongoing. Sixty-six (21.0%) agreed that KFMC is unlikely to experience a disaster. The highest and lowest EPIQ familiarity scores were for decontamination (83.0%) and accessing critical resources and reporting (64.3%), respectively. Most participants (99.4%) have access to work computers; however, only 53.0% used the Internet to access information on bioterrorism and/or emergency preparedness. The hospital is ready to respond in case of a disaster according to the used tool.

Conclusions:

The participants’ levels of knowledge, practices, and overall familiarity toward emergency and disaster preparedness were satisfactory; however, participant attitudes and familiarity with where and how to access critical resources in the event of an emergency or disaster situations require reinforcement.

Type
Original Research
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Klyman, Y, Kouppari, N, Mukhier, M. World disasters report 2007: focus on discrimination. Geneva: International Federation of Red Cross and Red Crescent Societies; 2007.Google Scholar
United Nations International Strategy for Disaster Reduction. UNISDR terminology on disaster risk reduction. 2009. https://www.undrr.org/publication/disaster-risk-management-health-safe-hospitals-prepared-emergencies-and-disasters.Google Scholar
World Health Organization. Risk reduction and emergency preparedness: WHO six-year strategy for the health sector and community capacity development. 2007. https://apps.who.int/iris/handle/10665/43736.Google Scholar
Ryan, J, Montgomery, MB. The London attacks – preparedness: terrorism and the medical response. N Engl J Med. 2005;353(6):543-545.CrossRefGoogle ScholarPubMed
Schultz, CH, Mothershead, JL, Field, M. Bioterrorism preparedness. I: the emergency department and hospital. Emerg Med Clin North Am. 2002;20:437-455.CrossRefGoogle ScholarPubMed
Veenema, TG, Walden, B, Feinstein, N, Williams, JP. Factors affecting hospital-based nurses’ willingness to respond to a radiation emergency. Disaster Med Public Health Prep. 2008;2:224-229.CrossRefGoogle ScholarPubMed
DiGiovanni, C. The spectrum of human reactions to terrorist attacks with weapons of mass destruction: early management considerations. Prehosp Disaster Med. 2003;18:253-257.CrossRefGoogle ScholarPubMed
Schultz, CH, Koenig, KL, Whiteside, M, Murray, R. National Standardized All-Hazard Disaster Core Competencies Task Force. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med. 2012;59:196-208.e1.CrossRefGoogle ScholarPubMed
Alraga, SM. An investigation into disaster health management in Saudi Arabia. J Hosp Med Manage. 2017;3:18.Google Scholar
Abdelghany Ibrahim, FA. Nurses’ knowledge, attitudes, practices and familiarity regarding disaster and emergency preparedness – Saudi Arabia. Am J Nurs Sci. 2014;3:18-25.CrossRefGoogle Scholar
Al Thobaity, A, Plummer, V, Innes, K, Copnell, B. Perceptions of knowledge of disaster management among military and civilian nurses in Saudi Arabia. Australas Emerg Nurs J. 2015;18:156-164.CrossRefGoogle ScholarPubMed
Alshehri, B. Emergency nurses’ preparedness for disaster in the Kingdom of Saudi Arabia. J Nurs Educ Pract. 2016;7:101.Google Scholar
Abosuliman, SS, Kumar, A, Alam, F. Disaster preparedness and management in Saudi Arabia: an empirical investigation. World Academy of Sciences, engineering and technology. Int J Soc Behav Educ Econ Bus Indus Eng. 2014;7:3256-3260.Google Scholar
Al-Shareef, AS, Alsulimani, LK, Bojan, HM, et al. Evaluation of hospitals’ disaster preparedness plans in the holy city of Makkah (Mecca): a cross-sectional observation study. Prehosp Disaster Med. 2017;32:33-45.CrossRefGoogle ScholarPubMed
Bin Shalhoub, AA, Khan, AA, Alaska, YA. Evaluation of disaster preparedness for mass casualty incidents in private hospitals in Central Saudi Arabia. Saudi Med J. 2017;38:302-306.CrossRefGoogle ScholarPubMed
Bajow, NA, Alkhalil, SM. Evaluation and analysis of hospital disaster preparedness in Jeddah. Health. 2014;06:2668-2687.CrossRefGoogle Scholar
Alsaad, SSM, Abu-Grain, SHS, El-Kheir, DYM. Preparedness of Dammam primary health care centers to deal with emergency cases. J Fam Commun Med. 2017;24:181-188.CrossRefGoogle Scholar
Kingdom of Saudi Arabia. National Transformation Program. Delivery Plan 2018-2020. Published 2018. https://vision2030.gov.sa/sites/default/files/attachments/NTP%20English%20Public%20Document_2810.pdf.Google Scholar
Gundran, CP, Taborada, KLC. Knowledge, attitudes, and practices of the Department of Emergency Medicine employees regarding disaster planning and preparedness at UP-Philippine General Hospital. 2014. https://www.academia.edu/26457769/Knowledge_Attitudes_and_Practices_of_the_Department_of_Emergency_Medicine_Employees_Regarding_Disaster_Planning_and_Preparedness_at_UP-Philippine_General_Hospital. Accessed March 27, 2020.Google Scholar
CDPH. Hospital Disaster Preparedness Self-Assessment Tool. The American College of Emergency Physicians (ACEP). n. d. http://cdphready.org/hospital-disaster-preparedness-self-assessment-tool/.Google Scholar
Al Khalaileh, MA, Bond, E, Alasad, JA. Jordanian nurses’ perceptions of their preparedness for disaster management. Int Emerg Nurs. 2012;20:14-23.CrossRefGoogle ScholarPubMed
Ogedegbe, C, Nyirenda, T, Delmoro, G, et al. Health care workers and disaster preparedness: barriers to and facilitators of willingness to respond. Int J Emerg Med. 2012;5:29.CrossRefGoogle ScholarPubMed
Corrigan, E, Samrasinghe, I. Disaster preparedness in an Australian urban trauma center: staff knowledge and perceptions. Prehosp Disaster Med. 2012;27:432-438.CrossRefGoogle Scholar
Kaji, AH, Lewis, RJ. Hospital disaster preparedness in Los Angeles County. Acad Emerg Med. 2006;13(11):1198-1203.CrossRefGoogle ScholarPubMed
Ardalan, A, Kandi, M, Talebian, MT, et al. Hospitals safety from disasters in IR Iran: the results from assessment of 224 hospitals. PLoS Curr. 2014:6. doi: 10.1371/currents.dis.8297b528bd45975bc6291804747ee5db.Google ScholarPubMed
Asefzadeh, S, Rajaee, R, Ghamari, F, et al. Preparedness of Iranian hospitals against disasters. Biotechnol Health Sci. 2016;3(3):1-6.CrossRefGoogle Scholar
Ingrassia, PL, Mangini, M, Azzaretto, M, et al. Hospital disaster preparedness in Italy: a preliminary study utilizing the World Health Organization Hospital Emergency Response Evaluation Toolkit. Minerva Anestesiol. 2016;82(12):1259-1266.Google ScholarPubMed
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