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When the Going Gets Tough, the Tough Get Going: Improving the Disaster Preparedness of Health Care Providers: A Single Center’s 4-Year Experience

Published online by Cambridge University Press:  28 October 2020

Emmanouil Pikoulis ,
Evika Karamagioli ,
Athanasios Kalogeropoulos Open the ORCID record for Athanasios Kalogeropoulos [Opens in a new window] ,
Andreas Pikoulis ,
Panagis Lykoudis ,
Kyle Remick ,
Debra Malone ,
Adam Kushner ,
Bernd Domres  and
Ari Leppäniemi
...Show all authors
Emmanouil Pikoulis*
Affiliation:
Global Health-Disaster Medicine Program, School of Medicine, National and Kapodistrian University of Athens, Greece
Evika Karamagioli
Affiliation:
Global Health-Disaster Medicine Program, School of Medicine, National and Kapodistrian University of Athens, Greece
Athanasios Kalogeropoulos
Affiliation:
Global Health-Disaster Medicine Program, School of Medicine, National and Kapodistrian University of Athens, Greece
Andreas Pikoulis
Affiliation:
Global Health-Disaster Medicine Program, School of Medicine, National and Kapodistrian University of Athens, Greece
Panagis Lykoudis
Affiliation:
Global Health-Disaster Medicine Program, School of Medicine, National and Kapodistrian University of Athens, Greece
Kyle Remick
Affiliation:
Department of Surgery, Uniformed Services University School of Medicine, Bethesda, Maryland, USA
Debra Malone
Affiliation:
Department of Surgery, Uniformed Services University School of Medicine, Bethesda, Maryland, USA
Adam Kushner
Affiliation:
Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, USA
Bernd Domres
Affiliation:
Department of Surgery, University of Tübingen, Germany
Ari Leppäniemi
Affiliation:
Department of Surgery, University of Helsinki, Finland
Aristomenis Exadaktylos
Affiliation:
Department of Emergency Medicine, University of Bern, Switzerland
Eric Elster
Affiliation:
Department of Surgery, Uniformed Services University School of Medicine, Bethesda, Maryland, USA
Norman Rich
Affiliation:
Department of Surgery, Uniformed Services University School of Medicine, Bethesda, Maryland, USA
*
Correspondence and reprint requests to Emmanouil Pikoulis, MD, PhD, Director MSc in Global Health-Disaster Medicine Program, School of Medicine, National and Kapodistrian Univerisity of Athens, Greece, Mikras Asias and Dilou 1, Goudi11527, Greece (e-mail: crisismed@outlook.com).
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Abstract

Objective:

Operation based exercises represent simulation activities, which are of great importance for emergency preparedness, as they simulate real experiences in a guided manner. Whereas their primary purpose is to address the organizational emergency preparedness, little is known about the personal benefits of involved participants and whether these positive changes endure over time.

Methods:

Immediate and medium term assessment of the effectiveness on individual preparedness and benefits of participants, based on self-perception, after participating in a set of 4 interdisciplinary field exercises organized as part of the MSc in Global Health-Disaster Medicine of the Medical School of the National and Kapodistrian University of Athens, Greece. The field exercises were carried out yearly, from 2016 to 2019. Data were collected via questionnaires pre- and post-exercise (1 week and 10 months after participation). The sample size was 228 trainees, with a response rate of 88%.

Results:

The majority (95%) stated that Mass Casualty Incident (MCI) exercises are appropriate for disaster management training in terms of comprehending theory, and for team-building training. In the case of a real MCI, 22% of the participants declared themselves to be ready to respond prior to MCI exercises. Upon completion, the overall perception of readiness among the participants increased to 77%. Trainee feedback indicated enhancement of both technical and non-technical skills (87%), which were persistent over time, and revealed a high level of satisfaction with the training.

Conclusion:

This study shows a positive immediate and medium-term impact of operation-based exercises on technical, non-technical skills, and self-perception of participants.

Keywords

disaster preparednesssimulation exercisenon-technical skillsdisaster training
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 2 , April 2022 , pp. 520 - 530
Copyright
© 2020 Society for Disaster Medicine and Public Health, Inc.

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