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Using a Logic Model to Enable and Evaluate Long-Term Outcomes of a Mass Casualty Training Program: A Single Center Case Study

Published online by Cambridge University Press:  28 May 2021

Nicholas B Dadario
Affiliation:
Robert Wood Johnson School of Medicine, Rutgers University, New Brunswick, NJ, USA
Simon Bellido
Affiliation:
White Plains Hospital Center, Emergency Medicine, White Plains, NY, USA
Andrew Restivo
Affiliation:
Department of Emergency Medicine, Montefiore Medical Center, Weiler Division, Bronx, NY, USA Albert Einstein College of Medicine, Bronx, NY, USA
Miriam Kulkarni
Affiliation:
Department of Emergency Medicine, St. John’s Riverside Hospital, Yonkers, NY, USA
Maninder Singh
Affiliation:
Albert Einstein College of Medicine, Bronx, NY, USA Department of Emergency Medicine, Jacobi Medical Center, Bronx, NY, USA
Andrew Yoon
Affiliation:
Albert Einstein College of Medicine, Bronx, NY, USA Department of Emergency Medicine, Montefiore Medical Center, Moses Division, Bronx, NY, USA
Jared Shapiro
Affiliation:
Environmental Health and Safety, Montefiore Health System, Bronx, NY, USA
Frank Quintero
Affiliation:
White Plains Hospital Center, Emergency Medicine, White Plains, NY, USA
Tianna Tagami
Affiliation:
MGH Institute of Health Professions, Boston, MA, USA Pearson Education, Boston, MA, USA
Christina J Yang
Affiliation:
Albert Einstein College of Medicine, Bronx, NY, USA Department of Otorhinolaryngology, Montefiore Medical Center, Bronx, NY, USA
Farrukh N Jafri*
Affiliation:
White Plains Hospital Center, Emergency Medicine, White Plains, NY, USA Albert Einstein College of Medicine, Bronx, NY, USA
*
Corresponding author: Farrukh N Jafri, Email: fjafri@wphospital.org.

Abstract

Purpose:

Global health disasters are on the rise and can occur at any time with little advance warning, necessitating preparation. The authors created a comprehensive evidence-based Emergency Preparedness Training Program focused on long-term retention and sustained learner engagement.

Method:

A prospective observational study was conducted of a simulation-based mass casualty event training program designed using an outcomes-based logic model. A total of 25 frontline healthcare workers from multiple hospital sites in the New York metropolitan area participated in an 8-hour immersive workshop. Data was collected from assessments, and surveys provided to participants 3 weeks prior to the workshop, immediately following the workshop, and 3 months after completion of the workshop.

Results:

The mean percentage of total knowledge scores improved across pre-workshop, post-workshop and retention (3 months post-workshop) assessments (53.2% vs. 64.8% vs. 67.6%, P < 0.05). Average comfort scores in the core MCI competencies increased across pre-workshop, post-workshop and retention self-assessments (P < 0.01). Of the participants assessed at 3 months retention (n = 14, 56%), 50.0% (n = 7) assisted in updating their hospital’s emergency operations plan and 50.0% (n = 7) pursued further self-directed learning in disaster preparedness medicine.

Conclusions:

The use of the logic model provided a transparent framework for the design, implementation, and evaluation of a competency-based EPT program at a single academic center.

Type
Original Research
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

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