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Emergency and Disaster Preparedness of European Hospital Pharmacists: A Survey

Published online by Cambridge University Press:  19 November 2019

Laurence Schumacher
Affiliation:
Swiss Centre for Emergency and Disaster Pharmacy, Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, Geneva, Switzerland Pharmacy of Eastern Vaud Hospitals, Rennaz, Switzerland
Pascal Bonnabry
Affiliation:
Swiss Centre for Emergency and Disaster Pharmacy, Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, Geneva, Switzerland Pharmacy, Geneva University Hospitals, Geneva, Switzerland
Nicolas Widmer*
Affiliation:
Swiss Centre for Emergency and Disaster Pharmacy, Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, Geneva, Switzerland Pharmacy of Eastern Vaud Hospitals, Rennaz, Switzerland
*
Correspondence and reprint requests to Nicolas Widmer, Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, CMU, 1 rue Michel-Servet, 1211 Genève 4, Switzerland (e-mail: Nicolas.Widmer@unige.ch).

Abstract

Objective:

This study was focused on reviewing the emergency and disaster preparedness of European hospital pharmacists.

Methods:

An online survey based on International Pharmaceutical Federation (FIP) guidelines for natural disasters was sent to European hospital pharmacies, with the support of the European Association of Hospital Pharmacists. Additional questions were added about the characteristics of respondents, as well as preparedness and experience of manmade disasters. Descriptive statistics were used to analyze the results.

Results:

Hospital pharmacists in France (20%) and Spain (19%) returned most of the 306 questionnaires completed in 27 countries. Half of the respondents had analyzed their regional disaster risk, but 65% had never practiced emergency drills. Fifteen percent of respondents had experienced at least 1 major emergency or disaster event in the last 5 years. Fifty-six percent of those respondents who experienced a disaster subsequently created and promoted internal standard operating procedures (SOPs) for future emergencies, versus 23% for those who had not experienced disasters. Among pharmacists having experienced disasters, 40% organized a post-disaster debriefing to improve their future response.

Conclusions:

Results highlighted that most European hospital pharmacists were not fully compliant with FIP guidelines. However, respondents who had experienced disasters were more likely to create and promote SOPs for future disasters. Further worldwide analysis and benchmarking are necessary, and FIP guidelines should be more strongly promoted.

Type
Original Research
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Wallemacq, P, House, R. Economic losses, poverty & disasters 1998-2017. Center for Research on the Epidemiology of Disaster (CRED), United Nations Office for Disaster Risk Reduction (UNISDR). Economic losses; 2018. https://www.unisdr.org/we/inform/publications/61119 Google Scholar
Swiss Re Institute. Natural catastrophes and man-made disasters in 2017: a year of record-breaking losses. Sigma. 2018;(1). https://www.swissre.com/institute/research/sigma-research/sigma-2018-01.html Google Scholar
European Commission. Overview of natural and man-made disaster risks the European Union may face. Luxembourg: Publications Office of the European Union; 2017.Google Scholar
Center for Research on the Epidemiology of Disaster (CRED). The human cost of natural disasters: a global perspective. Brussels: Université Catholique de Louvain; 2015. https://reliefweb.int/report/world/human-cost-natural-disasters-2015-global-perspective Google Scholar
Jordan, D, Mesnil, M. Le pharmacien et la santé publique en Suisse à l’aube du 21e siècle: Programme en 32 thèses. Bern-Liebefeld: pharmaSuisse; 2004. https://www.pharmasuisse.org/data/docs/fr/3506/thèses-pharmasuisse.pdf?v=1.0 Google Scholar
Aylwin, CJ, Konig, TC, Brennan, NW, et al. Reduction in critical mortality in urban mass casualty incidents: analysis of triage, surge, and resource use after the London bombings on July 7, 2005. Lancet (London, England). 2006;368(9554):2219-2225.CrossRefGoogle Scholar
Gowing, JR, Walker, KN, Elmer, SL, et al. Disaster preparedness among health professionals and support staff: what is effective? An integrative literature review. Prehosp Disaster Med. 2017;32(3):321-328.CrossRefGoogle ScholarPubMed
Ford, H, von Waldner, T, Perri, M 3rd. Pharmacists’ roles in post-September 11th disasters: a content analysis of pharmacy literature. J Pharm Pract. 2014;27(4):350-357.CrossRefGoogle Scholar
The Public Health and Welfare Act, 42 USC §247d-6d (2006).Google Scholar
Hodge, JG Jr, Brown, EF. Assessing liability for health care entities that insufficiently prepare for catastrophic emergencies. JAMA. 2011;306(3):308-309.CrossRefGoogle ScholarPubMed
American Society of Health-System Pharmacists (ASHP). ASHP statement on the role of health-system pharmacists in emergency preparedness. Am J Health Sys Pharm. 2003;60(19):1993-1995.CrossRefGoogle Scholar
Setlak, P. Bioterrorism preparedness and response: emerging role for health-system pharmacists. Am J Health Sys Pharm. 2004;61(11):1167-1175.CrossRefGoogle ScholarPubMed
Ford, H, Dallas, CE, Harris, C. Examining roles pharmacists assume in disasters: a content analytic approach. Disaster Med Public Health Prep. 2013;7(6):563-572.CrossRefGoogle ScholarPubMed
International Pharmaceutical Federation (FIP). FIP Statement of Professional Standards: the role of the pharmacist in crisis management: including manmade and natural disasters and pandemics. The Hague: FIP; 2006. https://www.fip.org/file/1472 Google Scholar
International Pharmaceutical Federation (FIP). Responding to disaster: guidelines for pharmacy 2016. The Hague, Netherlands: FIP; 2016.Google Scholar
International Pharmaceutical Federation (FIP). FIP Statement of Policy: role of the pharmacist in disaster management. The Hague: FIP; 2017. https://www.fip.org/file/1593 Google Scholar
Broz, D, Levin, EC, Mucha, AP, et al. Lessons learned from Chicago’s emergency response to mass evacuations caused by Hurricane Katrina. Am J Public Health. 2009;99(8):1496-1504.CrossRefGoogle ScholarPubMed
Noji, EK. Public health issues in disasters. Crit Care Med. 2005;33(1 Suppl):S29-33.CrossRefGoogle ScholarPubMed
Ishii, T. Medical response to the Great East Japan Earthquake in Ishinomaki City. Western Pac Surveill Response J. 2011;2(4):10-16.Google ScholarPubMed
Pesenti, F, Blanc, A, Mühlebach, S, et al. Réponse pharmaceutique aux situations sanitaires extraordinaires en milieu hospitalier [In-hospital pharmaceutical response to extraordinary health events]. Swiss Rev Mil Disaster Med. 2015;(2):43-47.Google Scholar
Watson, KE, Tippett, V, Singleton, JA, et al. Disaster health management: do pharmacists fit in the team? Prehosp Disaster Med. 2019;34(1):30-37.Google Scholar
Frontini, R, Miharija-Gala, T, Sykora, J. EAHP Survey 2010 on hospital pharmacy in Europe: part 1. General frame and staffing. Eur J Hosp Pharm. 2012;19(4):385-387.CrossRefGoogle Scholar
European Association of Hospital Pharmacists (EAHP). Members. 2018. http://www.eahp.eu/members. Accessed August 21, 2018.Google Scholar
Garel, P, Notarangelo, I. Hospital in Europe: healthcare data. In: editor. The Official HOPE Reference Book2. UK: Cogora; 2018.Google Scholar
Chevalier, F, Lévitan, J, Hoorens, D. Hospitals in the 27 Member States of the European Union. Paris: Dexia; 2009.Google Scholar
Institute for Economics and Peace (IEP). Global terrorism index 2017 measuring and understanding the impact of terrorism. Sidney: IEP; 2017. http://visionofhumanity.org/app/uploads/2017/11/Global-Terrorism-Index-2017.pdf Google Scholar
Adini, B, Goldberg, A, Laor, D, et al. Assessing levels of hospital emergency preparedness. Prehosp Disaster Med. 2006;21(6):451-457.CrossRefGoogle ScholarPubMed
Awad, NI, Cocchio, C. Assessment of hospital pharmacy preparedness for mass casualty events. P T. 2015;40(4):264-267.Google ScholarPubMed
Dami, F, Yersin, B, Hirzel, AH, et al. Hospital disaster preparedness in Switzerland. Swiss Med Wkly. 2014;144:w14032.Google ScholarPubMed
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
Hsu, EB, Casani, JA, Romanosky, A, et al. Are regional hospital pharmacies prepared for public health emergencies? Biosecur Bioterror. 2006;4(3):237-243.CrossRefGoogle ScholarPubMed
West Marmagas, S, Rasar King, L, Chuk, MG. Public health’s response to a changed world: September 11, biological terrorism, and the development of an environmental health tracking network. Am J Public Health. 2003;93(8):1226-1230.Google Scholar
Centers for Disease Control and Prevention (CDC). Office of Health Preparedness and Response. Public health preparedness 2016: National snapshot. CDC; 2016. https://www.cdc.gov/cpr/pubs-links/2016/documents/2016_Preparedness_Report.pdf Google Scholar
Public Health Security and Bioterrorism Preparedness and Response Act of 2002, Pub. L. 107-188. 116 Stat. 594; 2002. https://www.govinfo.gov/content/pkg/PLAW-107publ188/pdf/PLAW-107publ188.pdf Google Scholar
Murthy Bhavini, P, Molinari, N-AM, LeBlanc, TT, et al. Progress in public health emergency preparedness – United States 2001–2016. Am J Public Health Suppl 2. 2012;107(52):S180-185.Google Scholar
Kaji, AH, Lewis, RJ. Hospital disaster preparedness in Los Angeles County. Acad Emerg Med. 2006;13(11):1198-1203.CrossRefGoogle ScholarPubMed
Centers for Medicare & Medicaid Services (CMS), HHS. Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers. Final Rule. Fed Regist. 2016;81(180):63859-64044.Google Scholar
Hoffmann, R, Muttarak, R. Learn from the past, prepare for the future: impacts of education and experience on disaster preparedness in the Philippines and Thailand. World Dev. 2017;96:32-51.CrossRefGoogle Scholar
Becker, JS, Paton, D, Johnston, DM, et al. The role of prior experience in informing and motivating earthquake preparedness. Int J Disaster Risk Reduc. 2017;22:179-193.CrossRefGoogle Scholar
Djalali, A, Castren, M, Khankeh, H, et al. Hospital disaster preparedness as measured by functional capacity: a comparison between Iran and Sweden. Prehosp Disaster Med. 2013;28(5):454-461.CrossRefGoogle ScholarPubMed
Cant, RP, Cooper, SJ. The benefits of debriefing as formative feedback in nurse education. Aust J Adv Nurs. 2011;29(1):37-47.Google Scholar
Haute Autorité de Santé (HAS). Évaluation et amélioration des pratiques: guide de bonnes pratiques en matière de simulation en santé. Saint-Denis La Plaine: HAS; 2012. https://www.has-sante.fr/upload/docs/application/pdf/2013-01/guide_bonnes_pratiques_simulation_sante_guide.pdf Google Scholar