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Improving Pediatric Administrative Disaster Preparedness Through Simulated Disaster Huddles

Published online by Cambridge University Press:  16 March 2020

Isabel T. Gross Open the ORCID record for Isabel T. Gross [Opens in a new window] ,
Scott A. Goldberg Open the ORCID record for Scott A. Goldberg [Opens in a new window] ,
Travis Whitfill ,
Storm Liebling ,
Angelica Garcia ,
April Alfano ,
Adrian Hasdianda  and
Mark X. Cicero
Isabel T. Gross*
Affiliation:
Department of Pediatrics, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut
Scott A. Goldberg
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
Travis Whitfill
Affiliation:
Department of Pediatrics, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut
Storm Liebling
Affiliation:
Department of Pediatrics, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut
Angelica Garcia
Affiliation:
Department of Pediatrics, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut
April Alfano
Affiliation:
Yale New Haven Hospital Pediatric Emergency Department, New Haven, Connecticut
Adrian Hasdianda
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
Mark X. Cicero
Affiliation:
Department of Pediatrics, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut
*
Correspondence and reprint requests to Isabel T. Gross, Department of Pediatrics, Section of Emergency Medicine, Yale School of Medicine, 100 York Street, Suite 1F, New Haven, CT, 06511 USA (e-mail: isabel.gross@yale.edu).
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Abstract

Members of an emergency department (ED) staff need to be prepared for mass casualty incidents (MCIs) at all times. Didactic sessions, drills, and functional exercises have shown to be effective, but it is challenging to find time and resources for appropriate training. We conducted brief, task-specific drills (deemed “disaster huddles”) in a pediatric ED (PED) to examine if such an approach could be an alternative or supplement to traditional MCI training paradigms. Over the course of the study, we observed an improving trend in the overall score for administrative disaster preparedness. Disaster huddles may be an effective way to improve administrative disaster preparedness in the PED. Low-effort, low-time commitment education could be an attractive way for further disaster preparedness efforts. Further studies are indicated to show a potential impact on lasting behavior and patient outcomes.

Keywords

disaster medicinedisaster preparednessdrillexercise
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 3 , June 2021 , pp. 352 - 357
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

Peleg, K, Kellermann, AL. Enhancing hospital surge capacity for mass casualty events. JAMA. 2009;302(5):565-567.10.1001/jama.2009.1119CrossRefGoogle ScholarPubMed
Barbisch, DF, Koenig, KL. Understanding surge capacity: essential elements. Acad Emerg Med. 2006;13(11):1098-1102.10.1197/j.aem.2006.06.041CrossRefGoogle ScholarPubMed
Cook, DA, Hatala, R, Brydges, R, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306(9):978-988.10.1001/jama.2011.1234CrossRefGoogle ScholarPubMed
Patterson, MD, Geis, GL, LeMaster, T, et al. Impact of multidisciplinary simulation-based training on patient safety in a paediatric emergency department. BMJ Qual Saf. 2013;22(5):383-393.10.1136/bmjqs-2012-000951CrossRefGoogle Scholar
Gardner, AK, DeMoya, MA, Tinkoff, GH, et al. Using simulation for disaster preparedness. Surgery. 2016;160(3):565-570.10.1016/j.surg.2016.03.027CrossRefGoogle ScholarPubMed
Sarin, RR, Cattamanchi, S, Alqahtani, A, et al. Disaster education: a survey study to analyze disaster medicine training in emergency medicine residency programs in the United States. Prehosp Disaster Med. 2017;32(4):368-373.10.1017/S1049023X17000267CrossRefGoogle Scholar
ECDC. European Centre for Disease Prevention and Control. Handbook on Simulation Exercises in EU Public Health Settings – How to Develop Simulation Exercises Within the Framework of Public Health Response To Communicable Diseases. Stockholm: ECDC;2014.Google Scholar
Skryabina, E, Reedy, G, Amlôt, R, et al. What is the value of health emergency preparedness exercises? A scoping review study. Int J Disaster Risk Reduct. 2017;21:274-283.10.1016/j.ijdrr.2016.12.010CrossRefGoogle Scholar
Lin, Y, Cheng, A, Hecker, K, et al. Implementing economic evaluation in simulation-based medical education: challenges and opportunities. Med Educ. 2018;52(2):150-160.10.1111/medu.13411CrossRefGoogle ScholarPubMed
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):321–238.10.1017/S1049023X1700019XCrossRefGoogle ScholarPubMed
Scerbo, MW, Dawson, S. High fidelity, high performance? Simul Healthc. 2007;2(4):224-230.10.1097/SIH.0b013e31815c25f1CrossRefGoogle ScholarPubMed
Sørensen, JL, Østergaard, D, LeBlanc, V, et al. Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation. BMC Med Educ. 2017;17(1):20.10.1186/s12909-016-0838-3CrossRefGoogle ScholarPubMed
Rüter, A, Kurland, L, Gryth, D, et al. Evaluation of disaster preparedness based on simulation exercises: a compariosn of two models. Disaster Med Public Health Prep. 2016;10(4):544-548.10.1017/dmp.2015.176CrossRefGoogle Scholar
Jung, D, Carman, M, Aga, R, et al. Disaster preparedness in the emergency department using in situ simulation. Adv Emerg Nurs J. 2016;38(1):56-68.10.1097/TME.0000000000000091CrossRefGoogle ScholarPubMed
Goldenhar, LM, Brady, PW, Sutcliffe, KM, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906.10.1136/bmjqs-2012-001467CrossRefGoogle ScholarPubMed
Chan, AY, Vadera, S. Implementation of interdisciplinary neurosurgery morning huddle: cost-effectiveness and increased patient satisfaction. J Neurosurg. 2018;128(1):258-261.10.3171/2016.11.JNS162328CrossRefGoogle ScholarPubMed
Donnelly, LF. Daily readiness huddles in radiology-improving communication, coordination, and problem-solving reliability. Curr Probl Diagn Radiol. 2017;46(2):86-90.10.1067/j.cpradiol.2016.09.002CrossRefGoogle ScholarPubMed
Edbrooke-Childs, J, Hayes, J, Sharples, E, et al. Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. BMJ Qual Saf. 2018;27(5):365-372.10.1136/bmjqs-2017-006513CrossRefGoogle ScholarPubMed
Stapley, E, Sharples, E, Lachman, P, et al. Factors to consider in the introduction of huddles on clinical wards: perceptions of staff on the SAFE programme. Int J Qual Health Care. 2018;30(1):44-49.10.1093/intqhc/mzx162CrossRefGoogle ScholarPubMed
Gillett, B, Peckler, B, Sinert, R, et al. Simulation in a disaster drill: comparison of high-fidelity simulators versus trained actors. Acad Emerg Med. 2008;15(11):1144-1151.10.1111/j.1553-2712.2008.00198.xCrossRefGoogle Scholar
Wallace, D, Gillett, B, Wright, B, et al. Randomized controlled trial of high fidelity patient simulators compared to actor patients in a pandemic influenza drill scenario. Resuscitation. 2010;81(7):872-876.10.1016/j.resuscitation.2010.02.026CrossRefGoogle Scholar
Claudius, I, Kaji, A, Santillanes, G, et al. Comparison of computerized patients versus live moulaged actors for a mass-casualty drill. Prehosp Disaster Med. 2015;30(5):438-442.10.1017/S1049023X15004963CrossRefGoogle ScholarPubMed
Luigi Ingrassia, P, Ragazzoni, L, Carenzo, L, et al. Virtual reality and live simulation: a comparison between two simulation tools for assessing mass casualty triage skills. Eur J Emerg Med. 2015;22(2):121-127.10.1097/MEJ.0000000000000132CrossRefGoogle ScholarPubMed
Pucher, PH, Batrick, N, Taylor, D, et al. Virtual-world hospital simulation for real-world disaster response: design and validation of a virtual reality simulator for mass casualty incident management. J Trauma Acute Care Surg. 2014;77(2):315-321.10.1097/TA.0000000000000308CrossRefGoogle ScholarPubMed
Andreatta, PB, Maslowski, E, Petty, S, et al. Virtual reality triage training provides a viable solution for disaster-preparedness. Acad Emerg Med. 2010;17(8):870-876.10.1111/j.1553-2712.2010.00728.xCrossRefGoogle ScholarPubMed
Chung, S, Shannon, M. Reuniting children with their families during disasters: a proposed plan for greater success. Am J Disaster Med. 2007;2(3):113-117.10.5055/ajdm.2007.0019CrossRefGoogle ScholarPubMed
Cicero, MX, Whitfill, T, Overly, F, et al. Pediatric disaster triage: multiple simulation curriculum improves prehospital care providers’ assessment skills. Prehosp Emerg Care. 2017;21(2):201-208.10.1080/10903127.2016.1235239CrossRefGoogle ScholarPubMed
Cone, D, Serra, J, Burns, K, et al. Pilot test of the SALT mass casualty triage system. Prehosp Emerg Care. 2009;13(4):536-540.10.1080/10903120802706252CrossRefGoogle ScholarPubMed
Cone, DC, Serra, J, Kurland, L. Comparison of the SALT and Smart triage systems using a virtual reality simulator with paramedic students. Eur J Emerg Med. 2011;18:314-321.10.1097/MEJ.0b013e328345d6fdCrossRefGoogle ScholarPubMed
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