Assessing Hospital Disaster Preparedness: A Comparison of an On-Site Survey, Directly Observed Drill Performance, and Video Analysis of Teamwork

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.annemergmed.2007.10.026 Byline: Amy H. Kaji (a)(b)(c)(d), Vinette Langford (e), Roger J. Lewis (a)(b)(c) Abstract: There is currently no validated method for assessing hospital disaster preparedness. We determine the degree of correlation between the results of 3 methods for assessing hospital disaster preparedness: administration of an on-site survey, drill observation using a structured evaluation tool, and video analysis of team performance in the hospital incident command center. Author Affiliation: (a) Department of Emergency Medicine, Harbor-UCLA Medical Center, Los Angeles, CA (b) David Geffen School of Medicine at UCLA, Torrance, CA (c) Los Angeles Biomedical Research Institute, Torrance, CA (d) The South Bay Disaster Resource Center at Harbor-UCLA Medical Center, Los Angeles, CA (e) MedTeams and Healthcare Programs Training Development and Implementation, Dynamics Research Corporation, Andover, MA Article History: Received 11 August 2007; Revised 4 October 2007; Accepted 29 October 2007 Article Note: (footnote) Supervising editor: Jonathan L. Burstein, MD, Author contributions: AHK and RJL conceived and designed the study and obtained research funding. AHK and RJL supervised the conduct of the data collection. AHK undertook recruitment of participating centers and managed the data. AHK and RJL analyzed the data from the on-site survey and the disaster drill. VL analyzed the data for teamwork behaviors from the video. AHK drafted the article, and all 3 authors contributed substantially to its revision. All authors had full access to the data and take full responsibility for the integrity of the data and the accuracy of the data analysis. AHK takes responsibility for the paper as a whole., Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement., Publication date: Available online January 11, 2008., Reprints not available from the authors.