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Pediatric disaster preparedness of a hospital network in a large metropolitan region
Rizaldy R Ferrer1, Darshi Balasuriya, Ellen Iverson
1California School of Professional Psychology, Alliant International University, Alhambra, California, USA.
Insights
Disaster plans in urban hospitals inadequately address pediatric needs, despite existing infrastructure. Improved communication is crucial for effective pediatric emergency response during large-scale disasters.
Area of Science:
- Emergency Medicine
- Public Health Preparedness
- Pediatric Disaster Response
Background:
- Urban disaster response networks require robust planning for all patient populations.
- Existing hospital disaster preparedness plans often overlook specific pediatric needs.
Purpose of the Study:
- To evaluate pediatric emergency preparedness, response capabilities, and vulnerabilities within a West Coast urban disaster network.
- To identify gaps in disaster planning concerning pediatric populations.
Main Methods:
- Qualitative research utilizing semistructured key informant interviews.
- Interviews conducted with 22 key informants from 11 hospitals and a community clinic association.
- Data analysis performed using ATLAS.ti qualitative software.
Main Results:
- Hospitals possess infrastructure for disaster response but lack comprehensive pediatric-specific disaster plans.
- General hospitals do not anticipate a surge in pediatric victims and expect their transfer to children's hospitals.
- Existing plans fail to fully integrate the unique requirements of pediatric patients during emergencies.
Conclusions:
- Pediatric needs remain inadequately addressed in disaster preparedness plans, even in well-equipped hospitals.
- Enhanced inter-hospital communication is essential to overcome persistent misinformation and improve coordinated response.
Objectives:
We describe pediatric-related emergency experiences and responses, disaster preparation and planning, emergency plan execution and evaluation, and hospital pediatric capabilities and vulnerabilities among a disaster response network in a large urban county in the West Coast of the United States.
Methods:
Using semistructured key informant interviews, the authors conducted qualitative research between March and April 2008. Eleven hospitals and a representative from the community clinic association agreed to participate (86 percent response rate) and a total of 22 key informant interviews were completed. Data were analyzed using ATLAS.ti.v.5.0, a qualitative analytical software program.
Results:
Although hospitals have infrastructure to respond in the event of a large-scale disaster, well-established disaster preparedness plans have not fully accounted for the needs of children. The general hospitals do not anticipate a surge of pediatric victims in the event of a disaster, and they expect that children will be transported to a children's hospital as their conditions become stable.
Conclusions:
Even hospitals with well-established disaster preparedness plans have not fully accounted for the needs of children during a disaster. Improved communication between disaster network hospitals is necessary as incorrect information still persists.
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