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A new hospital incident management system (HIMS) integrating emergency operations center (EOC) concepts improved reporting structure knowledge by 63.75% and user satisfaction by 87.5% compared to the standard hospital incident command system (HICS). Further research is needed.

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Area of Science:

  • Emergency Management
  • Healthcare Administration
  • Disaster Preparedness

Background:

  • The standard hospital incident command system (HICS) has limitations in complex incident management.
  • Integrating emergency operations center (EOC) principles offers a potential improvement for hospital incident management systems (HIMS).

Purpose of the Study:

  • To propose and evaluate a conceptual model of an alternative HIMS that integrates EOC concepts.
  • To compare the proposed HIMS model against the traditional HICS model in terms of knowledge and user satisfaction.

Main Methods:

  • A quasi-experimental study was conducted at a level I trauma center.
  • Two tabletop incident scenarios were used to compare HIMS and HICS.
  • Participants (n=16) completed post-exercise surveys assessing knowledge of reporting structure and user satisfaction using a Likert scale.

Main Results:

  • Participants using the HIMS model correctly answered reporting structure questions 63.75% of the time, compared to 35% with HICS (p=0.001).
  • End-user satisfaction was significantly higher with HIMS (87.5%) than with HICS (33.5%).

Conclusions:

  • The proposed HIMS model, integrating EOC framework, demonstrates superior performance in improving reporting structure knowledge and user satisfaction.
  • Further research is necessary to validate the HIMS model and standardize its design for broader application in hospital incident management.