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Staff Perspectives of Mass Casualty Incident Preparedness
Mary E Moran1,2, Jacob R Zimmerman3, Amelia D Chapman4,5
1Research, Sponsored Programs, and Innovation, Summa Health, Akron, USA.
Abstract:
Introduction Mass casualty incidents (MCI) are low-frequency, high-risk events that disrupt the day-to-day operations of medical centers. Day-to-day protocols are insufficient for effectively managing MCI events, creating a need to develop and test MCI-specific protocols. The aim of this project was to utilize interviews to gain insight into staff experience and perspective on MCIs and their institution's response plans. Methods Staff members who participated in an MCI drill were asked semi-structured interview questions regarding their perspectives on their current priorities, the information needed to perform their role, and their greatest concerns about an MCI. This quality improvement (QI) project utilized a qualitative methodology to thematically organize the results of the staff responses. Results A total of 64 staff members with various levels of patient care experience were interviewed to reach thematic saturation. The use of staff interviews helped to identify the four primary themes that emerged, which were: 1) process, 2) supplies and resources, 3) communication, and 4) roles. Furthermore, each theme also included a number of subthemes. Conclusions This project demonstrated the importance of staff experiences related to MCI simulation training and preparedness, which may be useful for future training and emergency response planning. Additionally, the results may be helpful for other institutions when building a robust MCI simulation training program or designing an emergency response plan.
Insights
Staff interviews revealed key insights into managing mass casualty incidents (MCI). Understanding staff perspectives on process, supplies, communication, and roles is crucial for effective MCI preparedness and training.
Area of Science:
- Emergency Medicine
- Healthcare Management
- Disaster Preparedness
Background:
- Mass casualty incidents (MCIs) pose significant challenges to medical centers, overwhelming standard operational protocols.
- Existing day-to-day protocols are often inadequate for managing the unique demands of MCI events.
- Developing and testing MCI-specific protocols is essential for effective response.
Purpose of the Study:
- To explore healthcare staff experiences and perspectives on mass casualty incidents (MCIs).
- To gather insights into institutional response plans for MCIs through qualitative interviews.
- To identify areas for improvement in MCI preparedness and training.
Main Methods:
- A qualitative methodology was employed for this quality improvement (QI) project.
- Semi-structured interviews were conducted with 64 staff members who participated in an MCI drill.
- Thematic analysis was used to organize and interpret interview responses to reach thematic saturation.
Main Results:
- Four primary themes emerged from staff interviews: process, supplies and resources, communication, and roles.
- Each primary theme was further detailed by several subthemes, providing a nuanced understanding of staff concerns.
- Staff perspectives highlighted critical areas needing attention in MCI response planning.
Conclusions:
- Staff experiences and perspectives are vital for enhancing MCI simulation training and overall preparedness.
- The findings can inform the development of more robust MCI simulation training programs.
- This study offers valuable insights for institutions designing or refining their emergency response plans for MCIs.
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