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An Ethical Framework for Conducting Active-Shooter Simulation in the Healthcare Environment.

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Area of Science:

  • Healthcare security
  • Emergency preparedness
  • Public health safety

Background:

  • Active shooter events (ASEs) are a growing concern in the United States.
  • Healthcare facilities are increasingly targeted, with 15 ASEs occurring between 2000-2019.
  • Healthcare workers (HCWs) require specialized training for ASE response and casualty management.

Purpose of the Study:

  • To adapt National Association of School Psychologists recommendations for active shooter drills in healthcare settings.
  • To provide a framework for managing ethical considerations during active shooter simulations.
  • To enhance preparedness of HCWs for active shooter incidents.

Main Methods:

  • Review and adaptation of existing school-based active shooter drill protocols.
  • Application of ethical considerations for simulation-based training.
  • Focus on balancing training objectives with participant safety.

Main Results:

  • A proposed framework for conducting active shooter drills in healthcare settings.
  • Guidelines for ensuring physical and psychological safety during drills.
  • Strategies for addressing ethical challenges in simulations.

Conclusions:

  • Healthcare settings must prepare for active shooter events.
  • Adapted protocols can improve HCW training and response.
  • Ethical considerations are paramount in simulation design and execution.