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Disaster Exercises to Prepare Hospitals for Mass-Casualty Incidents: Does it Contribute to Preparedness or is it Ritualism?

Published online by Cambridge University Press:  17 July 2018

Marlous LMI Verheul ,
Michel LA Dückers ,
Bea B Visser ,
Ralf JJ Beerens  and
Joost JLM Bierens
Marlous LMI Verheul*
Affiliation:
University Medical Centre of Utrecht, Utrecht, The Netherlands
Michel LA Dückers
Affiliation:
Impact – National Knowledge and Advice Centre for Psychosocial Care Concerning Critical Incidents, Diemen, The Netherlands NIVEL – Netherlands Institute for Health Services Research, Utrecht, The Netherlands
Bea B Visser
Affiliation:
University Medical Centre of Groningen, Groningen, The Netherlands
Ralf JJ Beerens
Affiliation:
Netherlands Institute for Safety (NIFV), Arnhem, The Netherlands Lund University Centre for Risk Assessment and Management (LUCRAM), Lund, Sweden
Joost JLM Bierens
Affiliation:
Research Group Emergency and Disaster Medicine, Vrije Universiteit, Brussels, Belgium
*
Correspondence: Marlous Verheul UMC Utrecht| Huispostnummer G 04.228 Postbus 85500 3508 GA UTRECHT The Netherlands E-mail: [email protected]
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Abstract

Introduction

The central question this study sought to answer was whether the team members of Strategic Crisis Teams (SCTs) participating in mass-casualty incident (MCI) exercises in the Netherlands learn from their participation.

Methods

Evaluation reports of exercises that took place at two different times were collected and analyzed against a theoretical model with several dimensions, looking at both the quality of the evaluation methodology (three criteria: objectives described, link between objective and items for improvement, and data-collection method) and the learning effect of the exercise (one criterion: the change in number of items for improvement).

Results

Of all 32 evaluation reports, 81% described exercise objectives; 30% of the items for improvement in the reports were linked to these objectives, and 22% of the 32 evaluation reports used a structured template to describe the items for improvement. In six evaluation categories, the number of items for improvement increased between the first (T1) and the last (T2) evaluation report submitted by hospitals. The number of items remained equal for two evaluation categories and decreased in six evaluation categories.

Conclusion

The evaluation reports do not support the ideal-typical disaster exercise process. The authors could not establish that team members participating in MCI exercises in the Netherlands learn from their participation. More time and effort must be spent on the development of a validated evaluation system for these simulations, and more research into the role of the evaluator is needed.

Verheul MLMI, Dückers MLA, Visser BB, Beerens RJJ, Bierens JJLM. Disaster exercises to prepare hospitals for mass-casualty incidents: does it contribute to preparedness or is it ritualism? Prehosp Disaster Med. 2018;33(4):387–393

Keywords

hospital staff preparednessmass-casualty incidentsprofessional educationsimulation exercises
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 33 , Issue 4 , August 2018 , pp. 387 - 393
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: This material is the result of a thesis submitted in partial fulfilment of the requirements for the degree of Master of Science in Disaster Medicine (European Master in Disaster Medicine). The authors have no conflicts of interest to declare.

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