Sally Furniss
Well-known member
Relationship Between Standards of Procedures for Pandemic Flu and Level of Hospital Performance in Simulated Drills<!----><!----><!---->
<form class="form" method="get" name="authors1" action="/search/quick"><input name="search_medline" value="yes" type="hidden"><input name="search_area" value="platform+medline" type="hidden"><input name="restrictname_author" value="author" type="hidden"><input name="restricttype_author" value="author" type="hidden"><input name="restrictterm_author" value="" type="hidden"><input name="restrictdesc_author" value="" type="hidden">Bruria Adini, MAab, Avishay Goldberg, MA, MPH, PhDbc, Robert Cohen, PhDd, Col. Yaron Bar-Dayan, MD, MHAbe
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<!----></form>Received 21 May 2007; received in revised form 29 June 2007, 7 November 2007, 10 January 2008 and 13 March 2008; accepted 21 March 2008. published online 13 May 2008.
Corrected Proof
Study objective
Standard operating procedures are the basis of a consistent response to varied threats. The aim of this study is to investigate the relationship between the quality of standard operating procedures developed by hospitals for the management of a pandemic influenza outbreak and the level of performance in a H5N1 flu drill.
Methods
Standard operating procedures developed by all general hospitals in Israel for the management of pandemic influenza were evaluated with a tool developed for this purpose. The hospital standard operating procedure score was then compared with the score obtained by the hospital in a simulated drill.
Results
Cronbach's α was used to determine the reliability of the standard operating procedure evaluation scores and the scores obtained on the drill. Reliability of both scores was high (>0.70). Hospital standard operating procedure scores were found to be moderately related to the scores obtained on the simulated drill. An important relationship was found between performance on the drill and the following components of the standard operating procedure: protection of staff and patients, staffing coordination and control, and infrastructure maintenance and minimizing overload. Hospital characteristics were not found to be important in determining either the hospital standard operating procedure score or performance on the simulated drill.
Conclusion
A reasonably strong relationship was found between quality of the standard operating procedures developed by hospitals to deal with a pandemic influenza and performance on a pandemic drill. Components of the standard operating procedure that dealt with areas that were relatively unfamiliar to staff or topics that were perceived by personnel as posing a risk to their well-being were found to be more important. The quality of the standard operating procedures was found to be important in relation to performance in a pandemic flu drill; therefore, we suggest investing effort in developing standard operating procedures that are comprehensive and cover relatively new domains in detail.
http://www.annemergmed.com/article/S0196-0644(08)00614-8/abstract
<form class="form" method="get" name="authors1" action="/search/quick"><input name="search_medline" value="yes" type="hidden"><input name="search_area" value="platform+medline" type="hidden"><input name="restrictname_author" value="author" type="hidden"><input name="restricttype_author" value="author" type="hidden"><input name="restrictterm_author" value="" type="hidden"><input name="restrictdesc_author" value="" type="hidden">Bruria Adini, MAab, Avishay Goldberg, MA, MPH, PhDbc, Robert Cohen, PhDd, Col. Yaron Bar-Dayan, MD, MHAbe
<!----><!----></form>Received 21 May 2007; received in revised form 29 June 2007, 7 November 2007, 10 January 2008 and 13 March 2008; accepted 21 March 2008. published online 13 May 2008. Corrected Proof
Study objective
Standard operating procedures are the basis of a consistent response to varied threats. The aim of this study is to investigate the relationship between the quality of standard operating procedures developed by hospitals for the management of a pandemic influenza outbreak and the level of performance in a H5N1 flu drill.
Methods
Standard operating procedures developed by all general hospitals in Israel for the management of pandemic influenza were evaluated with a tool developed for this purpose. The hospital standard operating procedure score was then compared with the score obtained by the hospital in a simulated drill.
Results
Cronbach's α was used to determine the reliability of the standard operating procedure evaluation scores and the scores obtained on the drill. Reliability of both scores was high (>0.70). Hospital standard operating procedure scores were found to be moderately related to the scores obtained on the simulated drill. An important relationship was found between performance on the drill and the following components of the standard operating procedure: protection of staff and patients, staffing coordination and control, and infrastructure maintenance and minimizing overload. Hospital characteristics were not found to be important in determining either the hospital standard operating procedure score or performance on the simulated drill.
Conclusion
A reasonably strong relationship was found between quality of the standard operating procedures developed by hospitals to deal with a pandemic influenza and performance on a pandemic drill. Components of the standard operating procedure that dealt with areas that were relatively unfamiliar to staff or topics that were perceived by personnel as posing a risk to their well-being were found to be more important. The quality of the standard operating procedures was found to be important in relation to performance in a pandemic flu drill; therefore, we suggest investing effort in developing standard operating procedures that are comprehensive and cover relatively new domains in detail.
http://www.annemergmed.com/article/S0196-0644(08)00614-8/abstract