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Evaluation of the degree of preparedness in mass accidents and disasters of a general hospital in Attica

Published: Feb 7, 2019
Mass accident disaster preparedness hospital
Dimitra Farmaki
Anastasia Kotanidou

ntroduction: Preparedness against mass and technological disasters is a fundamental obligation of contemporary hospitals.

Aim: The investigation and evaluation the degree of preparedness in mass accidents and disasters of a General Hospital in Attica.

Material and Methods: A cross-sectional study was conducted where the data collection was based on stratified sampling, with a self-completed questionnaire, and lasted from August to September

2015. The study sample consisted of 300 members of hospital staff. A structured questionnaire was used, where the higher the score the higher the hospital's degree of preparedness.
Results: Τhe majority (58.3%) declared that the hospital has experience in dealing with the consequences of a mass disaster. However, a small percentage (21.7%) was aware of the business plans. 42.7% has been trained in first-aid care, but only 7.7% has been involved in activity of major accident and disaster. Also, 50.6% believed that the staff’s responsiveness is good/very good, while 44.3% believed that it is moderate. Hospital preparedness was rated good/very good by 46% and moderate by 41%. However, the total preparedness of hospital was 11 (± 4.7), which means moderate and in particular 41.7% of the participants scored their preparedness from 6 to 10 degrees. Furthermore,theanalysishasshownthatthehospital’sdegreeof preparednessisinfluencedbyage, professional status, responsibility, and years of experience.

Conclusions: The preparedness of hospital was moderately assessed. It is therefore necessary to inform and train staff in managing major accidents and disasters.

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Van Westen C.J, Alkema D, Damen M.C.J, Kerle, N, Kingma N.C. Multi-hazard risk assessment: distance education course guide book. United Nations University-ITC School on Disaster Geo-information Management (2011).
Δανδουλάκη Μ. Καλλικράτης. Πολιτική Προστασία και Αυτοδιοίκηση. Έκδοση ΕΕΤΑΑ ΑΕ, Αθήνα, 2011.
Zibulewsky J. Defining disaster: The emergency department
Νοέμβριος 9. Διαθέσιμο στο δικτυακό τόπο: 00038054 (1/2/2018).
Λάλας Δ, Δανόπουλος Γ, Ευσταθίου Π, Καρύδης Π, Κοτρωνιάς Γ, Κούσης Α, Παπαδόπουλος Γ, Πυργιώτης Γ, Σκαρβέλη Ε. Ευθύνη και Ρόλοι των ΟΤΑ στην Πολιτική Προστασία για την Αντιμετώπιση Φυσικών Κινδύνων. Ινστιτούτο Τοπικής Αυτοδιοίκησης, 2008.
Δελτίο Τύπου του Υπουργείου Υγείας. Ασκήσεις Ετοιμότητας σε όλες τις Υγειονομικές Περιφέρειες, 2016, Νοέμβριος 18. Διαθέσιμο στο δικτυακό τόπο: /grafeio-typoy/press-releases/4245- askhseis-etoimothtas-se-oles-tis- ygeionomikes-perifereies (1/2/2018).
Θεοδώρου Φ, Νίκα Κ. Εγχειρίδιο Σύνταξης και Εναρμόνισης Ειδικών Σχεδίων ανά Καταστροφή σε επίπεδο Υπουργείου ή άλλου Κεντρικού Φορέα. Έκδοση 1η. Τμήμα Ελέγχου & Παρακολούθησης Σχεδίων/ΔΣ&ΑΕΑ/ΓΓΠΠ, Αθήνα, 2009.
Cortina J.M. What is coefficient alpha: an examination of theory and applications. Journal of Applied Psychology 1993; 78: 98-104.
Peterson R.A. A meta-analysis of Cronbach's coefficient alpha. Journal of consumer research 1994; 21(2): 381-391.
Santos J.R.A. Cronbach’s alpha: A tool for assessing the reliability of scales. Journal of extension 1999; 37(2): 1-5.
perspective. Proceedings University. Medical 14(2):144.
(Baylor Center) 2001;
WHO/WPRO. Safe Hospitals in Emergencies and Disasters: Structural, Non-Structural and Functional Indicators. Geneva, Switzerland, 2010.
WHO. Safe Hospitals Initiative. Comprehensive Safe Hospital Framework. Geneva, Switzerland, 2015.
WHO/Europe. Hospital Emergency Response Checklist-An All-hazards Tool for Hospital Administrators and Emergency Managers. Copenhagen, Denmark, 2011.
Hick J.L, Hanfling D, Cantrill S.V. Allocating scarce resources in disasters: emergency department principles. Annals of Emergency Medicine 2012; 59(3): 177- 187.
Courtney B, Hodge J.G, Toner E.S, Roxland B.E., Penn M.S, Devereaux A.V, Dichter J.R, Kissoon N, Christian M.D, Powell T. & Task Force for Mass Critical Care. Legal preparedness: care of the critically ill and injured during pandemics and disasters. Chest 2014; 146(4): e134S– e144S.
Παπαευσταθίου Ν. ΕΚΕΠΥ: Επείγον αίτημα για διενέργεια ασκήσεων ετοιμότητας στα νοσοκομεία. Συνέντευξη στη Μ. Μπιμπή στο, 2015,
Γαλάνης Π. Εγκυρότητα και αξιοπιστία των ερωτηματολογίων στις επιδημιολογικές μελέτες. Αρχεία Ελληνικής Ιατρικής 2013; 30(1): 97-110.
Moabi R.M. Knowledge, attitudes and practices of health care workers regarding disaster preparedness at Johannesburg hospital in Gauteng Province, South Africa. University of the Witwatersrand Johannesburg, South Africa 2009.
Μαζικών Καταστροφών. Νοσηλευτική
; 53(1): 95-110.
Fung O.W, Loke A.Y, Lai C.K. Disaster
preparedness among Hong Kong nurses. Journal of advanced nursing 2008; 62(6): 698-703.
Spranger C.B, Villegas D, Kazda M.J, Harris A.M, Mathew S, Migala W. Assessment of physician preparedness and response capacity to bioterrorism or other public health emergency events in a major metropolitan area. Disaster Management & Response 2007; 5(3): 82-
Ρούτση Ε. Γνώσεις και απόψεις των
επαγγελματιών υγείας που εργάζονται
στο Τμήμα Επειγόντων Περιστατικών 86.
σχετικά με την αντιμετώπιση μαζικών καταστροφών. Πανεπιστήμιο Κρήτης, Κρήτη, 2010.
Chimenya G. Hospital Emergency and Disaster Preparedness: A Study of Onandjokwe Lutheran Hospital, Northern Namibia, University of The Free State, South Africa, 2011.
Bistaraki A, Waddington K, Galanis P. The effectiveness of a disaster training programme for healthcare workers in Greece. International nursing review 2011; 58(3): 341-346.
Lim G.H, Lim B.L, Vasu A. Survey of factors affecting health care workers’ perception towards institutional and individual disaster preparedness. Prehospital and disaster medicine 2013; 28(4): 353-358. Κοσσιώρης Α, Ευαγγέλου Ε, Νέστωρ Α, Κοτανίδου Α, Γκογκόσης Κ, Κυρίτση Ε. Ετοιμότητα του Ιατρονοσηλευτικού Προσωπικού για την Αντιμετώπιση
Corrigan E, Samrasinghe I. Disaster preparedness in an Australian urban trauma center: staff knowledge and perceptions. Prehospital and disaster medicine 2012; 27(5): 432-438.
Ameriun A, Delavari A.R, Teymourzadeh E. Rate of preparedness in confronting crisis in three selected border hospitals. Journal Mil Med 2010; 12(1): 19-22.
Salari H, Esfandiari A, Heidari A, Julaee H, Rahimi S.H. Survey of natural disasters preparedness in public and private hospitals of Islamic republic of Iran (case study of shiraz, 2011). International Journal of Health System and Disaster Management 2013; 1(1): 26.
Shokouh S.M.H, Anjomshoa M, Mousavi S.M, Sadeghifar J, Armoun B, Rezapour A, Arab M. Prerequisites of preparedness against earthquake in hospital system: A survey from Iran. Global journal of health science 2014; 6(2): 237.
Daneshmandi M, Amiri H, Vahedi M, Farshi M, Saghafi A, Zigheymat F. Assessing the level of preparedness for confronting crisis such as flood, earthquake, fire and storm in some selected hospitals of Iran. Iranian Journal of Military Medicine 2010; 12(3): 167- 171.
Mahdaviazad H, Abdolahifar G.R. Assessing hospital disaster preparedness in Shiraz, Iran 2011: teaching versus private hospitals. Am J Disaster Med 2013; 8(1): 65-73.
Amiri M, Chaman R, Raei M, Shirvani S.D.N, Afkar A. Preparedness of hospitals in north of iran to deal with disasters. Iranian Red Crescent Medical Journal 2013; 15(6): 519.
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