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Assessment of Hospital Disaster Preparedness for the 2010 FIFA World Cup Using an Internet-Based, Long-Distance Tabletop Drill

Published online by Cambridge University Press:  01 September 2011

Water Valesky
Affiliation:
Maimonides Medical Center, Brooklyn, New York USA
Mark Silverberg
Affiliation:
Maimonides Medical Center, Brooklyn, New York USA
Brian Gillett
Affiliation:
Maimonides Medical Center, Brooklyn, New York USA
Patricia Roblin
Affiliation:
Maimonides Medical Center, Brooklyn, New York USA
John Adelaine
Affiliation:
Maimonides Medical Center, Brooklyn, New York USA
Lee A. Wallis
Affiliation:
University of Stellenbosch, and University of Cape Town, South Africa
Wayne Smith
Affiliation:
University of Stellenbosch, and University of Cape Town, South Africa Provincial Government of the Western Cape, South Africa
Bonnie Arquilla*
Affiliation:
Maimonides Medical Center, Brooklyn, New York USA
*
Correspondence: Bonnie Arquilla, DO State University of New York Health Science Center at BrooklynBox 1260440 Lenox RoadBrooklyn, New York 11203 USA E-mail: bonniearquilla@gmail.com

Abstract

Introduction: The State University of New York at Downstate (SUNY) conducted a web-based long-distance tabletop drill (LDTT) designed to identify vulnerabilities in safety, security, communications, supplies, incident management, and surge capacity for a number of hospitals preceding the 2010 FIFA World Cup. The tabletop drill simulated a stampede and crush-type disaster at the Green Point Stadium in Cape Town, South Africa in anticipation of 2010 FIFA World Cup. The LDTT, entitled “Western Cape-Abilities”, was conducted between May and September 2009, and encompassed nine hospitals in the Western Cape of South Africa. The main purpose of this drill was to identify strengths and weaknesses in disaster preparedness among nine state and private hospitals in Cape Town, South Africa. These hospitals were tasked to respond to the ill and injured during the 2010 World Cup.

Methods: This LDTT utilized e-mail to conduct a 10-week, scenario-based drill. Questions focused on areas of disaster preparedness previously identified as standards from the literature. After each scenario stimulus was sent, each hospital had three days to collect answers and submit responses to drill controllers via e-mail.

Results: Data collected from the nine participating hospitals met 72% (95%CI = 69%–75%) of the overall criteria examined. The highest scores were attained in areas such as equipment, with 78% (95%CI = 66%–86%) positive responses, and development of a major incident plan with 85% (95% CI = 77%–91%) of criteria met. The lowest scores appeared in the areas of public relations/risk communications; 64% positive responses (95% CI = 56%–72%), and safety, supplies, fire and security meeting also meeting 64% of the assessed criteria (95% CI = 57%–70%). Surge capacity and surge capacity revisited both met 76% (95% CI = 68%–83% and 68%–82%, respectively).

Conclusions: This assessment of disaster preparedness indicated an overall good performance in categories such as hospital equipment and development of major incident plans, but improvement is needed in hospital security, public relations, and communications ahead of the 2010 FIFA World Cup.

Type
Original Research
Copyright
Copyright Valesky © World Association for Disaster and Emergency Medicine 2011

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