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Moving Forward from COVID-19: Organizational Dimensions of Effective Hospital Emergency Management.
Atkinson, Mariam Krikorian; Cagliuso, Nicholas V; Hick, John L; Singer, Sara J; Bambury, Elizabeth A; Hayirli, Tuna Cem; Kuznetsova, Masha; Biddinger, Paul D.
  • Atkinson MK; Mariam Krikorian Atkinson, PhD, is an Assistant Professor and Elizabeth A. Bambury is a Research Assistant; both in the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA. Nicholas V. Cagliuso, Sr., PhD, is Deputy Director for Research, National Center
  • Cagliuso NV; Mariam Krikorian Atkinson, PhD, is an Assistant Professor and Elizabeth A. Bambury is a Research Assistant; both in the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA. Nicholas V. Cagliuso, Sr., PhD, is Deputy Director for Research, National Center
  • Hick JL; Mariam Krikorian Atkinson, PhD, is an Assistant Professor and Elizabeth A. Bambury is a Research Assistant; both in the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA. Nicholas V. Cagliuso, Sr., PhD, is Deputy Director for Research, National Center
  • Singer SJ; Mariam Krikorian Atkinson, PhD, is an Assistant Professor and Elizabeth A. Bambury is a Research Assistant; both in the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA. Nicholas V. Cagliuso, Sr., PhD, is Deputy Director for Research, National Center
  • Bambury EA; Mariam Krikorian Atkinson, PhD, is an Assistant Professor and Elizabeth A. Bambury is a Research Assistant; both in the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA. Nicholas V. Cagliuso, Sr., PhD, is Deputy Director for Research, National Center
  • Hayirli TC; Mariam Krikorian Atkinson, PhD, is an Assistant Professor and Elizabeth A. Bambury is a Research Assistant; both in the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA. Nicholas V. Cagliuso, Sr., PhD, is Deputy Director for Research, National Center
  • Kuznetsova M; Mariam Krikorian Atkinson, PhD, is an Assistant Professor and Elizabeth A. Bambury is a Research Assistant; both in the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA. Nicholas V. Cagliuso, Sr., PhD, is Deputy Director for Research, National Center
  • Biddinger PD; Mariam Krikorian Atkinson, PhD, is an Assistant Professor and Elizabeth A. Bambury is a Research Assistant; both in the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA. Nicholas V. Cagliuso, Sr., PhD, is Deputy Director for Research, National Center
Health Secur ; 19(5): 508-520, 2021.
Article in English | MEDLINE | ID: covidwho-1447554
ABSTRACT
Federal investment in emergency preparedness has increased notably since the 9/11 attacks, yet it is unclear if and how US hospital readiness has changed in the 20 years since then. In particular, understanding effective aspects of hospital emergency management programs is essential to improve healthcare systems' readiness for future disasters. The authors of this article examined the state of US hospital emergency management, focusing on the following question During the COVID-19 pandemic, what aspects of hospital emergency management, including program components and organizational characteristics, were most effective in supporting and improving emergency preparedness and response? We conducted semistructured interviews of emergency managers and leaders at 12 urban and rural hospitals across the country. Through qualitative analysis of content derived from examination of transcripts from our interviews, we identified 7 dimensions of effective healthcare emergency management (1) identify capable leaders; (2) assure robust institutional support; (3) design effective, tiered communications systems; (4) embrace the hospital incident command system to delineate roles and responsibilities; (5) actively promote collaboration and team building; (6) appreciate the necessity of training and exercises; and (7) balance structure and flexibility. These dimensions represent the unique and critical intersection of organizational factors and emergency management program characteristics at the core of hospital emergency preparedness and response. Extending these findings, we provide several recommendations for hospitals to better develop and sustain what we call a response culture in supporting effective emergency management.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Civil Defense / COVID-19 Type of study: Experimental Studies / Qualitative research Limits: Humans Language: English Journal: Health Secur Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Civil Defense / COVID-19 Type of study: Experimental Studies / Qualitative research Limits: Humans Language: English Journal: Health Secur Year: 2021 Document Type: Article