Hospital planning for weapons of mass destruction incidents.

As terrorists attacks increase in frequency, hospital disaster plans need to be scrutinized to ensure that they take into account issues unique to weapons of mass destruction. This paper reports a review of the literature addressing hospital experiences with such incidents and the planning lessons thus learned. Construction of hospital disaster plans is examined as an ongoing process guided by the disaster planning committee. Hospitals are conceived as one of the components of a larger community disaster planning efforts, with specific attention devoted to defining important linkages among response organizations. This includes the public health authorities, political authorities, prehospital care agencies, and emergency management agencies. A review is completed of six special elements of weapons of mass destruction incidents that should be addressed in hospital disaster plans: incident command, hospital security, patient surge, decontamination, mental health consequences, and communications. The paper closes with a discussion of the importance of training and exercises in maintaining and improving the disaster plan.

Community innovation in hazardous materials management: progress in implementing SARA Title III in the United States. Superfund Amendments and Reauthorization Act.

Title III of the Superfund Amendments and Reauthorization Act (SARA Title III) established a new federal approach to managing toxic chemical hazards. This legislation required industry to disclose the type and quantity of such chemicals and also required the establishment of state and local government organizations to receive those data, evaluate community vulnerability, develop local emergency response plans, and communicate with the public. This paper reviews the law's historical context and empirical studies of its implementation. The available evidence suggests that significant progress has been made in reducing chemical hazards but there is considerable variation across jurisdictions in the effectiveness of the law's implementation. The research results reviewed here suggest a variety of ways in which SARA Title III implementation can be improved.

Accounting for common method variance in cross-sectional research designs.

Cross-sectional studies of attitude-behavior relationships are vulnerable to the inflation of correlations by common method variance (CMV). Here, a model is presented that allows partial correlation analysis to adjust the observed correlations for CMV contamination and determine if conclusions about the statistical and practical significance of a predictor have been influenced by the presence of CMV. This method also suggests procedures for designing questionnaires to increase the precision of this adjustment.

Climate quality and climate consensus as mediators of the relationship between organizational antecedents and outcomes.

Research has shown that climate quality (average climate ratings) is related to organizational antecedents and outcomes, but researchers have yet to examine climate consensus (the variance of climate ratings). Similarly, studies have investigated typical behavior (members' average performance), but have neglected behavioral similarity (within-group variance). Data from 1,196 members in 180 organizations were used to test relationships of climate quality and consensus with organizational antecedents and outcomes. Climate quality and consensus both had significant correlations with organizational antecedents and outcomes, but climate consensus did not contribute a significant increment to the prediction of organizational outcomes. Finally, quality mediated many relationships between organizational antecedents and outcomes.

An overview of protective action decision-making for a nuclear power plant emergency.

Protection of the public in a nuclear power plant emergency requires decision-makers to balance the time requirements from two chains of events: the events associated with a radiological release and the events involved with the response to that release. The management of these events is distributed among personnel at the nuclear plant, in the local community, and in state and federal agencies. All of these parties must coordinate their response to the emergency to assure that timely and effective protective response can be made by the risk area population. This article describes the process by which protective action recommendations (PARs) are developed in nuclear power plant emergency exercises and provides recommendations from research on emergency response in other types of natural and technological hazards.

Correlates of household seismic hazard adjustment adoption.

This study examined the relationships of self-reported adoption of 12 seismic hazard adjustments (pre-impact actions to reduce danger to persons and property) with respondents' demographic characteristics, perceived risk, perceived hazard knowledge, perceived protection responsibility, and perceived attributes of the hazard adjustments. Consistent with theoretical predictions, perceived attributes of the hazard adjustments differentiated among the adjustments and had stronger correlations with adoption than any of the other predictors. These results identify the adjustments and attributes that emergency managers should address to have the greatest impact on improving household adjustment to earthquake hazard.

Occupational safety and health inspection scores predict rates of workers' lost-time injuries.

This study examined statistical relationships between safety inspection scores and occupational injury rates among civilian employees in 11 types of United States Navy shore facilities ranging from shipyards to research and development centers. The study's results indicate that workplace inspection scores are significantly predictive of lost-time injury rates, even in the presence of statistical controls for differences in facility characteristics. Further, these results suggest that even a 1% improvement in these facilities' safety inspection scores would yield an expected 1% decrease in the rate of severe injuries. Although this is a very small decrease in the injury rate, the number of civilian workers at these Navy shore facilities is so large, and the average cost of such injuries is so great, that the reduction in total injury costs would be nearly $2 million per year. These data suggest that periodic, comprehensive safety inspections can be rewarded with lower rates of occupational lost-time injuries.

Aged citizens in the warning phase of disasters: re-examining the evidence.

While there is a strong consistent empirical literature on older citizens in the recovery period of disasters, there is much less research on how the elderly respond to disaster warnings. Furthermore, there are conflicting findings among these studies, some characterizing the elderly as noncompliant and less likely to cooperate with authorities, while others find the elderly no less responsive than other age groups. The current article reviews the literature in this area and tries to sort out conflicting findings in terms of the timing of the research and methodological considerations. Data are analyzed from nine disasters-representing flood events, volcanic eruptions, and hazardous materials emergencies-which show citizens over sixty-five years old no less likely to comply with disaster warnings.

Motivational and organizational factors affecting implementation of worker safety training.

Training is unlikely to affect behavior on the job if the worker views it as unnecessary. This chapter describes types of safety behaviors and training activities, the implementation of safety training, current perspectives on motivation, and other motivational and organizational factors affecting the implementation of worker safety training.

Effects of the Chernobyl accident on public perceptions of nuclear plant accident risks.

Assessments of public perceptions of the characteristics of a nuclear power plant accident and affective responses to its likelihood were conducted 5 months before and 1 month after the Chernobyl accident. Analyses of data from 69 residents of southwestern Washington showed significant test-retest correlations for only 10 of 18 variables--accident likelihood, three measures of impact characteristics, three measures of affective reactions, and hazard knowledge by governmental sources. Of these variables, only two had significant changes in mean ratings; frequency of thought and frequency of discussion about a nearby nuclear power plant both increased. While there were significant changes only for two personal consequences (expectations of cancer and genetic effects), both of these decreased. The results of this study indicate that more attention should be given to assessing the stability of risk perceptions over time. Moreover, the data demonstrate that experience with a major accident can actually decrease rather than increase perceptions of threat.