Evidence map›Paper›PMID 27526719›Full record

Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2016

Assessment of disaster preparedness among emergency departments in Italian hospitals: a cautious warning for disaster risk reduction and management capacity.

Matteo Paganini, Francesco Borrelli, Jonathan Cattani, Luca Ragazzoni, Ahmadreza Djalali, Luca Carenzo, Francesco Della Corte, Frederick M Jr Burkle, Pier Luigi Ingrassia

Abstract readObservational Study
In one paragraph

Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Hospitals as disaster victims: Lessons not learned?Journal of the American College of Emergency Physicians open · 2022
    Review
  9. Mass Casualty Incident (MCI) training in a metropolitan university hospital: short-term experience with MAss Casualty SIMulation system MACSIMEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. How to Surge to Face the SARS-CoV-2 Outbreak: Lessons Learned From Lombardy, Italy.Disaster medicine and public health preparedness · 2020
    Article
  14. Review
  15. Article
  16. Swedish emergency hospital surgical surge capacity to mass casualty incidents.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020
    Article
  17. Article
  18. Factors affecting hospital response in biological disasters: A qualitative study.Medical journal of the Islamic Republic of Iran · 2020
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Matteo PaganiniCRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, 28100, Novara, Piemonte, Italy. paganini.mtt@gmail.com.ORCID http://orcid.org/0000-0002-7556-6928
Francesco BorrelliCRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, 28100, Novara, Piemonte, Italy.
Jonathan CattaniSchool of Medicine, Università del Piemonte Orientale, Novara, Piemonte, Italy.
Luca RagazzoniCRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, 28100, Novara, Piemonte, Italy.
Ahmadreza DjalaliCRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, 28100, Novara, Piemonte, Italy.
Luca CarenzoCRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, 28100, Novara, Piemonte, Italy.
Francesco Della CorteCRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, 28100, Novara, Piemonte, Italy.
Frederick M Jr BurkleHarvard Humanitarian Initiative, Harvard University, Cambridge, MA, USA.
Pier Luigi IngrassiaCRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, 28100, Novara, Piemonte, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

study hypothesisSince the 1990s, Italian hospitals are required to comply with emergency disaster plans known as Emergency Plan for Massive Influx of Casualties. While various studies reveal that hospitals overall suffer from an insufficient preparedness level, the aim of this study was to better determine the preparedness level of Emergency Departments of Italian hospitals by assessing the knowledge-base of emergency physicians regarding basic disaster planning and procedures.

methodsA prospective observational study utilized a convenience sample of Italian Emergency Departments identified from the Italian Ministry of Health website. Anonymous telephone interviews were conducted of medical consultants in charge at the time in the respective Emergency Departments, and were structured in 3 parts: (1) general data and demographics, (2) the current disaster plan and (3) protocols and actions of the disaster plan.

resultsEighty-five Emergency Departments met inclusion criteria, and 69 (81 %) agreed to undergo the interview. Only 45 % of participants declared to know what an Emergency Plan for Massive Influx of Casualties is, 41 % believed to know who has the authority to activate the plan, 38 % knew who is in charge of intra-hospital operations. In Part 3 physicians revealed a worrisome inconsistency in critical content knowledge of their answers.

conclusionsResults demonstrate a poor knowledge-base of basic hospital disaster planning concepts by Italian Emergency Department physicians-on-duty. These findings should alert authorities to enhance staff disaster preparedness education, training and follow-up to ensure that these plans are known to all who have responsibility for disaster risk reduction and management capacity.

Indexed as

Risk ManagementDisaster PlanningEmergency Service, HospitalFemaleHumansInterviews as TopicItalyMaleMiddle AgedProspective StudiesQualitative ResearchDisasterEmergency departmentHospital disaster preparednessHospital plan

Identifiers

PMID27526719
PMCPMC4986169

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.