EmergencyPreparednessDepartment - PDF document

1 EmergencyPreparednessDepartment TABLE………
EmergencyPreparednessDepartment TABLE……………………………………………………1 Methodology Recommendations A– B–…………………………………18 C– D– EmergencyManagementCivilcommunitiesemergencymanagement.hasemergencyhasand(EmergencyCareemergencymanagementcriticalaccreditationorganization’sdevelopimplementpreventingmitigatingpotentialPreventionrefersstoprefersreducerisksPreventioninformationobtainedriskassessment,Leadership,QmentumemergencypreparednesshazardsHealthcarerisksemergency.targetedemergencyguid

2 eemergencyapproachemergencymanagementres
eemergencyapproachemergencymanagementresultenvironment.meetingchallengecanansweringandorganization?thesehazard(HIRA)currentHaltonHealthcareemergencypreparednessreviewedandrenewal,and METHODOLOGY methodsstrategies,bestHospitalHazardstepprocessHealthcareServicesAppendixeachwasbasedtwodimensions:themeetingsmatterobtainexactmeasuresrisk,ratheroutlineguideparametersthefrompossibleandfrequencyevents.logicpreferablecan 1 – Unlikely (but not impossible) to occur within a 100 y

3 ear period in the hospital or community,
ear period in the hospital or community, or a rating of 2 in nearby municipalities 2 – May occur every 100 years in the hospital or community, or a rating of 3 in similar/nearby Ontario municipalities 3 – May occur every 10 years in the hospital or community, or a rating of 4 in similar/nearby Ontario municipalities 4 – May occur every year in the hospital or community, or a rating of 5 in similar/nearby Ontario municipalities 5 – Multiple occurrences per year in the h

4 ospital or community Risk = [ Likeli
ospital or community Risk = [ Likelihood [ eachconcernfinancialterms;Thisrankedeachlowestdestroyed,impactforunbudgetedwhereranked 1 – Injury or illness unlikely 2 – Low probability of injuries or illness 3 – High probability of injuries or illness 4 – High probability of injuries or illness and low probability of death 5 – High probability of injuries or illness and high probability of death 1 – Property damage or loss of access unlikely 2 – Minor clean-up or reco

5 very time 3 – Minor damage, temporary lo
very time 3 – Minor damage, temporary loss of access 4 – Major damage, prolonged loss of access 2 - Generates expenditures or an insurance claim under $100 000 3 – Generates expenditures or an insurance claim of under $1 million 4 – Generates expenditures or an insurance claim of under $10 million Generates ex p enditures or an insurance claim ove 10 million theexercises,impactsaffectpatientrecruitment,possibleyieldsand cansummarizedfollowingaccordingdifferent

6 classifications:infrastructureoccurrence
classifications:infrastructureoccurrenceimpactimmediatereductionandoccurrencehighpreparednesshighPreparednessEventsoccurrencepotentialalreadymitigationimmediateaction 1 – Reputation unlikely to be affected 4 – Negative national media coverage, fundraising and/or recruitment affected 5 – Permanent association of adverse event with hospital, large affect on and/or recruitment shouldalreadycases,measuresmayalready EpidemicContamination –– Electrical Contamination / Prep

7 aredness InternalPatient Supply Behaviou
aredness InternalPatient Supply Behaviour– // /– Chain Injury Electrical ColdSystem InternalTelecommunications Preparedness ElectricalCrash Patient Failure External – Explosion     RECOMMENDATIONS riskidentifyrelativethreathazardprioritizedcycleemergencymanagementprogressing,managementalreadyrisktaken.matteremergencydeemedtakenreduceworkinghowever,mitigationrelativereduced(forexample,tornados,hurricanesaretwolikelihoodreducingconsequences.likelihoodreductionachieved

8 throughmeasurescasereducedresponseguidee
throughmeasurescasereducedresponseguideeffectively,andHealthcarepreparednessremainrelativereviewedandfocusprioritycurrentlowest.likelihoodmayPreparedness,Maintenance,HealthanyHHSaccountability.shouldreviewedHIRArecurringcycle,resultsemergencypreparednessfocusshould Blizzard/SnowstormHaltonexperiencessnowstorms.temperatures,highoftenmayrelatedconditions.typecontaminatedchemical,physicalagent.centre,possible.Inspectionremovedcirculationandalternateeatingmaycontaminatedan

9 ddamagethepatientsColdtemperaturesdaysim
ddamagethepatientsColdtemperaturesdaysimpactsminimizedcontrolelectricalexacerbateInfrastructure contractionpossibletemperaturehospitalexperienceincreaseAlertstemperaturesyearHaltonHealthminimizedelectricalexacerbatemedicaltemperaturesaffectsomepowermayexperienceincreaserelatedExternalfloodingwatersnowHealthcareextremeexternalinfrastructureHospitals.solarcommunicationscaninfrastructurethisElectricalfail,arerelycertainmedicalvulnerable.withrainhurricanescorridor.impactth

10 ereachdamagemaywindsflooding.Storm/Freez
ereachdamagemaywindsflooding.Storm/Freezingtemperaturesaffectingpatients,slipsinterruptionelectricalinfrastructure Diseasecommoncare.mayfollowadherencepatientshospital,negligence,mayemergencyepidemicrepresentsregion,whereasrefersspreadHealthbasedlikelyelderly,thedeficiencies).vulnerable,fordisruptionscertainSevereSummerissuesmultipleSevereeachHaltonsummercharacterizedlightning,km/hr.Injuryunlikely;damageLightning,precipitationinfrastructure.severeSevereissuesAlertstorn

11 adoInjuryoutsidetheelectricityinfrastruc
adoInjuryoutsidetheelectricityinfrastructure.thelandincluderemovalandaffecttemperaturesHealthcarelocatedsuddensinkholesfoundationdisruptelectricalimpact. RegiontornadoTornadoSouthernmoremoderateeffects;patientsinjuries,infrastructuremaytornadohospitalcatastrophic.HAZARDSabsenceactualhealthclearscertainareasmaysuspended.escalates,coveragereactionAbductionillegalremovalinfantfromindividualconfrontedgroupforms.violent(e.g.centeredhospitalnetworkincreasinglyintegratesbecom

12 eincludeexternalstoragedownloadsexternal
eincludeexternalstoragedownloadsexternalaimedvirusessensitiveTheseincidentstypicallywith losscriticalsomethedevelopsMotivationsharminterveningoccur,event.resultlegalexternalstaff.capacityareasservicesaccumulateHealthcare.Casualtyincidentsuchoverwhelmedtheincidentmedicalchemicalexposure)(e.g.accident)externalintentionalextremeweather.theseincreasesandcasualtyincidentsrarelyHealthcareresourcesmayoverwhelmedPatientpatientsadulttypeevent.ExceptionsviolentEventdisability,im

13 pacted.intentionpeople, Likeaccidents,de
pacted.intentionpeople, Likeaccidents,devicesconductedattacksbasedextensiveservices,lossthereCanada.PersonpatientsvoluntarilyactivelyviolenceinfrastructuremayPersonhospital.Whereaspatientsmedicalviolentcriminalthismorepatients.situation.Personhostageincidentescalateactiveemployee,thefocus,typicallyfrequentpatients.situation.taketargetedaggression.effectsdeliveryinjuriesonemedicalisolationcategorieshazardous definitionsreaction/exertion,TECHNOLOGICALHAZARDSairaccidentss

14 atellites.Healthcarerelatedmakingthecata
atellites.HealthcarerelatedmakingthecatastrophicwithineasilycontrolledcommonlyfailureimpactslimitedpatientminimalFire/ExplosionInternalexplosionsoriginatedinternallyexternally.eventsextremelymajoritysmall,localizedwhereriskextensive,AccessaffectedFire/Explosioneventsignitionfuel/material,combinedreleasecausedintenseelectricity,fireinfrastructure, hospitalimmediatetheleadinjury/illnesspatients,(HAZMAT)releasehumansenvironment.CBRNE,of:chemical,HAZMATimmediateHAZMATdirec

15 tive,injury/illnessstaff,fuel(commonlyna
tive,injury/illnessstaff,fuel(commonlynaturalexplosionfailure.extensiveapproximatelyincludeinfrastructure,directiveHaltonthekilometresNuclearGeneratingdirectnuclearResourceszone.particlesenvironment.hospitalfutureCollapseintegritydebris.leadingcollapsemayspecifictriggeringextensive accidentmarineinclementHealthcaremayhospitalrespectively.areeventaccidentsfiresinfrastructuretriggerFAILUREelectricalsupplyentireweatheremergencylifeemergencyandpatientsminorelectrical(Gener

16 ator)fuelemergencygeneratorsprolongedfai
ator)fuelemergencygeneratorsprolongedfailuremayunnoticedregularelectricalcorrectly.primarilyemergencythesedeviceshaveawarenessfailurelikelyreputation.hospitalmedicalrelyingfood,carefulreplaced,extensive.detectors,alarms, Internalhospitalitself.includefailure.reconstructionrequired,areasaffectedminorHealthcareinfrastructuregroundEmergencyrelydieselfueldaysnaturalsuppliesoccur,FailuresystemsenvironmentTemperaturecanthermoregulating.regulatechancePortableresultevacuationa

17 reasoccurdependingthoughnumerousadminist
reasoccurdependingthoughnumerousadministrativecare.unauthorizedproperservicefailurenumberandmoderatefinancialimpact.documentationmayimpacted.gassescaremedicalthisharmtreatedHAZMATpatients,hasmorereserves. SewageFailureexternalcapacity.excessdischargechemicalwastethateithercontactmedicalmaycausingSuchFailuresomesterilizationexceptextremethatrelyexternalstoresdevices,carecertainsignificant.TelecommunicationsTelecommunicationsinternalradios,extremelyhighexternaltelecommun

18 icationsmedicalerrors.andandProlongedabs
icationsmedicalerrors.andandProlongedabsencewaterleadthecertaintriggeringfacilities.decontaminationattainmentsignificant. estimationeventstheratherpartexistentresult,alreadymuchaccuracycomprehensive NATURAL HAZARDS Likelihood Score Consequence Components Total Risk Human Physical Financial blizzard/snowstorm 4 2 28 contamination – food 3 4 36 contamination – water 3 5 39 earthquake 1 2 10 extreme cold 5 3 30 extreme heat 5 3 35 flood – extern

19 al 2 2 22 geomagnetic storm 2 1 16
al 2 2 22 geomagnetic storm 2 1 16 hurricane 2 2 18 ice storm 4 2 32 infectious disease – internal 4 4 44 pandemic/epidemic – external 4 5 60 severe summer storm 4 2 28 severe winds 3 2 24 soil subsidence 1 1 12 tornado 2 4 28 TECHNOLOGICAL HAZARDS Likelihood Score Consequence Components Total Risk Human Physical Financial 15554 –22333 materialsexternal materialsinternal plant pipelineexplosion minor collapse accident –25443 19 HU

20 MAN-CAUSE HAZARDS Likelihood Score Co
MAN-CAUSE HAZARDS Likelihood Score Consequence Components Total Risk Human Physical Financial 22323 32224 22223 computerattack 23323 disruption casualtyincident patient 33134 15554 52121 nonpatient –25214 121115 injury INFRASTRUCTURE HAZARDS Likelihood Score Consequence Components Total Risk Human Physical Financial electricalfailure electricalfailure electricalfailure failure – failure medicalfailure supply telecommunicationsfailure supply infrastru

21 cture,ExplosionMiltonElectricalFailureOa
cture,ExplosionMiltonElectricalFailureOakvilleTrafalgar, expertsreviewsincludedwhencurrentemergencycreationadoptionemergencymanagementshouldchanges2011).Leadership.standardsandguidelinesorganizationaldisaster/emergencymanagementhealthcareinstitutionsEmergencyguideassessmentmethodology,forconductinganalyzingdefinitionsrangehazards.CareStandardsguidebestpracticesmanagementandrelatedpatientspecificandotherCanadianhealthcarefacilities.CareStandardsguidebestpracticesemergen

22 cymanagementbusinesscontinuityandpublic2
cymanagementbusinesscontinuityandpublic2014).Conversation.Manager,Laboratory.hazardousmaterials,particularlyMiltonsites.Internationalcomprehensiveemergencymanagementpracticediversehazards.Emergency(JanuaryIdentificationOntario.hazardscommunitieswithintheprovinceusefulguidedefininghazards,samplemethodology.ManagerHaltonHHSsupplymanagement. breakdownhazardsHaltonRegion’sHazardIdentificationAssessment2013.Frequencymagnitudescores,vulnerablepopulations,infrastructure,andre

23 sponseFoodServices.ExpertHHSfoodmanageme
sponseFoodServices.ExpertHHSfoodmanagement,purchasing,processing,contingency(MarchPracticeed.).comprehensivedisastermanagementplanningresponsehealth.Interview.Manager,andSecurityHealthcareServices.ExpertHHSsecurityprotocols.Interview.Supervisor,OperationsTrafalgarMemorialHospital.ExpertHHSinfrastructure,maintenanceengineeringsystems.(July2014).Interview.OperationsTrafalgarMemorialHospital.ExpertHHSinfrastructure,maintenance,engineeringsystems.EmergencyPreparednessAdvis

24 orHealthcareExperthazards,emergencyemerg
orHealthcareExperthazards,emergencyemergencypreparedness,emergencyandsafety.Area.areasassessmentconducted2008.Manager,InformationSystems,HaltonHealthcareServices.ExpertHHSinformationtechnologyservices.(August2014).Manager,Laboratory.hazardousmaterials,particularlySite.              (check                  municipalities)periodmunicipalities)timespatients/staffaccessdamagedamageimpactclaimsclaimsmillionclaimsclaimsrecruitmenttermhospital,impac