Document Detail


Using exercises to identify veterans health administration priorities for disaster response: findings from the new madrid earthquake training exercise.
MedLine Citation:
PMID:  23358290     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Emergency managers are often charged with prioritizing the relative importance of key issues and tasks associated with disaster response. However, little work has been done to identify specific ways that the decision-making process can be improved. This exercise was conducted with 220 employees of the US Department of Veterans Affairs, who were asked to assign priority rankings to a list of possible options of the most important issues to address after a hypothetical disaster scenario impacting a Veterans Affairs Medical Center. We found that groups that were assigned to represent perspectives farther from the impacted site had less agreement in their identification of the top priorities than those assigned to the impacted facility. These findings suggest that greater geographic and administrative proximity to the impacted site may generate greater clarity and certainty about priority setting. Given the complex structure of many organizations, and the multiple levels of group decision making and coordination likely to be needed during disasters, research to better understand training needs with respect to decision making is essential to improve preparedness. Relatively simple modifications to exercises, as outlined here, could provide valuable information to better understand emergency management decision making across multiple organizational levels.
Authors:
June L Gin; Edward W Chan; Pete Brewster; Michael N Mitchell; Karen A Ricci; Melissa K Afable; Aram Dobalian
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of public health management and practice : JPHMP     Volume:  19     ISSN:  1550-5022     ISO Abbreviation:  J Public Health Manag Pract     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-01-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505213     Medline TA:  J Public Health Manag Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  126-32     Citation Subset:  T    
Affiliation:
Veterans Emergency Management Evaluation Center, North Hills, California (Drs Gin, Chan, Mitchell, and Dobalian and Mses Ricci and Afable); RAND Corporation, Santa Monica, California (Dr Chan); Veterans Health Administration, Office of Emergency Management, Washington, District of Columbia (Mr Brewster); and Department of Health Services, School of Public Health, University of California at Los Angeles (Dr Dobalian).
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