Author:
Goralnick Eric,Halpern Pinchas,Loo Stephanie,Gates Jonathan,Biddinger Paul,Fisher John,Velmahos George,Chung Sarita,Mooney David,Brown Calvin,Barnewolt Brien,Burke Peter,Gupta Alok,Ulrich Andrew,Hojman Horacio,McNulty Eric,Dorn Barry,Marcus Leonard,Peleg Kobi
Abstract
AbstractObjectiveOn April 15, 2013, two improvised explosive devices (IEDs) exploded at the Boston Marathon and 264 patients were treated at 26 hospitals in the aftermath. Despite the extent of injuries sustained by victims, there was no subsequent mortality for those treated in hospitals. Leadership decisions and actions in major trauma centers were a critical factor in this response.MethodsThe objective of this investigation was to describe and characterize organizational dynamics and leadership themes immediately after the bombings by utilizing a novel structured sequential qualitative approach consisting of a focus group followed by subsequent detailed interviews and combined expert analysis.ResultsAcross physician leaders representing 7 hospitals, several leadership and management themes emerged from our analysis: communications and volunteer surges, flexibility, the challenge of technology, and command versus collaboration.ConclusionsDisasters provide a distinctive context in which to study the robustness and resilience of response systems. Therefore, in the aftermath of a large-scale crisis, every effort should be invested in forming a coalition and collecting critical lessons so they can be shared and incorporated into best practices and preparations. Novel communication strategies, flexible leadership structures, and improved information systems will be necessary to reduce morbidity and mortality during future events. (Disaster Med Public Health Preparedness. 2015;9:489–495)
Publisher
Cambridge University Press (CUP)
Subject
Public Health, Environmental and Occupational Health
Reference44 articles.
1. Be Prepared — The Boston Marathon and Mass-Casualty Events
2. MASCAL: RFID tracking of patients, staff and equipment to enhance hospital response to mass casualty events;Fry;AMIA Annu Symp Proc,2005
3. Impact of Wireless Electronic Medical Record System on the Quality of Patient Documentation by Emergency Field Responders during a Disaster Mass-Casualty Exercise
4. Rural hospital mass casualty response to a terrorist shooting spree
5. Users’ guides to the medical literature: XXIII. Qualitative research in health care B. What are the results and how do they help me care for my patients? Evidence-Based Medicine Working Group;Giacomini;JAMA,2000
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