AJIC: American Journal of Infection Control
Volume 37, Issue 9 , Pages 708-714.e4 , November 2009

Assessing hospital emergency management plans: A guide for infection preventionists

  • Terri Rebmann, PhD, RN, CIC

      Affiliations

    • Corresponding Author InformationAddress correspondence to Terri Rebmann, PhD, RN, CIC, Associate Director for Curricular Affairs, Institute of Biosecurity, Assistant Professor, Division of Environmental and Occupational Health, Saint Louis University, School of Public Health, 3545 Lafayette Ave, Room 361, Saint Louis, MO 63104.

References 

  1. Rebmann T. APIC State-of-the-Art report: The role of the infectionpreventionist in emergency management. Am J Infect Control. 2009;37:271–281
  2. Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004.
  3. Centers for Disease Control and Prevention . Severe acute respiratory syndrome. Supplement C: preparedness and response in healthcare facilities. Appendix C2: checklist for SARS preparedness in healthcare facilities. 2005;Available from: http://www.cdc.gov/ncidod/sars/guidance/C/pdf/app2.pdfAccessed November 12, 2005
  4. Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007.
  5. Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002.
  6. Bartley J, Stricof R, Alexander S, Cain T, Citarella B, Cloughessy M, et al. Reuse of respiratory protection in prevention and control of epidemic- and pandemic-prone acute respiratory diseases (ARD) in healthcare. Association for Professionals in Infection Control and Epidemiology. 2008;Available from: http://www.apic.org/Accessed July 1, 2008
  7. Rebmann T. Emergency management. In:  Carrico R editors. APIC text of infection control and epidemiology. 3rd ed., Chapter 119. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc.; 2009;
  8. Loutfy MR, Wallington T, Rutledge T, Mederski B, Rose K, Kwolek S, et al. Hospital preparedness and SARS. Emerg Infect Dis. 2004;10:771–776
  9. Joint Commission . Hospital accreditation program. 2009 chapter: Infection prevention and control. 2008;Available from: http://www.jointcommission.org/NR/rdonlyres/38BEBD6D-59D7-4314-9E2B-3C4571F92159/0/HAP_IC.pdfAccessed June 21, 2008
  10. Amaratunga CA, O'Sullivan TL, Phillips KP, Lemyre L, O'Connor E, Dow D, et al. Ready, aye ready? Support mechanisms for healthcare workers in emergency planning: a critical gap analysis of three hospital emergency plans. J Emerg Manage. 2007;5:23–38
  11. American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004.
  12. Shadel BN, Clements B, Arndt B, Rebmann T, Evans RG. What we need to know about bioterrorism preparedness: results from focus groups conducted at APIC 2000. Am J Infect Control. 2001;29:347–351
  13. Carrico RM, Rebmann T, English JF, Mackey J, Cronin SN. Infection prevention competencies for hospital-based healthcare personnel. Am J Infect Control. 2008;36:691–701
  14. Rebmann T, Carrico R, English J. Hospital infectious disease emergency preparedness: a survey of infection control professionals. Am J Infect Control. 2007;35:25–32
  15. Rebmann T, Wilson R, LaPointe S, Russell B, Moroz D. Hospital infectiousdisease emergency preparedness: a 2007 survey of infection control professionals. Am J Infect Control. 2009;37:1–8
  16. Agency for Healthcare Research and Quality . Bioterrorism emergency planning and preparedness questionnaire for healthcare facilities. Rockville, MD: Agency for Healthcare Research and Quality; 2002;
  17. Trust for America's Health. Ready or not. Protecting the public's health from diseases, disasters, and bioterrorism. 2007. Available from: http://healthyamericans.org/reports/bioterror07/BioTerrorReport2007.pdf. Accessed May 14, 2008.
  18. Hick JL, Hanfling D, Burstein JL, DeAtley C, Barbisch D, Bogdan GM, et al. Health care facility and community strategies for patient care surge capacity. Ann Emerg Med. 2004;44:253–261
  19. Braun BI, Darcy L, Divi C, Robertson J, Fishbeck J. Hospital bioterrorism preparedness linkages with the community: improvements over time. Am J Infect Control. 2004;32:317–325
  20. Case GG, West BM, McHugh CJ. Hospital preparedness for biologic and chemical terrorism in central New Jersey. New Jersey Med. 2001;98:23–33
  21. Hui Z, Jian-Shi H, Xiong H, Peng L, Da-Ling Q. An analysis of the current status of hospital emergency preparedness for infectious disease outbreaks in Beijing, China. Am J Infect Control. 2007;35:62–67
  22. Karwa M, Currie B, Kvetan V. Bioterrorism: preparing for the impossible or the improbable. Crit Care Med. 2005;33(Suppl 1):S75–S95
  23. Lynn M, Gurr D, Memon A, Kaliff J. Management of conventional mass casualty incidents: ten commandments for hospital planning. J Burn Care Res. 2006;27:649–658
  24. Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008.
  25. Rebmann T. Management of patients infected with airborne-spread diseases: an algorithm for infection control professionals. Am J Infect Control. 2005;33:571–579
  26. Rebmann T. Infectious disease disasters: bioterrorism, emerging infections, and pandemics. In:  Carrico R editors. APIC text of infection control and epidemiology. 3rd ed., Chapter 120. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc.; 2009;
  27. Schultz CH, Mothershead JL, Field M. Bioterrorism preparedness. I: The emergency department and hospital. Emerg Med Clinics N Am. 2002;20:437–455
  28. Srinivasan A, McDonald LC, Jernigan D, Helfand R, Ginsheimer K, Jernigan J, et al. Foundations of the severe acute respiratory syndrome preparedness and response plan for healthcare facilities. Infect Control Hosp Epidemiol. 2004;25:1020–1025
  29. Thorne CD, Levitin H, Oliver M, Losch-Skidmore S, Neiley BA, Socher MM, et al. A pilot assessment of hospital preparedness for bioterrorism events. Prehospital Dis Med. 2006;21:414–422
  30. Treat KN, Williams JM, Furbee PM, Manley WG, Russell FK, Stamper CD. Hospital preparedness for weapons of mass destruction incidents: an initial assessment. Ann Emerg Med. 2001;38:562–565
  31. Wetter DC, Daniell WE, Treser CD. Hospital preparedness for victims of chemical or biological terrorism. Am J Public Health. 2001;91:710–716
  32. Maldin B, Lam C, Franco C, Press D, Waldhorn R, Toner E, et al. Regional approaches to hospital preparedness: biosecurity bioterrorism. 2007;5:43–53
  33. Toner E, Waldhorn R, Maldin B, Borio L, Nuzzo JB, Lam C, et al. Hospital preparedness for pandemic influenza: biosecurity bioterrorism. 2006;4:207–217
  34. DiConsiglio J. Mapping a disaster plan. Materials Manage Health Care. 2001;10:14–17
  35. Ippolito G, Puro V, Heptonstall J. Hospital preparedness to bioterrorism and other infectious disease emergencies. Cell Mole Life Sci. 2006;63:2213–2222
  36. Kaji AH, Koenig KL, Lewis RJ. Current hospital disaster preparedness. J Am Med Assoc. 2007;298:2188–2190
  37. Bennett RL. Chemical or biological terrorist attacks: an analysis of the preparedness of hospitals for managing victims affected by chemical or biological weapons of mass destruction. Int Environ Res Public Health. 2006;3:67–75
  38. Grow RW, Rubinson L. The challenge of hospital infection control during a response to bioterrorist attacks: biosecurity bioterrorism. Biodefense Strat Pract Sci. 2003;1:215–220
  39. Ippolito G, Nicastri E, Capobianchi M, Di Caro A, Petrosillo N, Puro V. Hospital preparedness and management of patients affected by viral haemorrhagic fever or smallpox at the Lazzaro Spallanzani Institute, Italy. Eur Commun Dis Bull. 2005;10:36–39
  40. Levin PJ, Gebbie EN, Qureshi K. Can the health care system meet the challenge of pandemic flu? Planning, ethical, and workforce considerations. Public Health Rep. 2007;122:573–578
  41. Lewis CP, Aghababian RV. Disaster planning, part I. Overview of hospital and emergency department planning for internal and external disasters. Emerg Med Clin N Am. 1996;14:439–452
  42. Petrosillo N, Puro V, Di Caro A, Ippolito G. The initial hospital response to an epidemic. Arch Med Res. 2005;36:706–712
  43. Higgins W, Wainright C, Lu N, Carrico R. Assessing hospital preparedness using an instrument based on the mass casualty disaster plan checklist: results from a statewide survey. Am J Infect Control. 2004;32:327–332
  44. Bradley RN. Health care facility preparation for weapons of mass destruction. Prehospital Emerg Care. 2000;4:261–269
  45. Chan JT, Yeung RS, Tang SY. Hospital preparedness for chemical and biological incidents in Hong Kong. Hong Kong Med J. 2002;8:440–446
  46. DeJohn P. Hospital supply chain vital part of disaster plan. Hosp Materials Manage. 2002;27:14–15
  47. Shadel BN, Rebmann T, Clements B, Chen JJ, Evans RG. Infection control practitioners' perceptions and educational needs regarding bioterrorism: results from a national needs assessment survey. Am J Infect Control. 2003;31:129–134
  48. Xiong W, Hollingsworth E, Muckstadt J, Van Lieu Vorenkamp J, Lazar EJ, Cagliuso NV, et al. Hospital “self-prophylaxis”: strategies for efficient protection of the workforce in the face of infectious disease threats. Infect Control Hosp Epidemiol. 2007;28:618–621
  49. Department of Health and Human Services. Proposed guidance on antiviral drug use during an influenza pandemic. 2008. Available from: http://aspe.hhs.gov/panflu/antiviral-n-masks.shtml. Accessed June 1, 2008.
  50. Ransom MM, Goodman RA, Moulton AD. Addressing gaps in health care sector legal preparedness for public health emergencies. Dis Med Public Health Preparedness. 2008;2:50–56
  51. Bentley JD. Hospital preparedness for bioterrorism. Public Health Rep. 2001;116:36–39
  52. Department of Health and Human Services. Proposed considerations for antiviral drug stockpiling by employers in preparation for an influenza pandemic. 2008. Available from: http://aspe.hhs.gov/panflu/antiviral-n-masks.shtml/. Accessed June 1, 2008.
  53. Columbia School of Nursing . Clinician competencies: during initial assessment and management of emergency events. New York, NY: Columbia School of Nursing; 2003;Available from: http://cpmcnet.columbia.edu/dept/nursing/chphsr/pdf/clinician-comps.pdfAccessed December 14, 2003

 Conflicts of interest: None to report.

PII: S0196-6553(09)00627-0

doi: 10.1016/j.ajic.2009.04.286

AJIC: American Journal of Infection Control
Volume 37, Issue 9 , Pages 708-714.e4 , November 2009