Matches in SemOpenAlex for { <https://semopenalex.org/work/W2616496633> ?p ?o ?g. }
Showing items 1 to 79 of
79
with 100 items per page.
- W2616496633 abstract "Introduction: Hospital shootings are rare events that pose extreme and immediate risk to staff, patients and visitors. In 2015, the Ontario Hospital Association mandated all hospitals devise an armed assailant Code Silver protocol, an alert issued to mitigate risk and manage casualties. We describe the design and implementation of ASSIST (Active Shooter Simulation In-Situ Training), an institutional, full-scale hybrid simulation exercise to test hospital-wide response and readiness for an active shooter event, and identify latent safety threats (LSTs) related to the high-stakes alert and transport of internal trauma patients. Methods: A hospital-wide in-situ simulation was conducted at a Level 1 trauma centre in downtown Toronto. The two-hour exercise tested a draft Code Silver policy created by the hospital’s disaster planning committee, to identify missing elements and challenges with protocol implementation. The scenario consisted of a shooting during a hospital meeting with three casualties: a manikin with life-threatening head and abdomen gunshot wounds (GSWs), a standardized patient (SP) with hypotension from an abdominal GSW, and a second SP with minor injuries and significant psychological distress. The exercise piloted the use of a novel emergency department (ED)-based medical exfiltration team to transport internal victims to the trauma bay. The on-call trauma team provided medical care. Ethnographic observation of response by municipal police, hospital security, logistics and medical personnel was completed. LSTs were evaluated and categorized using video framework analysis. Feasibility was measured through debriefings and impact on ED workflow. Results: Seventy-six multidisciplinary medical and logistical staff and learners participated in this exercise. Using a framework analysis, the following LSTs were identified: 1) Significant communication difficulties within the shooting area, 2) Safe access and transport for internal casualties, 3) Difficulty accessing hospital resources (blood bank) 4) Challenges coordinating response with external agencies (police, EMS) and 5) Delay in setting up an off-site command centre. Conclusion: In situ simulation represents a novel approach to the development of Code Silver alert processes. Findings from ethnographic observations and a video-based analysis form a framework to address safety, logistical and medical response considerations." @default.
- W2616496633 created "2017-05-26" @default.
- W2616496633 creator A5022181212 @default.
- W2616496633 creator A5036202967 @default.
- W2616496633 creator A5040531605 @default.
- W2616496633 creator A5044684683 @default.
- W2616496633 creator A5045937908 @default.
- W2616496633 creator A5085081638 @default.
- W2616496633 date "2017-05-01" @default.
- W2616496633 modified "2023-09-24" @default.
- W2616496633 title "P010: Code Silver: Lessons learned from the design and implementation of Active Shooter Simulation In-Situ Training (ASSIST)" @default.
- W2616496633 doi "https://doi.org/10.1017/cem.2017.212" @default.
- W2616496633 hasPublicationYear "2017" @default.
- W2616496633 type Work @default.
- W2616496633 sameAs 2616496633 @default.
- W2616496633 citedByCount "0" @default.
- W2616496633 crossrefType "journal-article" @default.
- W2616496633 hasAuthorship W2616496633A5022181212 @default.
- W2616496633 hasAuthorship W2616496633A5036202967 @default.
- W2616496633 hasAuthorship W2616496633A5040531605 @default.
- W2616496633 hasAuthorship W2616496633A5044684683 @default.
- W2616496633 hasAuthorship W2616496633A5045937908 @default.
- W2616496633 hasAuthorship W2616496633A5085081638 @default.
- W2616496633 hasBestOaLocation W26164966331 @default.
- W2616496633 hasConcept C142724271 @default.
- W2616496633 hasConcept C159110408 @default.
- W2616496633 hasConcept C194828623 @default.
- W2616496633 hasConcept C202695956 @default.
- W2616496633 hasConcept C204787440 @default.
- W2616496633 hasConcept C2779272995 @default.
- W2616496633 hasConcept C2780385302 @default.
- W2616496633 hasConcept C2780724011 @default.
- W2616496633 hasConcept C3017944768 @default.
- W2616496633 hasConcept C509550671 @default.
- W2616496633 hasConcept C526869908 @default.
- W2616496633 hasConcept C545288138 @default.
- W2616496633 hasConcept C545542383 @default.
- W2616496633 hasConcept C71924100 @default.
- W2616496633 hasConceptScore W2616496633C142724271 @default.
- W2616496633 hasConceptScore W2616496633C159110408 @default.
- W2616496633 hasConceptScore W2616496633C194828623 @default.
- W2616496633 hasConceptScore W2616496633C202695956 @default.
- W2616496633 hasConceptScore W2616496633C204787440 @default.
- W2616496633 hasConceptScore W2616496633C2779272995 @default.
- W2616496633 hasConceptScore W2616496633C2780385302 @default.
- W2616496633 hasConceptScore W2616496633C2780724011 @default.
- W2616496633 hasConceptScore W2616496633C3017944768 @default.
- W2616496633 hasConceptScore W2616496633C509550671 @default.
- W2616496633 hasConceptScore W2616496633C526869908 @default.
- W2616496633 hasConceptScore W2616496633C545288138 @default.
- W2616496633 hasConceptScore W2616496633C545542383 @default.
- W2616496633 hasConceptScore W2616496633C71924100 @default.
- W2616496633 hasLocation W26164966331 @default.
- W2616496633 hasOpenAccess W2616496633 @default.
- W2616496633 hasPrimaryLocation W26164966331 @default.
- W2616496633 hasRelatedWork W1769879536 @default.
- W2616496633 hasRelatedWork W1928299561 @default.
- W2616496633 hasRelatedWork W1982976983 @default.
- W2616496633 hasRelatedWork W2012005329 @default.
- W2616496633 hasRelatedWork W2015344924 @default.
- W2616496633 hasRelatedWork W2061825092 @default.
- W2616496633 hasRelatedWork W2069689480 @default.
- W2616496633 hasRelatedWork W2092246347 @default.
- W2616496633 hasRelatedWork W2150363786 @default.
- W2616496633 hasRelatedWork W2520788596 @default.
- W2616496633 hasRelatedWork W2594919319 @default.
- W2616496633 hasRelatedWork W2799321486 @default.
- W2616496633 hasRelatedWork W2887922570 @default.
- W2616496633 hasRelatedWork W2944189750 @default.
- W2616496633 hasRelatedWork W2969966941 @default.
- W2616496633 hasRelatedWork W2984395432 @default.
- W2616496633 hasRelatedWork W3024973171 @default.
- W2616496633 hasRelatedWork W3174668963 @default.
- W2616496633 hasRelatedWork W384085550 @default.
- W2616496633 hasRelatedWork W2043964695 @default.
- W2616496633 isParatext "false" @default.
- W2616496633 isRetracted "false" @default.
- W2616496633 magId "2616496633" @default.
- W2616496633 workType "article" @default.