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Evaluation of Hospital Disaster Drills: A Module-Based Approach

Public Health Emergency Preparedness

This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.

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Figure 1: Sample Page from an Evaluation Module

Question Response

C11. Did someone take charge of this zone?

Y / N / U
C12. If someone took charge of this zone, how many minutes after the drill activities in this zone began did this person take charge? (Check one) O < 10 min
O 10-29 min
O 30-59 min
O 1-2 hrs
O > 2 hrs
O NA

C13. If someone took charge of this zone, was it the officially designated person?

Y / N / U / NA

C14. How was the person in charge of the zone identified? (Check all that apply)

a. [  ] Arm band
b. [  ] Hat
c. [  ] Name tag
d. [  ] Verbal statement
e. [  ] Vest
f.  [  ] Not identified
g. [  ] Other physical identification (specify): ______________________________________

C15. Were the following drill participants identifiable?

a. Drill evaluators Y / N / U / NA
b. Drill organizers Y / N / U / NA
c. Media Y / N / U / NA
d. Medical personnel Y / N / U / NA
e. Mock victims Y / N / U / NA
f. Observers Y / N / U / NA
g. Security Y / N / U / NA

Question Response

IC1. Who first took charge of this zone? (name and title)


______________________________________

______________________________________
IC2. How many minutes after the drill activities in this zone began did the officially designated incident commander arrive? (Check one) O < 10 min
O 10-29 min
O 30-59 min
O 1-2 hrs
O > 2 hrs
O Never arrived

IC3. Were other members of the incident command center easily identifiable?

Y / N / U

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