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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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Group Debriefing Module

This module was developed by the Johns Hopkins Evidence-based Practice Center under Contract No. 290-02-0018 from the Agency for Healthcare Research and Quality, Rockville, MD. The content of this module is intended to provide guidance for hospital disaster drill evaluation and should not be construed as representing standards of care or recommendations on how to respond to specific types of disasters. No statement in this module should be construed as an official position of the Agency for Healthcare Research and Quality or of the U.S. Department of Health and Human Services.

Note: The debriefing session(s) should be recorded by audiotape or scribe. In general, each item is relevant to every zone involved in the drill. Delete items on decontamination if not relevant to drill scenario. Debriefing participants should state their zone when responding.

GD1. Did you feel you were notified of the disaster in a timely fashion?

GD2. Did the incident command center work effectively?

GD3. Did any zone receive incorrect information from the incident command center?
   GD4. If not correct, what specifics do you recall about incorrect information?

GD5. Was the information from the incident command center received by other zones in a timely way?

GD6. Were there problems with information flow within the hospital?

GD7. Were memorandums of understanding (MOUs) with outside agencies (e.g., police) activated?

GD8. Did nurses and physicians respond quickly to the disaster call?

GD9. Was the zone set up when the first mock victim arrived?

GD10. Was security in place before the first mock victim arrived?

GD11. Did people have a good understanding of their roles, as defined in the disaster plan?

GD12. Did the decontamination system work effectively?

GD13. Did you have any problems with the decontamination equipment?
   GD14. Functioning properly?
   GD15. Adequate number of units?
   GD16. Participants used correctly?

GD17. Were there delays in decontamination?
   GD18. If so, what triggered these delays?

GD19. Did the triage system work effectively?

GD20. Were there delays in triage?
   GD21. If so, what triggered these delays?

GD22. Did the treatment system work effectively?

GD23. Were there delays in treatment?
   GD24. If so, what triggered these delays?

GD25. Was personal protective equipment (PPE) used correctly?

GD26. Were you able to function in the PPE?

GD27. Were you rotated adequately when wearing the PPE?

GD28. Was security adequate?

GD29. Was staffing adequate?

GD30. Were supplies adequate?

GD31. Was the equipment adequate?
   GD32. If not, what equipment was not adequate (give specifics)?

GD33. Were there problems with transporting patients?

GD34. Were there problems with communication devices (e.g., equipment failure)?

GD35. Did the hospital appear to work well with city and/or regional disaster agencies?

GD36. Were there problems with information flow between the hospital and outside agencies?
   GD37. If yes, which agencies?

GD38. Were there bottlenecks?

GD39. Was workspace adequate?

GD40. Did you feel you could accomplish what you were assigned to do during the drill?

GD41. What did you learn from participating in the drill?

GD42. Overall, what parts of the drill went well?

GD43. What could have been done differently to make the drill run better?

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