| In the years since 9/11, those in disaster planning, | | | | concentration on terrorism and disaster |
| preparation, education, response and recovery | | | | preparedness. |
| have concentrated all their effort on convincing | | | | There are a number of advantages to this |
| private healthcare corporations and non-healthcare | | | | expanded "All Hazards" approach to safety, |
| corporations alike to adopt an all hazards approach | | | | planning and preparedness. The greatest of these |
| to adversity and disaster. | | | | is the integration of patient safety initiatives and |
| Perhaps because 9/11 and anthrax were the | | | | disaster preparedness training allowing healthcare |
| impetus for the funding of this push, corporate | | | | professionals to practice disaster preparation skills |
| America has associated this large expense with | | | | as part of their daily routine. This has applications |
| what they believe to be an unlikely threat, | | | | in team building, triage, safety reviews, command |
| terrorism. The 2004 - 2005 hurricane seasons | | | | structures, patient throughput and literally every |
| gave the southeastern regions of the United | | | | aspect of hospital operations. |
| States a clear focus for disaster preparedness in | | | | The implications go far beyond the immediate |
| the forms of hurricanes Charlie, Francis, Ivan, | | | | process improvements that come from an "All |
| Jeanne, Katrina, Rita and Wilma. Unfortunately with | | | | Hazards" training program. The mind set that is |
| this focus came a tendency to prepare for | | | | instilled in those trained in an "All Hazards" |
| hurricanes, certainly not an all hazards approach. | | | | approach to daily operations lends to innovations in |
| The simple fact missed by all but a very few in | | | | operational processes and streamlining of |
| the disaster community and even fewer in the | | | | previously entrenched systems. |
| disaster planning, preparation, education, response | | | | "All Hazards" training also creates the "common |
| and recovery industry is that the word "disaster" | | | | safety investment" that the To Err is Human |
| does not belong in the title. We are not a | | | | states is missing from healthcare, but common to |
| "disaster" community, nor are we in the "disaster" | | | | such industries as air travel and railroads (pilots |
| planning, preparation, education and recovery | | | | and engineers share the same "safety |
| industry; rather we are the "All Hazards" planning, | | | | investment" as passengers). Those who have |
| preparation, education and recovery community. | | | | received "All Hazards" training come to understand |
| Before you assume this is simply a matter of | | | | and internalize that reality that any risk that exists |
| semantics, think about what we seek to | | | | for a patient exists for the healthcare professional |
| accomplish. Our "All Hazards" community does not | | | | as well. |
| just seek to prepare for the possible of a | | | | Finally, recognizing patient safety issues and all the |
| terrorist attack or a natural disaster, we seek to | | | | other safety issues in healthcare as hazards under |
| fundamentally change attitudes and behaviors so | | | | an "All Hazards" approach will result in better |
| that when adversity strikes or disaster looms | | | | success in achieving both sets of goals. Patient |
| large on the horizon, our citizens, our communities | | | | safety initiatives celebrate their seventh |
| and our infrastructure are prepared. Our true goal | | | | anniversary this year, but even the CEO of the |
| is to never again see a line at Home Depot or the | | | | Joint Commission for the Accreditation of |
| grocery store the day before or the day after a | | | | Healthcare Organizations (JCAHO) admits that |
| disaster. | | | | medication error and wrong site surgery have |
| This is not a new concept. The practice of | | | | grown exponentially in that time. Despite a |
| vulnerability analysis and risk assessment is well | | | | virtually limitless budget and the best efforts of |
| established in many safety sensitive industries and | | | | the best minds in patient safety, healthcare has |
| in the military. The Institutes of Medicine first | | | | not gotten better, it has gotten more dangerous. |
| applied this practice to the healthcare industry in | | | | At the same time, the past five years has seen |
| the 1999 To Err Is Human report. Far from a | | | | hospital and healthcare disaster preparedness |
| treatise on disaster preparation, To Err is Human | | | | change only marginally. The 2006 Institute of |
| was the warning siren that brought the issues of | | | | Medicine reports severely criticizes healthcare for |
| patient safety and medication errors to the public | | | | failing to invest in "All Hazards" preparedness |
| forum. | | | | despite the fact that it has been proven effective |
| Although voluminous, the main thrust of To Err is | | | | not only in increasing security, but increasing surge |
| Human was to review the lack of reporting | | | | capacity, safety and efficiency. For "All Hazards" |
| systems and fail safes in the healthcare system | | | | preparedness, the problem is not having the |
| as a whole and to correlate the current state of | | | | budget to apply a proven and effective solution. |
| safety in healthcare to that of other industries. To | | | | Dealing with patient risks, medication errors and |
| Err is Human goes to great lengths to detail | | | | surgical mishaps as another category of hazards |
| "public-private" safety efforts, but overall the | | | | under an all encompassing "All Hazards" approach |
| report proposes the groundwork and a | | | | promises to solve the problems for both |
| justification for governmental intervention and | | | | programs. Patient safety will benefit from the |
| federal regulation of healthcare safety and by | | | | proven efficacy of an "All Hazards" approach |
| implication, healthcare quality/certification. | | | | designed specifically to mitigate multifactorial risk |
| If this sounds a lot like the trio of 2006 Institute | | | | while "All Hazards" training programs will finally |
| of Medicine reports on the state of Emergency | | | | have the budget priority and funding needed to |
| Medicine and disaster preparedness, it is very | | | | ensure system wide implementation. |
| similar. The 2006 reports when combined with the | | | | The only question remaining is whether those who |
| 1999 To Err is Human report demonstrate the | | | | have made their careers in patient safety as it |
| similarity between community wide disasters and | | | | has been practiced for the past seven years are |
| patient centered disasters. A true "All Hazards" | | | | prepared to adopt a broader view of the world |
| approach to preparedness thus should include | | | | and whether the "All Hazards" community is ready |
| patient safety, medication safety, fire safety and | | | | to be truly "All Hazards" in their approach. |
| personal safety in addition to the current | | | | |