{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T04:50:12Z","timestamp":1758862212118},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"unspecified","delay-in-days":2857,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2004,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X00001850_sec01\"><jats:title><jats:bold>Objectives:<\/jats:bold><\/jats:title><jats:p>In the United States (US), hospitals are required to have disaster plans and stage drills to test these plans in order to satisfy the Joint Accreditation Commission of Healthcare Organizations. The focus of this drill was to test if emergency response personnel, both prehospital and hospital, would identify a patient with a potentially communicable infectious disease, and activate their respective disaster plan.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00001850_sec02\" sec-type=\"methods\"><jats:title><jats:bold>Methods:<\/jats:bold><\/jats:title><jats:p>Twelve urban\/suburban emergency departments (ED) received patients via car and ambulance. Patients were moulaged to imitate a smallpox infection. Observers with checklists recorded what happened. The drill's endpoints were: (1) predetermined end time; (2) identification of the patient and hospital \u201clock-down\u201d; and (3) breach of drill protocol.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00001850_sec03\" sec-type=\"results\"><jats:title><jats:bold>Results:<\/jats:bold><\/jats:title><jats:p>None of the ambulance personnel correctly identified their patients. Of the total 13 mock patients assessed in the ED, seven (54%) were identified by the ED staff as possibly being infected with a highly contagious agent and, in turn, the hospital's bio-agent protocol was initiated. Of the correctly identified patients, five (71%) were placed in isolation, and the remaining two (29%), although not isolated, were identified prior to their ED discharge and the appropriate protocol was activated. The six remaining mock patients (46%) were incorrectly diagnosed and discharged. Of the hospitals that had correctly identified their \u201cinfected\u201d patients, only two (29%) followed their notification protocol and contacted the local health department.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00001850_sec04\" sec-type=\"conclusion\"><jats:title><jats:bold>Conclusion:<\/jats:bold><\/jats:title><jats:p>This drill was successful in identifying this area's shortcomings, highlighted positive reactions, and raised some interesting questions about the ability to detect a patient with a possibly highly contagious disease.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x00001850","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T07:46:40Z","timestamp":1472024800000},"page":"256-265","source":"Crossref","is-referenced-by-count":22,"title":["Testing Emergency Medical Personnel Response to Patients with Suspected Infectious Disease"],"prefix":"10.1017","volume":"19","author":[{"given":"Kelly R.","family":"Klein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny G.","family":"Atas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerry","family":"Collins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"S1049023X00001850_ref007","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1177\/028072709401200201","article-title":"Community emergency planning: False assumptions and inappropriate analogies","volume":"12","author":"Dynes","year":"1994","journal-title":"International Journal of Mass Emergencies and Disasters"},{"key":"S1049023X00001850_ref005","volume-title":"Delivery of Emergency Medical Care in Disasters: Assumptions and Realities","author":"Quarantelli","year":"1983"},{"key":"S1049023X00001850_ref002","volume-title":"Disaster Response: Principles of Preparation and Coordination","author":"Auf der Heide","year":"1989"},{"key":"S1049023X00001850_ref012","doi-asserted-by":"publisher","DOI":"10.1136\/oem.60.9.699"},{"key":"S1049023X00001850_ref004","first-page":"453","volume-title":"Emergency Medicine Clinics of North America","author":"Auf der Heide","year":"1996"},{"key":"S1049023X00001850_ref006","volume-title":"A Perspective on Disaster Planning. 3rd ed. Report series 11, Disaster Research Center","author":"Dynes","year":"1981"},{"key":"S1049023X00001850_ref010","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.pubmed.a024633"},{"key":"S1049023X00001850_ref001","first-page":"57","volume-title":"Principles of hospital disaster planning","author":"Auf der Heide","year":"2002"},{"key":"S1049023X00001850_ref003","first-page":"7","article-title":"Designing a disaster plan: Important questions","volume":"3","author":"Auf der Heide","year":"1984","journal-title":"Plant Technology and Safety Management"},{"key":"S1049023X00001850_ref008","volume-title":"Elements of Community Resilience in the World Trade Center attack","author":"Kendra","year":"2003"},{"key":"S1049023X00001850_ref011","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1177\/14034948010290010101","article-title":"Bjerters E: Doctors who do not take sick leave: Hazardous heroes","volume":"29","author":"Rosvold","year":"2001","journal-title":"Scan J Pub Health"},{"key":"S1049023X00001850_ref009","doi-asserted-by":"crossref","DOI":"10.7249\/IP221","volume-title":"Are Local Health Responders Ready for Biological and Chemical Terrorism? Issue Paper","author":"Davis","year":"2002"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X00001850","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T20:38:05Z","timestamp":1692477485000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X00001850\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,9]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2004,9]]}},"alternative-id":["S1049023X00001850"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x00001850","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,9]]}}}