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Adaptations to practice and resilience in a paediatric major trauma centre during a mass casualty incident
Karolinska Institutet, Stockholm, Sweden.
School of Engineering, Cardiff University, Cardiff, UK.
Karolinska Institutet, Stockholm, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (HAL)ORCID iD: 0000-0002-4771-8349
2022 (English)In: British Journal of Anaesthesia, ISSN 0007-0912, E-ISSN 1471-6771, Vol. 128, no 2, p. e120-e126Article in journal (Refereed) Published
Abstract [en]

Background

Innovation and human adaptation in the face of unfolding catastrophe is the cornerstone of an effective systemwide response. Capturing, analysing, and disseminating this is fundamental in developing resilience for future events. The aim of this study was to understand the characteristics of adaptations to practice early in a paediatric major trauma centre during a mass casualty incident.

Methods

A qualitative interview study of 40 healthcare staff at a paediatric major trauma centre in the immediate aftermath of a terrorist bombing was conducted. An inductive thematic analysis approach was used, followed by a deductive analysis of the identified adaptations informed by constructs of resilience engineering.

Results

Five themes of adaptations to practice that enhanced the resilient performance of the hospital were identified: teamworking; psychologically supporting patients, families, and staff; reconfiguring infrastructure; working around the hospital electronic systems; and maintaining hospital safety. Examples of resilience potential in terms of respond, monitor, anticipate, and learn are presented.

Conclusions

Our study shows how adaptations to practice sustained the resilient performance of a paediatric major trauma centre during a mass casualty incident. Rapid, early capture of these data during a mass casualty incident provides key insights into enhancing future emergency preparedness, response, and resilience planning.

Place, publisher, year, edition, pages
2022. Vol. 128, no 2, p. e120-e126
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:mdh:diva-56005DOI: 10.1016/j.bja.2021.07.024ISI: 000752497000022Scopus ID: 2-s2.0-85115645929OAI: oai:DiVA.org:mdh-56005DiVA, id: diva2:1597779
Available from: 2021-09-27 Created: 2021-09-27 Last updated: 2022-10-26Bibliographically approved

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von Thiele Schwarz, Ulrica

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CiteExportLink to record
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Citation style
  • apa
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  • modern-language-association-8th-edition
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  • Other style
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  • en-US
  • fi-FI
  • nn-NO
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Output format
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  • asciidoc
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