Evaluation of a Novel Method to Study Interorganizational Coordination in Medical Command and Control Centers
2015 (English)In: Abstracts of Scientific Papers - 19th World Congress on Disaster and Emergency Medicine, Cambridge University Press, 2015, Vol. 30, s4-s5 p.Conference paper (Other academic)
Study/Objective: Inter-organizational coordination is key to successful medical command and control (C2) during major incidents. However, evaluating this factor is often problematic, in particular during or after real emergencies as compared to controlled training scenarios. The purpose of this case study was to pilot test a non-intrusive data collection method for evaluating operative inter-organizational coordination during medical C2 situations.Background: This study was conducted during a planned major incident in Sweden. The major incident studied was the Göteborgsvarvet half-marathon, the largest half-marathon event in the world with more than 200 000 attending spectators and over 60 000 runners. The studied C2 center included representatives from local hospitals, Göteborgsvarvet organization, police, fire department, ambulance service, the local traffic and infrastructure management office, and emergency dispatch.
Methods: A combination of qualitative and quantitative methods was employed in this study. The qualitative methods included an ethnographic field study with on-site observations and contextual inquiry interviews. The quantitative methods included validated and experimental questionnaires distributed to the command center personnel at pre-determined intervals. These questionnaires aimed at gathering data on workload, stress, and shared and individual situational awareness.
Results: The data indicate that the qualitative methods were less intrusive than the quantitative methods. The observations and contextual inquiries could be performed without interruptions while periods of high workload resulted in lower or delayed response rates on the questionnaires. Simple questionnaires produced an 80% response rate, complex questionnaires only 40%.
Conclusion: The employed method appears useful to evaluate inter-organizational coordination and showed potential to gather meaningful data without being intrusive or disturbing the operative C2 activities. Due to the time-sensitive nature of emergency C2-work, unobtrusive qualitative methods and short, easy to fill out questionnaires are recommended for future studies. The results from this pilot will inform future operative C2 studies during similar planned major incidents.
Place, publisher, year, edition, pages
Cambridge University Press, 2015. Vol. 30, s4-s5 p.
, Prehospital and Disaster Medicine, ISSN 1049-023X ; Supplement S1
IdentifiersURN: urn:nbn:se:liu:diva-117050DOI: 10.1017/S1049023X15000278PubMedID: 25864582OAI: oai:DiVA.org:liu-117050DiVA: diva2:854359
19th World Congress on Disaster and Emergency Medicine, Cape Town, South Africa, 21-24 April 2015