Background
Methods
Questionnaire Design/Data Collection Method
-
Small <100 beds (8 hospitals responded)
-
Medium 100–199 beds (18 hospitals responded)
-
Large >199 beds (20 hospitals responded)
Ethics
Results
1. Pandemic emergency preparedness:
Pandemic emergency preparedness | Small hospitals compliance | Medium hospitals compliance | Large hospitals | Total percentage compliance | Total number of hospitals |
---|---|---|---|---|---|
Existence of emergency planning committee | 50 % (n = 4) | 94 % (n = 17) | 90 % (n = 18) | 85 % (n = 39) | 39 |
Hospitals with an emergency planning committee, percentage of committees which included in their scope planning for an influenza pandemic | 79 % | 36 | |||
Percentage of emergency planning committees which include planning for influenza pandemic | 62 % (n = 5) | 72 % (n = 13) | 65 % (n = 13) | 67 % | 31 |
Percentage of hospitals which participated in an emergency plan or infectious disease exercise in the past 12 months | 25 % (n = 2) | 40 % (n = 7) | 35 % (n = 16) | 35 % | 16 |
Percentage of hospitals which involve community participation when conducting an emergency plan | 15 % | 5 | |||
Percentage of hospitals who compiled lessons learnt from emergency exercises carried out | 40 % | 15 | |||
Percentage of hospitals who educated staff on revisions made to emergency response plans | 36 % | 16 | |||
Percentage of emergency plans which include a surge capacity plan to incorporate additional staffing resources | 12.5 % (n = 1) | 29 % (n = 5) | 37 % (n = 7) | 30 % | 13 |
Percentage of hospitals who have plans or been involved in local planning efforts to care for patients at non-health care facilities | 30 % | 14 | |||
Percentage of hospitals who have incentives to encourage HCW’s to continue to come to work in the event of a major infectious disease outbreak/disaster | 25 % (n = 2) | 22 % (n = 4) | 20 % (n = 4) | 22 % | 10 |
Airborne isolation | |||||
Percentage of hospitals who have enough airborne isolation capabilities and capacity to meet current needs | 62 % (n = 5) | 50 % (n = 9) | 50 % (n = 10) | 52 % | 24 |
Percentage of hospitals who have an interim emergency plan for addressing airborne isolation capacity for an outbreak of prolonged airborne-spread disease to safely house patients on an emergency temporary basis | 12 % (n = 1) | 72 % (n = 13) | 55 % (n = 11) | 54 % | 25 |
Percentage of hospitals who have sufficient plans to safely house patients during a major airborne-spread disease outbreak | 12 % (n = 1) | 41 % (n = 7) | 45 % (n = 9) | 38 % | 17 |
Staffing | |||||
Percentage of hospitals who have cross trained staff to treat an influx of influenza patients | 12 % (n = 1) | 28 % (n = 5) | 15 % (n = 3) | 26 % | 12 |
Percentage of hospitals who have cross-trained staff to provide patient care outside their routine area or speciality | 12 % (n = 1) | 28 % (n = 5) | 15 % (n = 3) | 20 % | 9 |
Percentage of hospitals who have developed policies or procedures to provide altered standards of care during a pandemic | 35 % | 16 | |||
Percentage of hospitals who have plans for instituting a ‘working quarantine’ for staff | 20 % | 9 | |||
Vaccine administration | |||||
Percentages of hospitals who have a plan to prioritise hospital workers to receive vaccines in the event of an infectious emergency | 65 % | 30 | |||
Stockpile of supplies | |||||
Percentage of hospital who have taken measures to stockpile linen, gowns, masks and other supplies | 12 % (n = 1) | 72 % (n = 13) | 47 % (n = 9) | 51 % | 23 |
Existence of emergency planning committee | 50 % (n = 4) | 94 % (n = 17) | 90 % (n = 18) | 85 % (n = 39) | 39 |
Hospitals with an emergency planning committee, percentage of committees which included in their scope planning for an influenza pandemic | 79 % | 36 | |||
Percentage of emergency planning committees which include planning for influenza pandemic | 62 % (n = 5) | 72 % (n = 13) | 65 % (n = 13) | 67 % | 31 |
Percentage of hospitals which participated in an emergency plan or infectious disease exercise in the past 12 months | 25 % (n = 2) | 40 % (n = 7) | 35 % (n = 16) | 35 % | 16 |
Percentage of hospitals which involve community participation when conducting an emergency plan | 15 % | 5 | |||
Percentage of hospitals who compiled lessons learnt from emergency exercises carried out | 40 % | 15 | |||
Percentage of hospitals who educated staff on revisions made to emergency response plans | 36 % | 16 | |||
Percentage of emergency plans which include a surge capacity plan to incorporate additional staffing resources | 12.5 % (n = 1) | 29 % (n = 5) | 37 % (n = 7) | 30 % | 13 |
Percentage of hospitals who have plans or been involved in local planning efforts to care for patients at non-health care facilities | 30 % | 14 | |||
Percentage of hospitals who have incentives to encourage HCW’s to continue to come to work in the event of a major infectious disease outbreak/disaster | 25 % (n = 2) | 22 % (n = 4) | 20 % (n = 4) | 22 % | 10 |
Airborne isolation | |||||
Percentage of hospitals who have enough airborne isolation capabilities and capacity to meet current needs | 62 % (n = 5) | 50 % (n = 9) | 50 % (n = 10) | 52 % | 24 |
Percentage of hospitals who have an interim emergency plan for addressing airborne isolation capacity for an outbreak of prolonged airborne-spread disease to safely house patients on an emergency temporary basis | 12 % (n = 1) | 72 % (n = 13) | 55 % (n = 11) | 54 % | 25 |
Percentage of hospitals who have sufficient plans to safely house patients during a major airborne-spread disease outbreak | 12 % (n = 1) | 41 % (n = 7) | 45 % (n = 9) | 38 % | 17 |
Staffing | |||||
Percentage of hospitals who have cross trained staff to treat an influx of influenza patients | 12 % (n = 1) | 28 % (n = 5) | 15 % (n = 3) | 26 % | 12 |
Percentage of hospitals who have cross-trained staff to provide patient care outside their routine area or speciality | 12 % (n = 1) | 28 % (n = 5) | 15 % (n = 3) | 20 % | 9 |
Percentage of hospitals who have developed policies or procedures to provide altered standards of care during a pandemic | 35 % | 16 | |||
Percentage of hospitals who have plans for instituting a ‘working quarantine’ for staff | 20 % | 9 | |||
Vaccine administration | |||||
Percentages of hospitals who have a plan to prioritise hospital workers to receive vaccines in the event of an infectious emergency | 65 % | 30 | |||
Stockpile of supplies | |||||
Percentage of hospital who have taken measures to stockpile linen, gowns, masks and other supplies | 12 % (n = 1) | 72 % (n = 13) | 47 % (n = 9) | 51 % | 23 |
Does the hospital have an emergency planning committee? | Total | ||||
---|---|---|---|---|---|
Yes | No | Don't know | |||
Hospital size | <100 | 4 (50.0 %) | 3 (37.5 %) | 1 (12.5 %) | 8 (100.0 %) |
100-199 | 17 (94.4 %) | 1 (5.6 %) | 0 (0.0 %) | 18 (100.0 %) | |
>199 | 18 (90.0 %) | 1 (5.0 %) | 1 (5.0 %) | 20 (100.0 %) | |
Total | 39 (84.8 %) | 5 (10.9 %) | 2 (4.3 %) | 46 (100.0 %) |
Does emergency planning committees include planning for influenza pandemic? | Total | ||||
---|---|---|---|---|---|
Yes | No | Don't know | |||
Hospital size | <100 | 5 (62.5 %) | 2 (25.0 %) | 1 (12.5 %) | 8 (100.0 %) |
100-199 | 13 (72.2 %) | 4 (22.2 %) | 1 (5.6 %) | 18 (100.0 %) | |
>199 | 13 (65.0 %) | 5 (25.0 %) | 2 (10.0 %) | 20 (100.0 %) | |
Total | 31 (67.4 %) | 11 (23.9 %) | 4 (8.7 %) | 46 (100.0 %) |
Response | Participated in an emergency plan or infectious disease exercise in the past 12 months | Community participation | Compiled lessons learned | Educated/trained on revisions | Emergency plan include a surge capacity plan |
---|---|---|---|---|---|
Yes | 16 (34.8 %) | 6 (17.6 %) | 16 (41.0 %) | 16 (35.6 %) | 13 (29.5 %) |
No | 26 (56.5 %) | 10 (29.4 %) | 15 (38.5 %) | 21 (46.7 %) | 18 (40.9 %) |
Don't know | 4 (8.7 %) | 18 (52.9 %) | 8 (20.5 %) | 8 (17.8 %) | 13 (29.5 %) |
Total | 46 (100.0 %) | 34 (100.0 %) | 39 (100.0 %) | 45 (100.0 %) | 44 (100.0 %) |
p-value | <0.001 | 0.037 | 0.232 | 0.057 | 0.567 |
Response | Established plans or been involved in local planning efforts to care for a patients at non-health care facilities | Incentives to encourage HCWs to continue to come to work in the event of a major infectious disease outbreak/disaster |
---|---|---|
Yes | 14 (30.4 %) | 10 (21.7 %) |
No | 26 (56.5 %) | 30 (65.2 %) |
Don't know | 6 (13.0 %) | 6 (13.0 %) |
Total | 46 (100.0 %) | 46 (100.0 %) |
p-value | 0.001 | <0.001 |
2. Airborne isolation capabilities
Enough airborne isolation capabilities and capacity | Interim emergency plan for addressing airborne isolation capacity | |
---|---|---|
Yes | 24 (52.2 %) | 25 (54.3 %) |
No | 22 (47.8 %) | 14 (30.4 %) |
Don't know | 0 (0.0 %) | 7 (15.2 %) |
Total | 46 (100.0 %) | 46 (100.0 %) |
p-value | 0.883 | 0.005 |
Interim emergency plan for addressing airborne isolation capacity | Total | ||||
---|---|---|---|---|---|
Yes | No | Don't know | |||
Hospital size | <100 | 1 (12.5 %) | 5 (62.5 %) | 2 (25.0 %) | 8 (100.0 %) |
100-199 | 13 (72.2 %) | 4 (22.2 %) | 1 (5.6 %) | 18 (100.0 %) | |
>199 | 11 (55.0 %) | 5 (25.0 %) | 4 (20.0 %) | 20 (100.0 %) | |
Total | 25 (54.3 %) | 14 (30.4 %) | 7 (15.2 %) | 46 (100.0 %) |
Sufficient plans to safely house patients during a major airborne-spread disease outbreak | Frequency | Percent |
---|---|---|
Yes | 17 | 37.8 |
No | 20 | 44.4 |
Don't know | 8 | 17.8 |
Total | 45 | 100.0 |
3. Staffing
Response | Cross-training to treat an influx of influenza patients | Cross-trained staff to provide patient care outside their routine area | Plans for having designated staff limited to treat either influenza or non-influenza patients | Developed policies/procedures | Plans for instituting "working quarantine" for staff |
---|---|---|---|---|---|
Yes | 12 (26.1 %) | 9 (19.6 %) | 23 (50.0 %) | 16 (34.8 %) | 10 (21.7 %) |
No | 30 (65.2 %) | 31 (67.4 %) | 16 (34.8 %) | 24 (52.2 %) | 27 (57.7 %) |
Don't know | 4 (8.7 %) | 6 (13.0 %) | 7 (15.2 %) | 6 (13.0 %) | 9 (19.6 %) |
Total | 46 (100.0 %) | 46 (100.0 %) | 46 (100.0 %) | 46 (100.0 %) | 46 (100.0 %) |
p-value | <0.001 | <0.001 | 0.015 | 0.005 | 0.001 |
4. Vaccine administration
Response | Prioritise hospital workers to receive vaccines in the event of an infectious emergency | Included HCWs family members to be part of the hospitals prioritisation plan |
---|---|---|
Yes | 30 (65.2 %) | 2 (5.7 %) |
No | 7 (15.2 %) | 27 (77.1 %) |
Don't know | 9 (19.6 %) | 6 (17.1 %) |
Total | 46 (100.0 %) | 35 (100.0 %) |
p-value | <0.001 | <0.001 |
Measures to stockpile | Total | ||||
---|---|---|---|---|---|
Yes | No | Don't know | |||
Hospital size | <100 | 1 (12.5 %) | 5 (62.5 %) | 2 (25.0 %) | 8 (100.0 %) |
100-199 | 13 (72.2 %) | 5 (27.8 %) | 0 (0.0 %) | 18 (100.0 %) | |
>199 | 9 (47.4 %) | 9 (47.4 %) | 1 (5.3 %) | 19 (100.0 %) | |
Total | 23 (51.1 %) | 19 (42.2 %) | 3 (6.7 %) | 45 (100.0 %) |