Local Health Department Planning for a Radiological Emergency: An Application of the AHP Tool to Emergency Preparedness Prioritization.

Objective. We tested the Analytical Hierarchy Process tool for its use in public health to identify potential gaps in emergency preparedness by local health departments (LHDs) in California and Hawaii during a radiological emergency. Methods. We developed a dedicated tool called All-Hazards Prepared...

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Publicado en:Public Health Reports Vol. 129; pp. 136 - 145
Autores principales: DALNOKI-VERESS, F., MCKALLAGAT, CHRIS, KLEBESADAL, AMY
Formato: Artículo
Publicado: Sage Publications Inc. 2014 Supplement
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Local Health Department Planning for a Radiological Emergency: An Application of the AHP Tool to Emergency Preparedness Prioritization.
      aug:
        au:
          DALNOKI-VERESS, F.
          MCKALLAGAT, CHRIS
          KLEBESADAL, AMY
        affil: Monterey Institute of International Studies, James Martin Center for Nonproliferation Studies, Monterey, CA
      su:
        California
        Hawaii
        Emergency management
        Decision making
        Delegation of authority
        Internet
        Local government
        Resource allocation
        Access to information
        Institutional cooperation
        Cross-sectional method
        Problem solving methodology
        Executives
        Factor analysis
        Case studies
        Medical protocols
        Public health administration
        Questionnaires
        Radiation
        Research funding
        Environmental exposure
      sug:
        subj:
          Emergency management
          Decision making
          Delegation of authority
          Internet
          Local government
          Resource allocation
          Access to information
          Institutional cooperation
          Cross-sectional method
          California
          Hawaii
          Emergency and Other Relief Services
          Other federal protective services
          Other Justice, Public Order, and Safety Activities
          Other municipal protective services
          Other provincial protective services
          Wired Telecommunications Carriers
          Internet Publishing and Broadcasting and Web Search Portals
          Administration of Public Health Programs
          Problem solving methodology
          Executives
          Factor analysis
          Case studies
          Medical protocols
          Public health administration
          Questionnaires
          Radiation
          Research funding
          Environmental exposure
      ab: Objective. We tested the Analytical Hierarchy Process tool for its use in public health to identify potential gaps in emergency preparedness by local health departments (LHDs) in California and Hawaii during a radiological emergency. Methods. We developed a dedicated tool called All-Hazards Preparedness Squared (AHP) that can be used by those who are responsible for all-hazards preparedness planning and response to guide them while making strategic decisions both in preparing for and responding to a slow-moving incident while it is unfolding. The tool is an Internet-based survey that can be distributed among teams responsible for emergency preparedness and response. Twenty-eight participants from 16 LHDs in California and Hawaii responsible for coordinating preparedness and response in a radiological emergency participated in using the tool in 2013. We used the data to compare the perceived importance of different elements of preparedness among participants and identify gaps in preparedness of their organizations for meeting the challenges presented by a radiological incident. Results. Clarity of information and transfer of information (to and from agency to public, state, and federal partners) were public health officials’ dominant concerns while responding to an emergency. Participants also found that there were gaps in the adequacy of training and awareness of the chain of command during a radiological emergency. Conclusion. This preliminary study indicates that the AHP tool could be used for decision making in all-hazards preparedness planning and response.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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