title: Evaluation of Disaster Preparedness Based on Simulation Exercises: A Comparison of Two Models.
abstract: The objective of this study was to highlight 2 models, the Hospital Incident Command System (HICS) and the Disaster Management Indicator model (DiMI), for evaluating the in-hospital management of a disaster situation through simulation exercises.
  
  
  
  Two disaster exercises, A and B, with similar scenarios were performed. Both exercises were evaluated with regard to actions, processes, and structures. After the exercises, the results were calculated and compared.
  
  
  
  In exercise A the HICS model indicated that 32% of the required positions for the immediate phase were taken under consideration with an average performance of 70%. For exercise B, the corresponding scores were 42% and 68%, respectively. According to the DiMI model, the results for exercise A were a score of 68% for management processes and 63% for management structure (staff skills). In B the results were 77% and 86%, respectively.
  
  
  
  Both models demonstrated acceptable results in relation to previous studies. More research in this area is needed to validate which of these methods best evaluates disaster preparedness based on simulation exercises or whether the methods are complementary and should therefore be used together. (Disaster Med Public Health Preparedness. 2016;10:544-548).
authors: 1Sophiahemmet University,Stockholm,Sweden.
authors: Andres
authors: A
authors: Rüter
authors: 2Karolinska Institutet,Department of Clinical Science and Education,Södersjukhuset,Stockholm,Sweden.
authors: Lisa
authors: L
authors: Kurland
authors: 3Karolinska Institutet,Department of Physiology and Pharmacology,Section of Anaesthesiology and Intensive care,Stockholm,Sweden.
authors: Dan
authors: D
authors: Gryth
authors: 1Sophiahemmet University,Stockholm,Sweden.
authors: Jason
authors: J
authors: Murphy
authors: 2Karolinska Institutet,Department of Clinical Science and Education,Södersjukhuset,Stockholm,Sweden.
authors: Monica
authors: M
authors: Rådestad
authors: 2Karolinska Institutet,Department of Clinical Science and Education,Södersjukhuset,Stockholm,Sweden.
authors: Ahmadreza
authors: A
authors: Djalali
mesh_terms: D002959:Civil Defense / Q000592:standards* / Q000706:statistics & numerical data; D004521:Educational Measurement / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D010865:Pilot Projects; D000066908:Simulation Training / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D013548:Sweden
keywords: Disaster Management Indicator model; Hospital Incident Command System; evaluation; hospital disaster preparedness; simulation exercise