|   |  電子期刊
 | ISSN:1684-193X 
  | Updated  July 15, 2002 |  
   | Contents:June 2002 Vol. 1, 
Num. 1
 |   | Comparisons 
of Efficiencies in Recognition of Hospital Emergency Incident Command System 
by Tabletop drill and Real Exercise
 |   | Kuo-Chih Chen, MD; Chien-Chih Chen, MD; Tzong-Luen Wang, MD, 
PhD |   |  |   | Abstract ---The 
objective of this study was to assess the attitudes of hospital staffs toward 
the role of tabletop drills in simulation of Hospital Emergency Incident Command 
System (HEICS). One-hundred and sixteen hospital staffs (including medical staffs, 
logistics, administrative/financial, and planning) attended the HEICS training 
at our institute. All participants had experience in field disaster exercise training 
before they attended this course. The training course included 4-hour lecture 
and 2.5-hour tabletop drills. Ninety-eight of the participants completed a questionnaire 
after the tabletop drills. The results revealed that the field operation exercise 
could not validate real disasters and not provide definite benefits in improving 
disaster training, equipment, supplies, and plans whereas tabletop drills provided 
better performance (93.2% vs. 56.2%, P<0.001). The tabletop drills were superior 
to the field operation exercises in providing better performance of key executives 
(98.9% vs. 70.8%, P<0.001), clear leadership (98.9% vs. 70.8%, P<0.001), 
and adequate inter-agency cooperation (98.9% vs. 70.8%, P<0.001). Tabletop 
exercise had also the benefits in cost-effectiveness. Furthermore, neither tabletop 
drills nor field operation exercise could replace the training of skills such 
as rescue and emergency care techniques. In conclusion, tabletop drills are recommended 
before large-scale field exercises are undergone in disaster preparedness. (Ann. 
Disaster Med 2002;1:29-35) |   | Key words---Disaster; 
HEICS; tabletop drills; field drills |  
  
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