TY - JOUR PY - 2017// TI - Developing the fourth evaluation dimension: a protocol for evaluation of video from the patient's perspective during major incident exercises JO - Disaster medicine and public health preparedness A1 - Haverkort, J. J. Mark A1 - Leenen, Luke P. H. SP - 594 EP - 599 VL - 11 IS - 5 N2 - OBJECTIVE: Presently used evaluation techniques rely on 3 traditional dimensions: reports from observers, registration system data, and observational cameras. Some of these techniques are observer-dependent and are not reproducible for a second review. This proof-of-concept study aimed to test the feasibility of extending evaluation to a fourth dimension, the patient's perspective.

METHODS: Footage was obtained during a large, full-scale hospital trauma drill. Two mock victims were equipped with point-of-view cameras filming from the patient's head. Based on the Major Incident Hospital's first experience during the drill, a protocol was developed for a prospective, standardized method to evaluate a hospital's major incident response from the patient's perspective. The protocol was then tested in a second drill for its feasibility.

RESULTS: New insights were gained after review of the footage. The traditional observer missed some of the evaluation points, which were seen on the point-of-view cameras. The information gained from the patient's perspective proved to be implementable into the designed protocol.

CONCLUSION: Use of point-of-view camera recordings from a mock patient's perspective is a valuable addition to traditional evaluation of trauma drills and trauma care. Protocols should be designed to optimize and objectify judgement of such footage. (Disaster Med Public Health Preparedness. 2017;11:594-599).

Language: en

LA - en SN - 1935-7893 UR - http://dx.doi.org/10.1017/dmp.2016.179 ID - ref1 ER -