Because natural and manmade disasters can occur at any time, individuals, communities, and governments must be prepared. RAND has developed guidelines for individual preparedness in response to terrorist attacks; evaluated, modeled, and enhanced preparedness policy options for government officials at all levels; and recommended actions that communities should take to prepare for bioterrorist attacks, pandemic flu outbreaks, and other large-scale emergencies.
The fact that many ED (emergency department) visits could be managed in primary care settings does not mean that such care is available, write Arthur L. Kellermann and Robin M. Weinick.
Examines (1) the status of communities' capability to deliver medical countermeasures within 48 hours of a federal decision to deploy assets and (2) whether the Cities Readiness Initiative has improved communities' capability to meet that goal.
This editorial examines the performance of urban search and rescue teams that responded to major earthquake disasters in Iran, Pakistan, Indonesia, Haiti, New Zealand, and Japan over the last decade.
The study reports on the evidence and potential for use of 'emergency readmissions within 28 days of discharge from hospital' as an indicator within the NHS Outcomes Framework, drawing on a rapid review of systematic reviews.
Treatment of stroke patients is highly time-sensitive. The risk of death or disability caused by intracranial hemorrhage may increase with both stroke size and time.
Attempts by states to save money by seeking to lock Medicaid enrollees out of the emergency department are likely to backfire.
Community resilience (CR) is emerging as a major public policy priority within disaster management and is one of two key pillars of the Dec. 2009 US National Health Security Strategy.
Describes the importance of a Continuity of Operations Plan (COOP), and identifies common strengths and potential vulnerabilities of laboratory-specific COOPs.
Emergency medicine is poised as a specialty to respond to health care changes and to lead the charge in transforming a disconnected, inefficient, and costly system.
Describes commercially available products and services designed to convey personal health information in emergencies.
RAND Health Director Art Kellermann was the guest speaker at the inaugural lecture of the Cambridge Centre for Health Services Research (CCHSR), a joint effort of RAND Europe and the University of Cambridge. His talk focused on the challenges of acute care in the U.S. health system.
The Promising Practices Network has developed an emergency planning guide that presents high-priority preparedness activities and documents to help child-serving organizations customize their emergency plans.
A hospital Emergency Department's(ED's) wait times can be driven by high occupancy in its downstream InPatient hospital (IP).
RAND Health Quarterly is an online journal sharing the results of recent RAND research areas across a broad spectrum of health-related issues.
Between 1990 and 2009, the number of emergency rooms (ERs) in nonrural U.S. hospitals declined by 27 percent (from 2,446 to 1,779). Economic factors play a central role in an ER's ability to remain open.
Organizational culture differences between public health and emergency management entities may hinder inter-agency collaboration.
In a week-long series, "Life in 9/12 America," Patt Morrison is interviewing RAND experts on the topics of their chapters in The Long Shadow of 9/11: America's Response to Terrorism on 89.3 KPCC, Southern California Public Radio.
Fortunately for the nation's capitol, Hurricane Irene and the East Coast earthquake proved to be relatively minor events, as far as disasters go. But before everyone breathes a sigh of relief, it would be wise to reflect on how people responded to what were essentially dress rehearsals for much bigger events, write Lynn E. Davis and Arthur L. Kellermann.
In this August 2011 Congressional Briefing, RAND researchers will share their findings regarding improvements in the U.S. public health system in the past decade and provide recommendations to effectively address future public health threats.
RAND experts discussed the military, political, fiscal, social, cultural, psychological, and moral implications of U.S. policymaking since the 9/11 terrorist attacks.