Emergency Preparedness

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.

Research conducted by: RAND Health; RAND Justice, Infrastructure, and Environment; International Programs; RAND Gulf States Policy Institute; RAND National Security Research Division; Homeland Security and Defense Center

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Simple Steps for Preparedness and Response to Terrorist Attacks

Individuals can take simple steps to protect themselves from the harmful effects of potential terrorist attacks involving chemical, radiological, nuclear, and biological weapons.

Journal Articles (82)

Hervormingenvan Brandweer - En Reddingsdiensten in Europa: (Lighting the Touch Paper of Reform? Case Studies in Fire and Rescue Service Reform in Europe) — Apr 1, 2013

In the age of austerity, Fire and Rescue Services (FRS) provision is now the focus of policymakers' efficiency drives.

Emergency Department Visits for Nonurgent Conditions: Systematic Literature Review — Jan 1, 2013

About 37% of ED visits were for nonurgent conditions. Patients using EDs inappropriately tended to be younger, found EDs more convenient, had an ED referral by a physician, or had negative perceptions about providers who might be alternatives to ED care.

Learning About After Action Reporting from the 2009 H1N1 Pandemic: A Workshop Summary — Jan 1, 2013

The after action report/improvement plan (AAR/IP) can be useful for both accountability and quality improvement, but these objectives require different foci and methodological approaches.

Systematic Review of Strategies to Manage and Allocate Scarce Resources During Mass Casualty Events — Jan 1, 2013

We analyze published evidence on strategies to optimize the management and allocation of scarce resources across a wide range of mass casualty event contexts and study designs.

Lessons from Boston — Jan 1, 2013

This commentary explores the reasons why Boston's emergency response to the Marathon bombings was so effective and draws implications for other cities' preparedness efforts.

The Complete Guide to Physical Security — Dec 14, 2012

Creating a sound security plan involves understanding not only security requirements but also the dynamics of the marketplace, employee issues, and management goals.

Nation's Health Security Research Is Not Balanced Enough to Meet Broad Safety Goals — Dec 3, 2012

Federal support for health security research is heavily weighted toward preparing for bioterrorism and other biological threats, providing significantly less funding for challenges such as monster storms or attacks with conventional bombs.

Electronic Health Records Critical in the Aftermath of Disasters — Dec 1, 2012

A fundamental tenet of preparedness for public health emergencies is the reliance on systems that rest on a bedrock of day-to-day use.

Results of Medical Countermeasure Drills Among 72 Cities Readiness Initiative Metropolitan Statistical Areas, 2008-2009 — Dec 1, 2012

The report describes the results of the first year of pilot data for medical countermeasure drills conducted by 72 metropolitan statistical areas (MSAs).

The Public Health Disaster Trust Scale: Validation of a Brief Measure — Jul 1, 2012

Trust contributes to community resilience by the critical influence it has on the community's responses to public health recommendations before, during, and after disasters.

Citizen Preparedness for Disasters: Are Current Assumptions Valid? — Jun 1, 2012

Despite extensive messaging about the importance of citizen preparedness and countless household surveys purporting to track the preparedness activities of individuals and households, the role individual Americans are being asked to play is largely based on conventional wisdom.

Medical Relief After Earthquakes: It's Time for a New Paradigm — Mar 1, 2012

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.

Can Quality-Adjusted Life-Years and Subgroups Help Us Decide Whether to Treat Late-Arriving Stroke Patients with Tissue Plasminogen Activator? — Jan 1, 2012

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.

Emergency Departments, Medicaid Costs, and Access to Primary Care — Understanding the Link — Jan 1, 2012

Attempts by states to save money by seeking to lock Medicaid enrollees out of the emergency department are likely to backfire.

Building Community Resilience: What Can the United States Learn From Experiences in Other Countries? — Jan 1, 2012

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.

Developing and Pilot Testing a Laboratory Specific Continuity of Operations Tabletop Exercise — Jan 1, 2012

Describes the importance of a Continuity of Operations Plan (COOP), and identifies common strengths and potential vulnerabilities of laboratory-specific COOPs.

The Changing Landscape of America's Health Care System and the Value of Emergency Medicine — Jan 1, 2012

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.

Commercial Products That Convey Personal Health Information in Emergencies — Dec 1, 2011

Describes commercially available products and services designed to convey personal health information in emergencies.

A Queuing-Base Statistical Approximation of Hospital Emergency Department Boarding — Oct 1, 2011

A hospital Emergency Department's(ED's) wait times can be driven by high occupancy in its downstream InPatient hospital (IP).

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