Integrated Emergency Response Research Articles

Implementasi Layanan Hotline Dan Aplikasi Emergency Button PSC 119 Guna Meningkatkan Akses Dan Mutu Penanganan Kegawatdaruratan Di Kabupaten Tulungagung

Emergency situations are conditions that need attention wherever and whenever they occur. The government has issued regulations regarding the Integrated Emergency Response System (SPGDT), but its implementation is not yet uniform. During emergencies, both medical and non-medical services needed by patients must be provided promptly. The Public Safety Center is a service for emergency cases conducted swiftly, accurately, and carefully for the community. Several regions that have implemented this service continue to develop the services provided to have a greater impact, one of which is the Public Safety Center of Tulungagung Regency, which currently implements the hotline service and the Emergency Button Public Safety Center 119 application, and from the developed services, numerous achievements have been obtained. Apart from the achievements of the developed services, the Public Safety Center of Tulungagung Regency is the first of its kind in Indonesia, thus attracting attention to see in detail how the implementation process of these services is carried out. The implementation analysis conducted in this research is based on Merilee S. Grindle's implementation theory, which consists of two major variables: content of policy and context of implementation, using qualitative research methods. The results show that the implementation process is indeed structured and clear or detailed in each of its indicators, but reinforcement is still needed in several indicators to maximize the implementation process.

IMPLEMENTASI TERKAIT KESIAPAN PETUGAS PANTI TERHADAP SISTEM PENANGGULANGAN GAWAT DARURAT TERPADU (SPGDT) DI PANTI SOSIAL LANJUT USIA HARAPAN KITA PALEMBANG

Background: The Integrated Emergency Management System (SPGDT) is one of the health service innovations to handle emergency cases at the Harapan Kita Social Institution for the Elderly, Palembang. Residents of the orphanage still have complaints about the implementation of the SPGDT program, complaints are slow to handle, call center access is not easy to contact, the role of case management by the orphanage staff team is still slow. Purpose: to analyze the implementation related to the readiness of the nursing home staff regarding the integrated emergency response system (SPGDT). Methods: qualitative research with in-depth interviews and observation. There were 3 informants in the study consisting of the head of the orphanage, staff and employees at the Harapan Kita Palembang Social Home for the Elderly. The variables used to see the implementation of the readiness of the orphanage officers are communication, resources and infrastructure. The research was carried out for 3 months February-April 2023. Data analysis was processed according to the characteristics of content analysis, namely: data collection, data reduction, verification, data presentation and drawing conclusions. Research results: shows that the implementation related to the readiness of the orphanage staff has not gone as expected, efforts to increase knowledge and access have not been achieved, communication and coordination between teams have not been effective. Conclusion: the integrated emergency management system at Harapan Kita Social Institution Palembang is still not optimal and has not been supported by medical personnel and adequate infrastructure

Implementation of the Integrated Emergency Response System: Systematic Review

ABSTRACT The aim of this research is to highlight the urgency of the need for an Integrated Emergency Response System in overcoming the complexity of current global disasters and emergencies. With the need for rapid and coordinated responses, this research explores the global implementation of these systems. The focus includes integration of resources from various agencies and community participation while addressing challenges such as climate change. Given the need for a rapid and coordinated response, this research explores the application of this system globally. The focus includes integration of resources from various institutions and community participation while addressing challenges such as climate change. This research method is a systematic research that adopts the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) method. Research stages include: formulating background, objectives and research questions, as well as literature searches using related keywords in databases such as Google Scholar, PubMed, and ResearchGate. The sample consists of articles in accredited academic journals published between 2020-2023, with a focus on the Implementation of an Integrated Emergency Response System. The results of the analysis show the importance of preparation before a disaster occurs. Preparedness through health education, emergency planning, and community participation increases knowledge about emergency response. Active community involvement plays an important role in the success of an emergency management system. Factors such as resources, policies, technology, and interagency cooperation influence system implementation and response to disasters. Health system evaluation and education is an integrated strategy to improve disaster response and mitigation. Keywords: Integrated Emergency Response System, Emergency Response System and Implementation

State of the review on integrated emergency response and telehealth systems for enhanced crisis management

State of the review on integrated emergency response and telehealth systems for enhanced crisis management

The Influence of Integrated Emergency Response System (SPGDT) Health Education on Pre-Health Services on Residents' Knowledge of Maternal Emergencies in the Work Area of the Plaju Health Center

Background: The Integrated Emergency Management System (SPGDT) is an emergency patient management system consisting of pre-hospital service elements, in-hospital and inter-hospital services. Quick response services to reduce the number of victims and avoid disability, by involving the community, competent health workers (nurses and medical personnel), emergency ambulance services and communication systems. Objective : To determine the effect of SPGDT health education on pre-health services on residents' knowledge of maternal emergencies. Methods : This research was a Quasi Experiment with a nonequivalent pretest-posttest non-control group design which was carried out in July 2023 in the working area of ​​​​the Plaju Palembang Health Center and a sample of 28 people were given health education about SPGDT in pre-health services to residents' knowledge about maternal emergencies. The media used was a booklet compiled by the researcher himself. Data analysis used the Wilcoxon test. Results: Health education statistics on prevention of pregnancy emergencies; Unsafe Abortion in Adolescents is effective in increasing respondents' knowledge with a value of 0.000. Conclusion : statistically health education is effective in increasing respondents' knowledge about SPGDT in Pre-Health Services Against Residents' Knowledge of Maternal Emergencies in the Work Area of ​​​​Plaju Palembang Health Center with a P value of 0.000. Suggestion : Suggestions for further research, namely that further research can be carried out discussing the effectiveness of health education to prevent pregnancy emergencies in pre-health services using other media.

Barriers and opportunities of establishing an integrated prehospital emergency response system in North West Ethiopia: a qualitative study

BackgroundPrehospital emergency care helps to reduce mortality and morbidity from time-sensitive conditions. In this study, we summarised the perspectives of various stakeholders on the establishment of a prehospital integrated emergency...

AGRICULTURAL EMERGENCY: IDENTIFYING RISK BASED ON AGRICULTURAL HEALTH NURSING

Abstract
 Objective: The aim of the study was to identify the integrated emergency risks of farmers based on nursing models in the agricultural area of Lumajang, Indonesia.Materials and Methods: A quantitative design with a descriptive approach was performed through the identification of threats, vulnerabilities, and capabilities in 357 farmers in integrated emergency response with cluster sampling techniques. Data was collected through questionnaires, interviews, and focus group discussions. Data analysis was carried out using the Job Safety Analysis scoring method of the Australian and New Zealand Standard on Risk Management. Results: The emergency risk of farmers based on agricultural nursing was the high category, the highest threat was direct contact with chemicals (95%), the highest contact chemicals are insecticides (57%), frequency of contact once a week (44%), and the highest vulnerability not having employment insurance (97%), the length of farming > 10 years (65%) and the length of work in 1 month 10-20 days (48%), long work on land 8-10 hours (5%) and no holiday in a month (20%), while the capability of farmers in first aid to accidents was low (44%).Conclusion: The emergency risk of farmers in Lumajang was high and the capability for emergency-response based on agricultural nursing was low.
 
 Keywords: Threats, vulnerabilities, capabilities, emergencies, farmers, agricultural nursing

An Integrated Emergency Response Tool for Developing Countries: Case of Uganda

This paper presents a First responder emergency response tool (EMApp) as a step towards achieving integrated emergency care in developing countries, the case of Uganda. The EMApp prototype has potential to support health emergency response from various emergency stakeholders. This innovation is in line with strategic plans to embrace technologies towards the establishment of integrated social services such as emergency healthcare services (EHS) in Uganda. We describe the prototype and provide its functionalities that can be further enhanced to enable access to emergency services and save life. The possible assumptions, potential challenges and recommendations to implement and deployment of such a system are provided. There is currently no such integrated emergency response system in Uganda as is the case in many other developing countries. For future studies, there is need to deploy the tool and assess its impact on the communities.

Analysis on Path for Energy Companies to Improve Their Crisis and Emergency Management Capabilities

Energy is a national strategic resource affecting national welfare and people's livelihood, which also determines the social attributes of the energy industry. Thai it, its development affects both the economic development level and social security and stability. This paper will discuss how to effectively improve the crisis and emergency management capabilities of energy companies. First, it analyzes how energy companies build the modern integrated emergency response platform by adopting advanced information technologies; based on which, it will analyze the path for energy companies to improve their crisis and emergency management capabilities from company and government perspectives.

Analisis Sistem Penanggulangan Gawat Darurat Terpadu Melalui Implementasi Jember Safety Center Di Kabupaten Jember

Some incidence of emergency in Jember District tends to increase every year. The Jember Safety Center (JSC) is an alternative solution to problems carried out by the Jember District in dealing with the high number of emergency cases in Jember District. Based on the results of the preliminary survey, researchers find several aspects, tasks, and functions of the JSC that have problems in its implementation. These problems indicate the need for more in-depth research related to the input and process aspects of the implementation of the JSC in Jember District. This study aims to analyze an integrated emergency response system through the implementation of the Jember Safety Center in Jember District. This type of research is qualitative research with a case study approach. The data analysis technique used the Miles & Huberman analysis model. They are data collection, data reduction, data presentation, and conclusions. This research is taken place at the location of the JSC call center, the Jember District Health Office, the Public Health Center in Jember District, the JSC user home, and the Soebandi Jember Hospital. The results of the study show that the need for human resources in organizing the Public Safety Center is guided by the Minister of Health Regulation Number 19 of 2016. However, the quality of human resources needs to be improved. The current budget given by the government is still focused on the physical budget and JSC equipment. Information and emergency calls from the community are still lacking, this is due to inadequate socialization, and not all services via the village ambulance are recorded through the JSC Call Center. It is necessary to improve the service management of JSC as the center for the Integrated Emergency Management System (SPGDT) in Jember District. Improvements are made by taking into account the input aspects consisting of Men, Money, Materials, Machines, and Methods in the Implementation of the Jember Safety Center in Jember District to improve services JSC to the community in Jember District Keywords: Jember Safety Center, Emergency, AKI and AKB

Integrated Emergency Response for Distribution Network Maintenance and Recovery After Natural Disasters

This paper proposes a two-stage method of outage management for distribution network maintenance and recovery after natural disasters. In the first stage, all the fault points are clustered based on their distances from the depots and the availability of repair resources. The second stage solves the repair and restoration problems based on clustering results. With the aim of maximizing the picked-up loads in the shortest time, the routing schedule of the fleet is finally obtained. A mixed-integer linear programming model is developed to solve the co-optimization problem, considering the distribution network operation constraints and the constraints of routing repair crews, which are scheduled based on the resource availability, traveling time and maintenance time. The proposed method is verified on the modified IEEE 34-bus distribution system with multiple damages.

Optimization on Emergency Materials Dispatching Considering the Characteristics of Integrated Emergency Response for Large-Scale Marine Oil Spills

Many governments have been strengthening the construction of hardware facilities and equipment to prevent and control marine oil spills. However, in order to deal with large-scale marine oil spills more efficiently, emergency materials dispatching algorithm still needs further optimization. The present study presents a methodology for emergency materials dispatching optimization based on four steps, combined with the construction of Chinese oil spill response capacity. First, the present emergency response procedure for large-scale marine oil spills should be analyzed. Second, in accordance with different grade accidents, the demands of all kinds of emergency materials are replaced by an equivalent volume that can unify the units. Third, constraint conditions of the emergency materials dispatching optimization model should be presented, and the objective function of the model should be postulated with the purpose of minimizing the largest sailing time of all oil spill emergency disposal vessels, and the difference in sailing time among vessels that belong to the same emergency materials collection and distribution point. Finally, the present study applies a toolbox and optimization solver to optimize the emergency materials dispatching problem. A calculation example is presented, highlighting the sensibility of the results at different grades of oil spills. The present research would be helpful for emergency managers in tackling an efficient materials dispatching scheme, while considering the integrated emergency response procedure.

Self-Efficacy of Instrument Nurse during the Assignment of Earthquake Disaster in Nusa Tenggara Barat (NTB)

Introduction: Nurse is the spearhead of hospital services at disaster, which is also links to the Integrated Emergency Response System (SPGDT). This study aims to describe self efficacy of instrument nurse during the assignment period. Method: The study used a qualitative design with descriptive phenomenology approach. The study population was instrument nurse assigned to the earthquake in West Nusa Tenggara (NTB), the study sample was obtained by snowball sampling, participants were 16 instrument nurse. Method of collecting data using in-depth interview. Data collection tools used are voice recorder, interview guideline, and field note. Data is processed by thematic analysis according to Colaizzi. Results: Nurses' self efficacy can be seen from a positive assessment of their capabilities as evidenced by expressing understanding, forming a team, and establishing an emergency response team. In addition, nurse have high motivation to do assignments, and nurse show a positive attitude when appointed to work in NTB. Discussion: Knowledge, attitudes, and motivation of nurses, will be build a nurse self efficacy. Nurses who have high self efficacy, are confident in their abilities in carrying out their duties, will be able to carry out their duties well despite the demands and high workload.

Determinants of collaboration between digital volunteer networks and formal response organizations in catastrophic disasters

PurposeWhen catastrophic disasters recently occurred, digital volunteer networks formed by the public emerged across the globe. They aggregated, analyzed and visualized disaster data. Those volunteer networks sometimes shared their data with formal response organizations. Such data sharing and integration increased the capacity of formal response organizations for dealing with disasters. However, despite the emergence and contributions of digital volunteer networks, the literature has been focused primarily on the role of formal response organizations such as emergency management agencies and the Red Cross. The purpose of this paper is to describe how technical and organizational factors influence collaboration between digital volunteer networks and formal response organizations.Design/methodology/approachThis research employs a case study method, focusing on the 2015 Nepal earthquake.FindingsThis study found that information technology and a shared understanding of disaster situations and how to address disasters are key determinants of collaboration between digital volunteer networks and formal response organizations.Originality/valueThis research is expected to contribute to building an integrated emergency response system in the information age.

The Principle of Lived Body Experience of Public Safety Center (PSC) 119 Officer in Conducting Integrated Emergency Response Systems in Malang, East Java, Indonesia

The Principle of Lived Body Experience of Public Safety Center (PSC) 119 Officer in Conducting Integrated Emergency Response Systems in Malang, East Java, Indonesia

Estimating Added Values of the Integrated Emergency Response System for Airport Accident: Improved Responsiveness and Increased Service Capacity

This study presents a framework for estimating the value of response time and quantifying the economic impacts of improved responsiveness and increased service capacity in emergency response systems. In these systems, the value of response time, defined as the number of casualties rescued, forms the basis for understanding the value proposition of the emergency system. Efficiency gains from improved responsiveness are calculated by the difference in the time value function, considering the medical department emergency system as a benchmark. Based on the evaluating systems for welfare gains from price changes, this study will be the first of its kind to adopt the compensating variation method to deal with welfare gains from increased emergency service capacity, while the issue of number of casualties rescued forms the log-linear function of emergency service capacity and supply capacity. Two civil aviation accidents are empirically estimated, illustrating our approaches with specific civil aviation accident cases and examining how other parameters affect improved performance from the responsiveness and welfare arising from service capacity.

Immediate birth – an analysis of women and their babies undergoing time critical birth in a tertiary referral obstetric hospital

BackgroundAt our institution, the emergency obstetric ‘code green’ activates the system for immediate birth, usually by caesarean section. This study aimed to determine the incidence of immediate birth, indications, modes of anaesthesia, and short-term neonatal and maternal outcomes. MethodA review was performed for all women at the Royal Women’s Hospital, Parkville, Australia who underwent immediate birth over a two-year period: January 1, 2013 to December 31, 2014. ResultsWithin the study period 14,115 women gave birth, of which 387 women underwent an immediate birth, the majority (83%) by caesarean section. The commonest indication for immediate birth was prolonged fetal bradycardia (53%), however cord prolapse (4%) produced the most rapid decision-to-delivery interval, with a median [IQR] time of 14 [13–16] min versus 18 [14–23] min for all immediate births (P<0.01). Epidural top-up was the most common anaesthesia method. Conversion to general anaesthesia following inadequate neuraxial anaesthesia occurred in 6.2% of women. Among 103 general anaesthetics, there was one failed intubation (successful ventilation) and one dental injury. Nine women (2.3%) were admitted to the high dependency or intensive care units, and there were no maternal deaths. Babies born by caesarean section with a decision-to-delivery interval of less than 30min were more likely to have longer times to establish respiration (22.6% vs 16.7%, P<0.001). ConclusionRequest for immediate delivery is a common obstetric emergency. Epidural top-up has become the most common anaesthetic technique. Rapid delivery times can be achieved with an integrated emergency response system.

Combining Worst Case and Average Case Considerations in an Integrated Emergency Response Network Design Problem

We study an emergency response network design problem that integrates relief (supply) and evacuation (demand) sides under disaster location and intensity uncertainties which, in turn, dictate uncertainty in terms of the location and amount of demand. Representing these uncertainties by discrete scenarios, we present a stochastic programming framework in which two second stage objectives, the average and worst case costs, are combined. In our model, we minimize, over all of the scenarios, the fixed costs of opening supply centers and shelters, and the weighted sum of average and worst case flow costs. Thus, the model gives the decision maker the flexibility to put relative emphasis on the worst case and average flow cost minimization and explore outcomes in terms of total costs and network configurations. To solve large scale instances with varying relative weights, we devise alternative Benders Decomposition approaches. We implement these by using an advanced callback feature of the solver while simultaneously incorporating several performance-enhancing steps that help to improve runtimes significantly. We conduct a detailed computational study to highlight the efficiency of our proposed solution methodology. Furthermore, we apply our approach in a realistic case study based on Geographical Information Systems data on coastal Texas and present interesting insights about the problem and the resulting network structures for varying weights assigned to objectives.

Public–private implementation of integrated emergency response services: Case study of GVK Emergency Management and Research Institute in Karnataka, India

Emergency medical services are important to the functioning of health systems, but these services tend to be neglected in low- and middle-income countries, such as India. In recent years, several models of pre-hospital emergency medical services have emerged in India. Research on these models holds important lessons for existing and future emergency medical service programs in low- and middle-income countries. Our objective was to provide a comprehensive description of the organizational structure and service delivery model of a public-private partnership in the southern Indian state of Karnataka, GVK Emergency Management and Research Institute, with a particular focus on its operations in Bengaluru. A case study methodology was used to explore systematically the organizational model of GVK Emergency Management and Research Institute in Karnataka. Qualitative data were collected through an in-person site visit to GVK Emergency Management and Research Institute headquarters in Bengaluru in July 2013. Three sources were used: in-depth, semistructured interviews, document review, and nonparticipant observation. Data were analyzed according to the health system "building blocks" proposed by the World Health Organization. The organization follows a standardized model across the states and union territories where they have contractual arrangements, including Karnataka. Processes for fleet maintenance, information systems/information technology and training, and deployment were well structured at the organizational level. The public-private partnership appears pro-poor in orientation; however, further demand-side research is required on the perspective of patients. Our study reveals a functional structure at the organizational level, which provides a key service at no cost to users. Detailed analyses of this nature can help inform global efforts for the development and strengthening of emergency medical services systems.

Research on Integrated Emergency Response Mode of Power Enterprise

To effectively response to various types of complex emergencies and make full use of power enterprise’s internal and external emergency resources, this paper analyzes domestic and foreign emergency linkage experiences and this manuscript put forward the three essential factors of emergency linkage, namely emergency linkage subject, emergency linkage content and emergency linkage level, which provide the foundation of building emergency linkage model. Then based on the emergency management status quo, this paper analyzed emergency linkage modes that applicable to power enterprise internal, external and synthesized linkage. Whewein the internal emergency linkage mode contains two parts, namely functional department emergency linkage mode and internal unit emergency linkage mode. The external linkage mode refrres to the emergency linkage between emergency event unit and external units. And the synthesized emergency linkage mode refrres to teh coordination between power company and external departments. The proposed emergency linkage modes could provide scientific reference for power emergency linkage mechanism and help improve emergency manage capability of the Power Company.