Wildfire Disaster Leads to Facilities Evacuation

The Impact of FEMA on U.S. Corruption: Implications for Policy

ABSTRACTBackground: Health care organizations can be very complex, and are often the setting for crisis situations. In recent years, Canadian health care organizations have faced large-scale systemic medical errors, a nation-wide generic injectable drug shortage, iatrogenic infectious disease outbreaks, and myriad other crises. These situations often have an ethical component that ethics consultants may be able to address. Organizational leaders such as health care managers and governing boards have responsibilities to oversee and direct the response to crisis situations. This study investigates the nature and degree of involvement of Canadian ethics consultants in such situations. Methods: This qualitative study used semi-structured interviews with Canadian ethics consultants to investigate the nature of their interactions with upper-level managers and governing board members in health care organizations, particularly in times of organizational crisis. We used a purposive sampling technique to identify and recruit ethics consultants throughout Canada. Results: We found variability in the interactions between ethics consultants and upper-level managers and governing boards. Some ethics consultants we interviewed did not participate in managing organizational crisis situations. Most ethics consultants reported that they had assisted in the management of some crises and that their participation was usually initiated by managers. Some ethics consultants reported the ability to bring issues to the attention of upper-level managers and indirectly to their governing boards. The interactions between managers and ethics consultants were characterized by varying degrees of collegiality. Ethics consultants reported participating in or chairing working groups, participating in incident management teams, and developing decision-making frameworks. Conclusions: Canadian ethics consultants tend to believe that they have valuable skills to offer in the management of organizational crisis situations. Most of the ethics consultants we interviewed believed that they play an important role in this regard.

This paper explores the emergence of a highly networked and capable non-governmental organization (NGO) community in disaster relief in China. It provides a review of the growth of non-governmental actors in the relief field since the 2000s and examines the most important platforms and networks in the field, focusing on their strategies of maintaining a broad-based partnership, developing their own capacity, and enhancing overall inter-organizational connectivity. With an in-depth look at a successful joint non-governmental relief operation in Lushan in 2013, the paper also explicates how NGOs can break the state monopoly over disaster information management, public donations and relief operations. This research finds that during crisis times, non-governmental actors carry out relief missions effectively in parallel with state agencies. The rise of non-governmental disaster relief sheds light on one of many trajectories of civil society development in China where social autonomy is earned by innovation, public support and improved capacity.

Crowdsourcing for Coordination: The Impact of Information and Communication Technologies on Disaster Relief Preparedness and Response

There are limits in articulating political struggles around the NHS and the imagined geographies of the nation: struggles based on nostalgia for the post-war welfare state risk co-opting the NHS for an exclusionary, nationalist politics. In tracing the times and spaces of the health service the article asks: when was the NHS? and where is the NHS? The idea of universal healthcare - and changing ideas of nation, state and welfare - are articulated in particular political conjunctures. The whereabouts of the NHS is more than a question of devolution and territorial politics in an increasingly disunited Kingdom; there are also questions of borders, and of workers who are trained and drawn into the NHS from overseas: it is impossible to imagine the NHS without grappling with the ways in which colonialism is integral to the formation of the post-war national welfare state. As both a residual of the national welfare state, and as an emergent site of political and cultural work, the NHS is continuously reworked within dominant politics; while it also offers an emotionally powerful political resource to galvanise popular public support that resists such tendencies. We therefore insist on the need to get to grips with the complex and partial embedding of private interests and market logics within the organisation of healthcare - often framed, rather crudely, in terms of the 'Americanisation' of the NHS. But we also warn of the analytical limits, and political dangers, of framing political struggles around national spatial imaginaries when seeking to 'protect' the NHS in these times of crisis.

Background The COVID-19-crisis has posed major challenges for organisations providing care in terms of fulfilling their contracts as well as maintaining their quality standards. This project aimed to analyse the implementation of gender and diversity sensitive crisis preparedness in health and social care organisations in Austria. The innovation of this project lies in the organisational crisis preparation including the interfaces of all organisations and actors involved in the care of a vulnerable person. Methods A comprehensive survey and analysis of existing structures and processes was carried out. A participatory approach was used to develop modular guidelines tailored to different crisis scenarios. This was followed by a detailed process analysis, integration of good practices and the creation of assessment tools for practical evaluation. Staff training and technology needs were identified, followed by an assessment of the applicability of the findings to other social sector organisations. Results This project created guidelines with modular structures that enable preparation for crises and their consequences. Thereby strategies for risk mitigation and good practice examples, e.g. from the COVID-19 pandemic, were developed. A self-assessment of the status of crisis preparation as well as the continuous monitoring with special consideration of the intersectional diversity of the target groups and their vulnerability was developed and made available on the web. Conclusions The project results in guidelines as well as a self-assessment and monitoring tool directly benefiting the participating organisations. Through its transferability to other organisations the project promotes overall crisis resilience and sustainably strengthens the care for vulnerable groups in times of crisis. In addition, solidarity-based help in crisis situations is promoted. The project promotes not only organisational, but also individual as well as macro-social and economic benefits. Key messages • The project developed guidelines for gender and diversity sensitive crisis preparedness for health and social care organisations, including risk mitigation strategies and self-assessment/monitoring. • Crisis preparation must be systematically implemented in health and social care organisations involved in care of vulnerable persons.

Patient Safety: Grantmakers Join The Effort To Reduce Medical Errors

Earth quake disaster mitigation (EQDM) through engineering design

Disasters pose a significant threat to human lives, infrastructure, and the environment. Among them, floods are one of the most frequent and destructive natural calamities. This project focuses on raising awareness about floods, their causes, impacts, and safety measures. It highlights the importance of disaster preparedness and community involvement in minimizing the damage caused by floods. By educating individuals and promoting proactive safety strategies, the project aims to contribute toward building a disaster-resilient society. Awareness is the first step toward safety, and through this initiative, we encourage people to be informed, prepared, and ready to act in times of crisis. This project explores the significance of disaster awareness and preparedness in minimizing the loss caused by natural and man-made calamities.

This study argues that the scale of disaster relief aid provided by donor countries is significantly influenced by the extent to which natural disasters impact their supply chain trade (SCT). The core claim states that when disasters disrupt SCT, donor countries are motivated to provide substantial aid to facilitate the restoration of vital economic ties. Through a combination of quantitative analysis and comparative case study of Japan’s responses to disasters in Thailand and Vietnam, this study demonstrates that decisions to offer aid are not driven solely by humanitarian concerns but also by the strategic importance of maintaining economic flows. Furthermore, this analysis highlights the influence of corporate interest in SCT restoration on government policies, thereby explaining variations in aid patterns. This study provides a new perspective on the influence of economic interdependence on foreign aid behavior during times of crisis.

The EU Response to COVID-19: From Reactive Policies to Strategic Decision-Making.

Oregon’s drastic budget cuts and the national nursing shortage pose severe barriers for consumers and providers of human services and health care in rural areas. Because of the unique culture, demographics and a deficit of human service and health care providers, metropolitan based decision and policy making aimed at improving human service and health care delivery, may actually cause harm in rural areas. This time of crisis must be viewed as a transformational opportunity for nurses. Creative alternatives must be explored to decrease the higher rates of human service and health-related disparities for individuals, families, and communities in rural areas compared to those in metropolitan areas. In addition, nurses must invest in furthering the development of the field of nursing to reverse the nursing shortage and prevent shortages in the future. This paper will explore the effect of Oregon’s economic crisis and the national nursing shortage on human service and healthcare delivery and economic development in rural areas. In addition, the effects of the unique culture of rural areas and metropolitan-based decision and policy making on recruitment and retention of nurses in rural areas will be explored. Finally, solutions will be explored to reverse the nursing shortage, prevent future nursing shortages and further the field of nursing.

Financial Toxicity: A Barrier to Achieving Health Equity in Cancer Care

The actions needed to mitigate the spread of the coronavirus 2019 (COVID-19) have forged rapid paradigm shifts across healthcare delivery. In a time of crisis, continued access to and delivery of medication for opioid use disorder (M-OUD) is essential to save lives. However, prior to COVID-19, large variability in M-OUD adoption existed across the Veteran Health Administration (VHA) and it is unknown whether the COVID-19 pandemic exacerbated this divide. For the past two years, our team worked with eight VHA facilities to enhance adoption of M-OUD through a multi-component implementation intervention. This commentary explores these providers’ responses to COVID-19 and the subsequent impact on their progress toward increasing adoption of M-OUD. Briefly, the loosening of regulatory restrictions fostered accelerated adoption of M-OUD, rapid support for telehealth offered a mechanism to increase M-OUD access, and reevaluation of current practices surrounding M-OUD strengthened adoption. Overall, during the COVID-19 crisis, facilities and providers responded positively to the call for increased access to M-OUD and appropriate care of patients with OUD. The VHA providers’ responses and continued progress in enhancing M-OUD amidst a crisis may, in part, be attributable to their participation in an implementation effort prior to COVID-19 that established resources, expert support, and a community of practice. We anticipate the themes presented are generalizable to other healthcare systems grappling to deliver care to patients with OUD during a crisis. We propose areas of future research and quality improvement to continue to provide access and high quality, life-saving care to patients with OUD.

1Physician, Peachtree Orthopaedic Clinic, Atlanta, GA, USA X. A. Duralde, Peachtree Orthopaedic Clinic, 2045 Peachtree Drive, Suite 700, Atlanta, GA 30309 USA, Email: [email protected] This CORR Insights® is a commentary on the article "What was the Prevalence of COVID-19 in Asymptomatic Patients Undergoing Orthopaedic Surgery in One Large United States City Mid-pandemic?" by Gutman and colleagues available at: DOI: 10.1097/CORR.0000000000001697. The author certifies that neither he, nor any members of his immediate family, has funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.