Are hospitals prepared for crisis situations and emergency events?

Abstract Background In the time of increasing global health emergencies, it is key to have well-prepared crisis management systems that can respond effectively to threats and protect the health of population. Health security has to be strengthened. The aim of this study was to evaluate the crisis preparedness of hospitals in one the Czech Republic regions and their ability to respond to emergencies and crisis situations. Furthermore, the work focused on the cooperation of hospitals in crisis management, the structure of this system, the mechanisms of cooperation within the integrated rescue system and the role of health facilities in coordination of crisis events. Our research includes an assessment of the preparedness of healthcare workers of medical and non-medical professions to manage crisis situations and emergencies. Methods We used validated structured questionnaire, with mostly closed questions, evaluated using a point system, to analyse attitudes, experiences and level of preparedness of the respondents. At the end of the questionnaire, questions with the possibility of choosing from pre-given answer options were included, to allow the analysis of specific preferences and opinions. In total, 100 respondents from 5 hospitals completed the questionnaire. Results Analysis of data from 5 selected hospitals in one of the Czechia region showed that hospitals are prepared for crisis situations to a certain extent, but there are specific areas that need to be improved. These areas are: - Systematic continuing professional development of healthcare workers in the field of crisis management; - Modernization and improvement of crisis communication; - Regular implementation of simulation exercises. Conclusions Based on the data analysis, 5 recommendations are formulated for policymakers and politicians. Their implementation into practice can significantly increase the effectiveness of preparedness and response of healthcare facilities to crisis situations and emergencies. Key messages • Systematic continuing professional development of healthcare workers in the field of crisis management is crucial to strengthen preparation for and response to both man-made and nature health threats. • Risk communication has to be an integral part of any training programmes for medical and non-medical health professionals, with a focus on practical training and participation in simulation exercises.