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Preparedness of Medical Facility to Emergency Events of Medical Character
HUSOVÁ, Iva
Theoretical part of the diploma thesis is focused on preparedness and crisis management of healthcare services during occurrence of emergency event with mass health disability. The first chapters provides simple and complete overview of various types of catastrophes, the explanation of emergency events, their causes and outcomes. Theoretical part deals with analysis of Integrated rescue system and puts emphasis on Medical rescue service and its role in mass health disability control in pre-hospital phases. The whole chapter is devoted to recommended procedure of resolving emergency event with mass health disability in the medical facility. Other chapters emphasize on medical facility crisis preparedness focused on traumatological plan. The aim of the diploma thesis was to find out the contemporary state of crisis preparedness of Nemocnice Písek, a.s. emphasizing on traumatological plan and to identify its potential deficiencies as well as to find the best possible solutions that would eliminate the problem to minimum or would remove the problem completely. The second mainstay of the diploma thesis was to evaluate knowledge of medical staff in Nemocnice Písek, a.s. concerning the issue of traumatological planning and evaluate their preparedness to admission of patients during mass health disability and providing quality medical and nursery health care. In my diploma thesis I also looked into the case whether the researched medical facility organises practices of crisis preparedness of traumatological plan in collaboration with the Integrated rescue system, which make the major presumption for quality and professional managing of emergency event with mass health disability. SWOT analysis was used to achieve the set goals, a managerial tool which aims at evaluation of internal and external environment of medical facility through strengths and weaknesses, opportunities and threats, was used. Quantitative research was also used in the thesis, particularly the method of questionnaire survey which gathered data about traumatological planning awareness and attitude of researched group of respondents. The results of questionnaire survey were surprising. Medical staffs are theoretically aware enough of procedures necessary for handling with emergency event with mass health disability according to the traumatological plan. On the other hand, the negative finding is the fact that 74% of medical staff do not participate in practice to handle mass admission of injured people, which in my opinion shows underestimation of the preparedness of the medical facility for emergency event or crisis. The traumatological plan of the chosen medical facility follows the regulations given by the valid legislation and is regularly updated but the interview with the head doctor of the surgical department MUDr. Marta Horáková reveals the weaknesses of traumatology planning. The traumatological plan contains practical deficiencies so that it is recommended to make it more specific, detailed and adapted to technical disposal of the hospital. In particular, the system of calling out the staff in case of traumatological plan activation during out of working hours has not been fully resolved; furthermore, direction points for the Integrated rescue system and the public have been marked insufficiently or have not been marked at all. The last major weakness is the absence of contact point for the media or the public. In the final part of my thesis I suggested measures for elimination or at least reduction of the crisis points.
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Awareness and attitudes of Mydlovary residents resulting from risks of radioactivity leak from the former uranium ore processing plant MAPE Mydlovary
HUSOVÁ, Iva
In South Bohemia, near the Czech town of České Budějovice, in close vicinity of municipalities of Mydlovary, Nákří, Olešník, Zahájí and Dívčice, there are 286 ha of uranium tailings impoundments, along with the former uranium ore processing plant known as MAPE Mydlovary. Althought this company terminated its operation in 1991, significant tailings impoundments contaminants, such as dust, radon emissions and gamma radiation are being found here. Nevertheless, radon emissions still represent a risk to the population in the neighborhood and airborne radon poses a risk also to other areas. Therefore, residents in a wide neighbourhood have long been loaded with increased doses of radiation. The thesis deals with negative consequences of the former uranium ore processing plant MAPE Mydlovary on human health and also describes the process of clearing works in progress in the locality. In this thesis, the level of awareness of Mydlovary residents, their opinions and attitudes to the damaged area are also mentioned. The theoretical part of the thesis is focused first on a brief description and history of the former uranium ore plant, the consequences of the MAPE Mydlovary activities and associated risks (e.g. higher doses of radon), which put inhabitants of nearby villages under threat. The next section provides information on the residents´ attitudes to decontamination works performed at the site and associated problems. The practical part of this thesis is devoted to the research, the aim was to determine if and to what extent Mydlovary residents are aware of the potential damage to land, water, air, and a possible negative impact on their health. The research also provides information on the residents´ attitudes to decontamination works at the site and about the preferred usage of the damaged area after decontamination is completed. The research was conducted by addressing 73 residents of Mydlovary in the period from January to March 2010. The results prove a relatively high awareness of Mydlovary residents about negative effects of radioactive substances and hazardous contaminants on their health, and also point to a lack of the respondents´ awareness about decontamination works and outline the current worries of Mydlovary residents.
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