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The preparedness of medical operation center of medical rescue service as a subject of critical infrastructure for electric power failure in selected regions
VAŠTOVÁ, Simona
This thesis deals and discusses about the preparedness of the medical operations centre of the medical rescue service in selected regions, which include the Pilsen Region and the South Bohemia Region, for an electrical outage. The theoretical part describes the medical emergency service, the system of its provision of pre-hospital emergency care and with a focus on the medical operations centre, critical infrastructure, including the critical infrastructure and crisis preparedness entity, and an integral part is the electricity and power outage. The research part is made by a form of controlled interviews with specialist medical emergency services who deal with the issue. Based on the data obtained from the interviews, the SWOT analysis is performed and the results are subsequently interpreted. Research has shown how prepared individual health operations centres are for power outage, and in which areas they have deficiencies. Among the pros are a higher number of self-built diesel aggregates used to deal with power cuts, as well as the delivery of diesel aggregate from the fire brigade of the region. Based on the data identified and the SWOT analysis performed, a procedure is chosen to improve the preparedness for an electrical outage and to eliminate or mitigate weaknesses and, where appropriate, eliminate certain threats. The outcome of the discussion is the presentation of shortcomings and a proposal for possible improvements that would help to improve the readiness of health operations centres. These proposals will be presented to the experts concerned.
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The Preparedness of Emergency Medical Services in the Pilsen Region and The Upper Palatinate for Emergency Situations
JAHN, Vojtěch
The aim of this diploma thesis is to present and analyze the preparedness of ambulances of the Pilsen region and the Upper Palatinate to solve emergencies with a focus on cross-border cooperation. The theoretical part describes the integrated rescue system of both territorial units with emphasis on the medical rescue service and its system of providing pre-hospital emergency care and the system of dealing with emergencies affecting more people. The important part is also the legislation of possible cooperation and an important project of cross-border cooperation, thanks to which this activity even started. The research part is performed in the form of controlled interviews with managers of ambulances and managers of the cross-border cooperation project. These workers regularly participated in joint exercises and their awareness of this issue is at a high level. Based on the data obtained from the interviews, a SWOT analysis is performed, and the results are interpreted. The research demonstrated problems in the communication of the ambulances of the Pilsen Region and the Bavarian Red Cross, the problem in the language barrier and the diversity of procedures in solving emergencies. The advantages include quality training of employees and benefits from previous exercises in the form of new planning documentation for cross-border cooperation. Based on the data obtained and the SWOT analysis performed, an alliance strategy is chosen to take advantage of opportunities to eliminate or mitigate the weaknesses of cooperation. In the discussion, is the result of presenting shortcomings and a proposal for possible improvements that would help to improve cross-border cooperation in the future. These proposals will be presented to the employees concerned at the next meeting of the cross-border cooperation project.
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Analysis of crisis preparedness of selected municipalties with extended powers in South Bohemian Region
TŮMA, Jaroslav
The aim of the thesis is to analyze the crisis preparedness of selected municipalities with extended powers in the South Bohemian region in the crisis plans of the municipality with extended powers with the help of a statistical survey with the determination of the necessary parameters. The theoretical part contains basic information about crisis management, crisis plans and crisis events. Part of the theoretical part is also an analysis of threat analysis, where a list of types of hazards with unacceptable risk was determined, from which municipalities with extended powers choose according to their own risk analysis events potential for their administrative district. After explaining the concepts and their connection, the practical part follows. In the practical part there is a statistical survey of crisis preparedness of selected municipalities with extended powers. Specifically, these are Jindřichův Hradec, Dačice and Třeboň. From the crisis plans, 3 types of possible crisis events were selected, which will provide a basis for the result. These are floods, disruptions to large-scale drinking water supplies and disruptions to large-scale electricity supplies. The mentioned events were divided into several parts and subsequently evaluated by means of multi-criteria analysis with determination of the weight of the monitored parameters. The result of the thesis is an analytical evaluation of selected parameters in crisis plans of selected municipalities with the following competencies. As a result of the practical part, it was not possible to confirm the hypothesis of the absence of statistical differences between the crisis preparation of selected municipalities with one competence. The author therefore rejected this hypothesis.
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Připravenost Nemocnice Třebíč, příspěvková organizace na řešení mimořádných událostí
TOMANOVÁ, Zuzana
This diploma thesis deals with the readiness of the Hospital Třebíč, a contributory organization for dealing with emergencies. The aim of the diploma thesis was to find out readliness of the Hospital Třebíč, a contributory organization for dealing with emergencies and what is the awareness of the staff of the Hospital Třebíč, a contributory organization, relating to dealing with emergencies. The first aim of the diploma thesis was:,,Evaluate the readiness of the Hospital Třebíč, a contributory organization for dealing with emergencies". For this aim was set a research question:,,What is the readiness of the Hospital Třebíč, a contributory organization for dealing with emergencies?" The results ensue from the analysis of the crisis preparedness plan of the Hospital Třebíč, a contributory organization. In order to answer the research question, it was necessary to set a limit for success. This limit was set to 80 %. The overall success rate is 81 %. Based on the results, it can be stated that the Hospital Třebíč, a contributory organization is adequately prepared for dealing with emergencies or crisis situations. The second aim of the diploma thesis was: ,,Evaluate the awareness of the staff of the Hospital Třebíč, a contributory organization for dealing with emergencies." For this aim was set a hypothesis: "Awareness of the staff for dealing with emergencies reaches 80 % of correct answers.". From the results of the survey and depending on the evaluation of individual questions related to the hypothesis, it is evidently that the success rate reaches 68 %. Due to this finding, the null hypothesis was rejected, as staff awareness for dealing with emergencies doesn't reach 80 % of the correct answers. In this case, we accept the alternative hypothesis. At the end of the diploma thesis are set possible proposals for improving the readiness of the Hospital Třebíč, a contributory organization for dealing with emergencies. The results of diploma thesis will be be submitted to the Technical Deputy of the Hospital Třebíč, a contributory organization that ensures the hospital's safety agenda.
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Crisis readiness of the hospital in Frydek - Mistek relating to selected extraordinary events.
ŠMÍDOVÁ, Monika
The diploma thesis "Crisis readiness of the hospital in Frydek - Mistek relating to selected extraordinary events" deals with issues concerning current state of readiness of the Hospital in Frydek-Mistek for selected extraordinary events and the tries to create methods and approaches to improve the hospital's emergency preparedness. I chose mainly qualitative research with quantitative elements for answering research question. First step was random choice from hospitals in Moravian-Silesian Region, so I visited the hospital in Frydek-Mistek and I made data retrieval dealing with extraordinary events. Based on my own observations and the provided documents I detected an incorrect crisis preparedness plan and because it is important to have such an operative plan, which deals with extraordinary events and the inaccurate plan could place hospital to risk, I decided to revise the plan by using special methology, which is set up for this issue. Since the risks involved in the crisis preparedness plan were insufficient in my opinion, I conducted my own risk analysis of the external and internal environment focusing on hospital operation in risk. Then I used the "KARS" method, which is a qualitative risk analysis within its correlation. I determined the risks that should be resolved primarily and after that I revised the plan by using new knowledge. The result of the diploma thesis is a draft plan for crisis readiness of the hospital in Frydek - Mistek, which could be used and refilled by hospital managment alternatively. The plan will be handed over to the hospital management.
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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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Prague Emergency Medical Services Preparedness for Medical Intervention During Chemical Threat in Metro
TEJKL, Miroslav
The goal of this theses is to analyse the preparedness of Prague Emergency Medical Services (hereinafter Prague EMS) for chemical attack in subway (metro). The theoretical part states general information about chemical terrorism and the Integrated Rescue System's solution. The research part focuses on procedures following from Integrated Rescue System Common Type Activity during joint action - Reaction on chemical attack in subway (hereinafter STČ 13/IZS). This document was subjected to content analysis to meet the goals. The work then focuses on the evaluation of Prague EMS training Metro 2014 whose goal was to practice the procedures and joint deployment of Integrated Rescues System members and other subject according to STČ 13/IZS. For the evaluation complexity, the results were supplemented by SWOT analysis which pointed at another usable knowledge. All conclusions are clearly organized in charts and they are efficiently worked with to set new measures and recommendations which would increase the preparedness of Prague EMS for chemical attack in metro. The goal of this work to assess the level of preparedness and to submit final protocol to organisation's crisis management was fulfilled. The main benefit of this work is a recommendation for the reinforcement of crisis preparedness at Prague EMS. Furthermore the work brings new expert findings to solved problematics.
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Readiness of the urgent reception to mass disasters
PETRŽELKA, Jan
Readiness of the urgent reception to mass disasters This thesis is dedicated to the readiness of the urgent reception to mass disasters. It deals with the history, evolution and the current state of the urgent reception, both in the Czech Republic in the first place and in the world. Within the scope of this thesis I focus mainly on the work scope of the urgent receptions in dependence to their structure, equipment and their actual preparedness to deal with mass accidents. I focus besides other things on technical equipment of the urgent receptions, which is in frames of the Czech Republic very heterogeneous, but totally crucial to handle possible mass accident. A very import aspect is the matter of education and further training of the medical employees on all levels. It concerns not only medical positions, but also nurses and auxiliary staff. The question of the conditions severity of the admitted patients, their classification according to these conditions and transparent processing of the information about them cannot be passed over. Furthermore the thesis discusses emergency medicine as a discipline and the direction it should, in my opinion, further be heading in order to improve the functioning of the present system of pre-hospital and hospital emergency care. Urgent receptions in the Czech Republic represent a relatively new thing, which results into certain ambivalence of their concept and structure. Each urgent reception is somehow original and adapted to the requirements of the founder and the local situation. There is one thing the urgent receptions have in common, overload with patients who fall into the competence of practitioners. This is associated with the financial loss-making of these departments within the medical facilities. This, especially in the case of the private hospitals, leads to a reluctance of the founder to invest to the urgent reception. In this thesis I mention legal framework, contingency planning in the Czech Republic, contingency plans, their content purpose and type plan with its importance for solving crisis events. Another plan that is resolved in my thesis and that has crucial importance especially, for urgent receptions is the trauma plan of medical facility whose application into practice in the Czech Republic in many health care facilities is very problematic. And the practice of the trauma plan activation itself is, according to my research, the prerogative of only a very small amount of medical facilities.
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Proposal of EMS of the Central Bohemian region preparedness for managing multiple victim incidents and disasters
BATÍK, Daniel
This thesis deals with issue of preparedness of EMS Central Bohemia on multiple victims' emergencies. In addition to preparedness of EMS Central Bohemia the thesis also analyses the system of training and education of employees in the management of mass casualty. The theoretical part discusses the legislation on EMS, files from Catalogue of model activities related to this issue, coordination of parts of Integrated Rescue System (IRS) on site of event and role of EMS on-site emergencies. Further, the specifics of EMS Central Bohemia are described, the development of EMS Central Bohemia since its establishment (inception) to the present, organizational structure, mass casualty's emergencies preparedness, EMS dispatch (medical operations center), system of emergency calls management and finally Traumatology plan of EMS Central Bohemia. Aim of the thesis was based on analysis of the current status to propose optimal system of deployment and activation of forces and resources, and to propose system of employees' education and system of testing exercises. Based on research, SWOT analysis was developed (composed) and the results were compared with pre-established hypotheses. From obtained findings the comprehensive overview of forces and resources of EMS Central Bohemia region for mass casualty management was prepared. In particular, the number of available resources on duty, system of backups, modules and containers for mass casualties and their deployment. When evaluating resources for mass casualty management also an economic aspect was taken into consideration, as well as ambulance crews' knowledge on possible use of these resources. Based on this review, it was found that in terms of securing forces and resources, the readiness of EMS Central Bohemia is appropriate. Hereby the hypothesis nr.1, which presumed that EMS Central Bohemia has sufficient number of forces and resources to deal with emergencies with multiple victims has been confirmed. The hypothesis nr.2, which presumed that forces and resources deployment is not ideal, on the contrary has not been confirmed. In this thesis the current status of employees' preparation for mass casualty was also discussed. It was found that the base of this preparation is Course for leading employee of rescue service, organized by Department of crisis preparedness. At the same time the conception is set that after first four pilot courses this education system will be applied to particular areas, thereby should be secured sufficient education of crews of EMS Central Bohemia region in this issue. Other education options were also defined, which are now already available in the organization. The hypothesis nr.3, which presumed that system of preparation and training focused on mass casualty is not appropriate, have thus managed to disprove. However it was found that although a clear conception and education options in this field exist, it's not well known to ordinary employees. One of the conclusions is therefore also a recommendation to managers of EMS Central Bohemia to more inform their employees about these options. One of the goals of this thesis was to suggest a system of learning and testing exercises. This proposal is described in the conclusion the proposed number of testing exercises is at least 4 times a year. The total number of employees of the organization and the number of those who may have the capacity and operational reasons to participate on similar exercises has been taken into consideration here. The education system was found appropriate, only with above mentioned objection regarding to awareness of ordinary employees about it.
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Operating procedure of worker in crisis management center in case of an extraordinary event in He administrative division of extended reference township Prachatice.
PŮBAL, Přemysl
Security of citizens is one of the fundamental responsibilities of the state. Therefore, the crisis management system in the Czech Republic is one of the forms of the population protection guaranteed by the state. During its creation and operation cooperate appropriate bodies of the public administration, as well as legal and natural persons. In this thesis the readiness of smaller administrative units is assessed, such as municipality type I. (a municipality), municipality type II. (a municipality with authorized authority ) and especially municipality type III. (a municipality with extended scope). Despite the fact that the crisis management system in the Czech Republic is constantly evolving and is also supported by the legislative side, it is largely neglected at lower levels. Activities in this area are in many cases either postponed or in worse cases considered completely useless and their implementation will not take place. In relation with the exceptional situations the municipal authorities were entrusted with certain powers to deal with such situations. But on the other hand, different levels of municipalities are not distinguished in the cases of dealing with crisis situations. Problems arise in the areas of expertise, material and human resources, especially when the municipalities type I. do not have such resources to be capable of adequately respond in the event of a crisis situation. After all, there are better conditions in municipalities with extended scope, which are able, also due to the larger budgets within its administrative area, to ensure better crisis preparedness of municipality to an exceptional or crisis situation and its subsequent solutions associated with minimizing damages and eliminate the consequences of the action of an exceptional or crisis situation.The main objective of this thesis is to characterize the crisis management system in the Czech Republic. With the help of legislation and professional literature the theoretical part is focused on the explanation of basic terms, such as crisis management, a system of integrated rescue system, emergency and crisis planning, characteristics of the exceptional and crisis situation or crisis management authorities. Furthermore, the thesis is focused on the field of crisis management at the level of municipalities with extended scope, which describes both the scope and the various municipal bodies. It addresses the individual procedures of primarily smaller local government units in the prevention of municipality preparation for exceptional situations, participation of municipality on rescue and relief works and operations implemented in connection with the population protection. At last, the theoretical part contains the financial security operations related to the preparation of exceptional or crisis situations and to the rescue and relief work implementation.To meet the objectives of the thesis were established two research questions that address both the preparedness of humanitarian worker, as well as the possibility of drafting a proposal for a methodological procedure in dealing with crisis situation.
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