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Principles and theories
Published in Emily Ying Yang Chan, Disaster Public Health and Older People, 2019
In general, disaster management includes prevention, preparedness, warning, response and recovery. Prevention aims to reduce disaster risk and prevent disasters from happening. This may include hazard elimination, infrastructure strengthening and education. Preparedness targets community resilience building through activities such as community training, contingency plan development, and drills and exercises for potential hazards in response, rescue and recovery phases. Warning activities include detection and alert, i.e. monitoring, identifying and forecasting disasters, as well as disseminating relevant information on related hazards to the public. Response approaches mobilise different emergency services to rescue and provide relief to disaster victims. Recovery activities facilitate relief, rehabilitation and reconstruction to allow the victims to return to their normal living contexts (Lewis, Sheringham, Kalim, & Crayford, 2014).
A ‘don’t do that’ approach
Published in Tim Marsh, A Definitive Guide to Behavioural Safety, 2017
A European/Australian view is already addressing these issues. In ‘B is for BBS’ (March 2016 IOSH magazine), Bridget Leathley demonstrates a welcome focus on analysis, not coaching. She gives the example that if people are slipping on a wet floor, one should not just ask people to walk carefully. The approach should be to fix any leak and, if that’s not possible, limit the number of people who walk on it and issue non-slip footwear. The top of the slips and trips hierarchy is change the flooring. This is ‘several whys’, or really excellent ‘hazard elimination’, which, as Leathley rightly says, ‘BBS is no substitute for.’
Fall assessment in subacute inpatient stroke rehabilitation using clinical characteristics and the most preferred stroke severity and outcome measures
Published in European Journal of Physiotherapy, 2023
Sinikka Tarvonen-Schröder, Tuuli Niemi, Saija Hurme, Mari Koivisto
On a university hospital inpatient rehabilitation ward, 195 consecutive subacute stroke patients were included in the study between August 2015 and September 2018. Fall prevention procedures including comprehensive electronic reporting of all fall and near fall events (time, place and description of the incident and possible injury) were revised in April 2015. All multidisciplinary team measures including risk factor evaluation, systematical and individually tailored assessment, management and monitoring, and environmental hazard elimination were enhanced during 2015–2016, however, without restricting activity levels. An intensive inpatient rehabilitation program consisted of combined coordinated meetings of a multidisciplinary team five days a week according to patients’ individual needs in addition to constant rehabilitative nursing. The team encompassed registered nurses, a neurologist, a physiotherapist, an occupational therapist, a rehabilitation psychologist, a neuropsychologist, a speech and language therapist, a social worker, a rehabilitation planner, and when necessary, also other consultants.