From planning to action: Reflections on managing pH1N1 at a Canadian pediatric hospital

Cindy Bruce-Barrett, RN, BScN, MN, PMP; Marie Pinard, RN, BScN

doi:10.5055/jem.2011.0078

Authors

Cindy Bruce-Barrett, RN, BScN, MN, PMP
Marie Pinard, RN, BScN

DOI:

https://doi.org/10.5055/jem.2011.0078

Keywords:

pH1N1, pediatric, incident management, SickKids

Abstract

In response to the efforts taken for the management of pandemic H1N1, staff and leaders at The Hospital for Sick Children (SickKids) questioned whether success can be attributed to years of skillful preparation or just plain luck. This article reports the outcomes of a series of debriefing sessions that were held with the staff after the second wave of the pandemic came to a close. Findings reveal strengths and opportunities in transforming pandemic planning into action. The results may help to inform others interested in refining their pandemic plans or to enhance their overall emergency preparedness for the future.

Author Biographies

Cindy Bruce-Barrett, RN, BScN, MN, PMP

Corporate Strategy and Performance, The Hospital for Sick Children, Toronto, Ontario, Canada.

Marie Pinard, RN, BScN

Quality and Risk Management, The Hospital for Sick Children, Toronto, Ontario, Canada.

References

Chan M: “World now at the start of 2009 influenza pandemic.” Statement to press from Director General, World Health Organization; June 11, 2009. Available at http://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/index.html. Accessed December 20, 2010.

Emergency Management Ontario, Emergency Management Doctrine for Ontario. Available at http://www.emergencymanagementontario.ca. Accessed December 20, 2010.

Ontario Hospital Association (OHA): OHA Emergency Management Toolkit: Developing a Sustainable Emergency Management Program for Hospitals. Toronto, ON: OHA, 2008.

Federal Emergency Management Agency (FEMA): National Incident Management System (NIMS). Available at http://www.fema.gov/emergency/nims/index.shtm. Accessed December 20, 2010.

Plsek P, Greenhalgh T: The challenge of complexity in health care. BMJ. 2001; 323: 625-628.

Zimmerman B, Lindberg C, Plsek P: Edgeware: Lessons from Complexity Science for Health Care Leaders. Dallas, TX: VHA Inc, 1998. Available at http://www.plexusinstitute.org/ideas/show_elibrary.cfm?id=150. Accessed December 20, 2010.

Langton C: Artificial Life (Santa Fe Institute Studies in the Sciences of Complexity Proceedings). Vol. 6. Redwood City, CA: Addison-Wesley, 1989.

D’Cruz J: Leadership and complexity theory: Implications for patient safety. Presented at the 6th Annual Patient Safety Symposium, Toronto, 2010.

Liu S, Homa K, Butterly J, et al.: Improving the simple, complicated and complex realities of community-acquired pneumonia. Qual Saf Health Care. 2009; 18(2): 93-98.

Fraser S, Greenhalgh T: Coping with complexity: Educating for capability. BMJ. 2001; 323: 799-803.