A classification of fire evacuation ability of home care clients based on the RAI-HC instrument

Authors

  • Magnus Björkgren, PhD
  • Frank Borg, MS
  • Tytti Oksanen, MS
  • Leila Mäkinen, MS

DOI:

https://doi.org/10.5055/jem.2020.0495

Keywords:

safe egress, classification tree, home care, interRAI

Abstract

Objectives: Home care and community-based services are being increasingly promoted in elderly care to prevent the need for institutional care. As more physically and cognitively dependent clients are being cared for in the community, concerns from fire safety perspectives have been raised. The issue becomes whether the home care client can evacuate safely from the residence in case of fire, where the available safe egress time is estimated to be around 2-3 minutes. The objective of this study was to develop a classification based on the RAI Home Care 2.0 assessment instrument for determining the evacuation ability of home care clients in the case of fire.

Design: The evacuation ability was assessed by fire safety experts who rated the evacuation ability of home care clients (N = 1,011). These data were linked to the persons RAI-HC assessment, which is a comprehensive assessment instrument of the persons functional performance and health status.

Results: The classification provides a reasonably accurate prediction of different risk categories in home care.

Conclusion: The classification can be used for screening home care clients to determine their evacuation ability.

Author Biographies

Magnus Björkgren, PhD

Health Science Unit, Kokkola University Consortium, Chydenius, Finland

Frank Borg, MS

Health Science Unit, Kokkola University Consortium, Chydenius, Finland

Tytti Oksanen, MS

Fire Inspector Engineer, Tampere Regional Rescue Department, Tampere, Finland

Leila Mäkinen, MS

Master of Administrative Sciences, Public Management Service Manager, Home Care at the City of Tampere, Tampere, Finland

References

International Association of Fire and Rescue Services: World Fire Statistics. 2017. Available at https://www.ctif.org/sites/default/files/ctif_report22_world_fire_statistics_2017.pdf. Accessed April 27, 2020.

Finnish National Rescue Association: Poistumisturvallisuuden laadintaopas (Emergency plan directives.). Available at http://www.spek.fi/Suomeksi/Turvatietoa/Oppaita-ja-esitteita/Poistumisturvallisuusselvityksen-laadintaopas. Accessed August 21, 2019.

interRAI: Welcome - interRAI. Available at http://www.interrai.org/. Accessed March 14, 2019.

van Solm AIT, Hirdes JP, Leslie AE, et al.: Using standard clinical assessments for home care to identify vulnerable populations before, during and after disasters. J Emerg Manage. 2017; 15(6): 355-366.

Ketola J, Kokki E: Pelastustoimen taskutilasto 2013-2017. (Rescue service’s statistics 2013-3017.) Available at info.smedu.fi/kirjasto/Sarja_D/02_2018.pdf. Accessed January 27, 2020.

Kannath C: Data mining and analysis. In: Higham NJ, ed. The Princeton Companion to Applied Mathematics. Princeton, New Jersey: Princeton University Press; 2015: 350-360.

Thernau T, Atkinson B, Ripley B: Recursive partitioning and regression trees. Available at https://cran.r-project.org/web/packages/rpart. Accessed August 14, 2019.

Morris JN, Fries B, Steel K, et al.: Comprehensive clinical assessment in community setting: Applicability of the MDS-HC. J Am Geriatr Soc. 1997; 45(8): 1017-1024.

Björkgren M, Borg F, Kokki E, et al.: PaloRAI ja EVACmittari. 2017. Available at http://www.pirkanmaanpelastuslaitos.fi/js/upload/1498822256_PaloRAI%20PO-julkaisu.pdf. Accessed April 27, 2020.

Hirdes JP, Ljunggren G, Morris JN, et al.: Reliability of the interRAI suite of assessment instruments: A 12-country study of an integrated health information system. BMC Health Serv Res. 2008; 8: 227.

Published

11/01/2020

How to Cite

Björkgren, PhD, M., F. Borg, MS, T. Oksanen, MS, and L. Mäkinen, MS. “A Classification of Fire Evacuation Ability of Home Care Clients Based on the RAI-HC Instrument”. Journal of Emergency Management, vol. 18, no. 6, Nov. 2020, pp. 535-40, doi:10.5055/jem.2020.0495.