ACEP Disaster Preparedness Drug Shortage Survey Results 2018 | ACEP

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ACEP Disaster Preparedness Drug Shortage Survey Results 2018

Survey Demographics

Gender

Male

179

Female

68

Age

29 – 39

37

40 – 49

77

50 – 59

60

60 – 69

64

≥ 70

8

Race/Ethnicity

Asian

6

Black/African American

1

Hispanic/Latino

9

Other

52

White

173

Type of hospital (primary)

Rural

32

Suburban

108

Urban

107

Emergency department volume (primary)

Up to 10,000

7

10,001 - 20,000

14

20,001 - 30,000

15

30,001 - 40,000

32

40,001 - 50,000

35

50,001 - 75,000

67

75,001 - 100,000

47

100,001 - 200,000

30

Hazard/Disaster Preparedness

Q1. In the event of a natural or man-made disaster or mass-casualty incident, is the emergency department in which you primarily work prepared for surge capacity?

 

Response

(n)

%

Yes, completely

15

6

Yes, somewhat

121

49

No, not completely

67

27

No, not at all

41

17

Don't know

3

1

 

Q2. In the event of a natural or man-made disaster or mass casualty incident, does your primary hospital have access to real-time data regarding all of the available health care resources in the region?

 

Response

(n)

%

Yes, always

55

22

Yes, somewhat

100

41

No, not completely

35

14

No, not at all

32

13

Don't know

25

10

 

Q3. After recent events, has your primary hospital re-evaluated preparation/response plans for similar type situations?

 

Response

(n)

%

Yes, thoroughly

32

13

Yes, somewhat

108

44

No, not really

54

22

No, not at all

21

8

Don't know

32

13

 

 

Q4. When was the last time infrastructure improvements were made to better handle mass casualty or disaster events in your hospital emergency department?

 

Response

(n)

%

Within a year

37

15

Within 5 years

52

21

Within 10 years

44

18

Within 15 years

8

3

More than 15 years

18

7

Don't know

88

36

Drug Shortages

Q5. In the past month, have you experienced a shortage or absence of a critical medicine in your primary emergency department?

 

Response

(n)

%

Yes

224

91

No

23

9

Q6. If you answered yes, how many medicines have you experienced shortages with?

 

No. of medicines

(n)

%

1-5

92

41

6-10

96

43

11-15

17

8

16-20

8

3

>20

11

5

Q7. Over the last year, drug shortages in your primary emergency department have:

 

Response

(n)

%

Increased a lot

170

69

Increased a little

41

16

Staying the same

9

4

Decreased a little

2

1

Don’t know

1

0

No response

24

10

Q.8 Has your primary ED had to use an alternative to a medication that was unavailable because of a supply shortage?

 

Response

(n)

%

 

Yes

218

97

 

No

6

3

 

If you answered no, what do you do when a patient needs a specific drug that is unavailable at that time?

  • Use more inferior drug
  • Substitute, skip treatment
  • Skip treatment
  • Alternative treatment

 

Q9. In your primary ED, have patient outcomes been negatively impacted (including direct patient harm) by drug shortages?

 

Response

(n)

%

Yes

81

36

No

44

20

Don’t know

99

44

 

Q10. Due to drug shortages, have you had to take time away from patients (at a computer, consulting/coordinating with other experts, etc.) to explore the viability of alternative treatments/medication?

 

Response

(n)

%

Yes, definitely

121

54

Yes, somewhat

76

34

No, not really

25

11

Don't know, no opinion

2

1