A case study in the identification of critical factors leading to successful implementation of the hospital incident command system
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The Hospital Incident Command System (HICS) is widely used by the nation’s hospitals, yet there is a paucity of research and a lack of developed models to examine HICS implementation. A study of HICS implementation may benefit hospitals, provide insight for future revisions, and add to the body of knowledge about HICS. This case study examined the critical factors that lead to the successful implementation of HICS based upon Stanford Medicine’s Response to the Asiana plane crash of July 6, 2013. Four commonalities identified from the literature review formed a hypothesis for successful HICS implementation that was tested and supported. In addition to the lessons learned that supported the tested hypothesis, the documentation reviewed described highly competent individuals and cohesive teamwork. It was not possible to separate individual and team competence from the tested hypothesis. As a result of this study, six critical factors were identified from the supported hypothesis that form an HICS implementation model for future evaluation.
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