High-Reliability Organizing (HRO) for Disasters: Lessons Learned

Daved van Stralen, MD, FAAP; Sean D. McKay, Element Rescue, LLC; Thomas A. Mercer, RAdm, USN (Retired)

Abstract:

This abstract summarizes critical insights from the manuscript, focusing on lessons learned in neonatal disaster response. Themanuscript emphasizes the multifaceted challenges in such scenarios, including environmental issues, clinical care considerations, staffing concerns, communication difficulties, simulation needs, government agency collaboration, and comprehensive planning. Adopting a broader perspective and collaborating with experts from various fields to enhance neonatal disaster preparedness is highlighted. The structured process of lessons learned is emphasized, especially the analysis of observed data, the formulation of corrective actions and recommendations, and the integrating of diverse perspectives and expertise. Ultimately, the goal is to reduce potential failures and improve the survivability of neonates during disasters.

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Corresponding Author
Daved van Stralen, MD, FAAP

Daved van Stralen, MD, FAAP 
Associate Professor, Pediatrics 
Department of Pediatrics 
Loma Linda University School of Medicine 
11175 Campus Street 
CP-A1121 
Loma Linda, CA 92350 
Email: DVanStra@llu.edu 

Sean McKay 
Executive Partner / Director, Disruptive Rescue & Austere Medicine 

Sean McKay 
Executive Partner / Director, Disruptive Rescue & Austere Medicine 
Element Rescue – Response Solutions within Nonlinear Complex Environments 
Greenville, South Carolina, United States 

Thomas A. Mercer 
Rear Admiral 
United States Navy (Retired) 

Thomas A. Mercer 
Rear Admiral 
United States Navy (Retired) 

Acknowledgments

  • Karl Weick, Rensis Likert Distinguished University Professor of Organizational Behavior and Psychology, Emeritus, University of Michigan 
  • Errol van Stralen, Ancora Education
  • William J. Corr, formerly with the Los Angeles City Fire Department (retired) 
  • Dan Kleinman, Operations Section Chief, National Incident Man- agement Organization (retired)
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