by Linda Abou-Abbas, Rima Kashash, Mustapha Khalife, Mohamad Shafic Ramadan Background Effective preparedness and response to mass casualty incidents (MCI) are essential for hospital safety, operational efficiency, and the delivery of timely, high-quality patient care during emergencies. This study assessed a tertiary government hospital in Lebanon’s Code Orange plan by reviewing documentation for alignment with international guidelines and evaluating staff knowledge, attitudes, and practices (KAP) regarding MCI preparedness.
Methods Documents reviewed at Rafik Hariri University Hospital (RHUH) included the current Code Orange plan, relevant policies, and international guidelines. A comprehensive evaluation framework was used, focusing on preparedness, incident command systems, communication, and management.
A comparison with established standards was conducted to identify gaps. Complementing this, a cross-sectional study was conducted using a convenient sample of medical and non-medical healthcare workers to evaluate their KAP regarding MCI preparedness.
Results The desk review of the RHUH Code Orange plan identified both strengths and significant gaps in MCI preparedness.
PLOS ONE (Medicine) published a clinical update in Research Highlights on 24 Apr 2026.
The item focuses on Mass casualty incident preparedness and response: A desk review of the Code Orange Plan and Assessment of Healthcare Workers’ Knowledge, Attitudes, and Practices in a Lebanese Tertiary Government Hospital.
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