Graham Hancox

Systems mapping for technology development in CBRN response

The purpose of this paper is to develop an EU sociotechnical systems (STSs) map to represent a harmonised concept of operations (CONOPS) as a future development platform for technologies used in multi-services emergency responses to chemical, biological, radiological and nuclear (CBRN) incidents.,AcciMaps were developed to locate where technologies are currently used, and opportunities for new technologies. The AcciMaps were iteratively co-designed with end users (fire, ambulance, police and military) across three EU countries (the UK, Finland and Greece). Data were collected using document analysis and interviews with senior ranking (Gold or Silver Command level) representatives of the participating end users.,Despite differences in terminology and between service sectors, consensus was achieved for the command structures (Gold, Silver and Bronze), and Hot Zone responders (specialist blue light responders and blue light responders (BLR)). A control room was included as the communication spine. BLR activities were limited by their scope of practice and available equipment, for example, breathing apparatus. The harmonised EU AcciMap offers a high-level STSs map of CBRN response. Critical segments have been identified which offer opportunities for technology developments that can add value in terms of response capabilities (e.g. tag and trace).,A large scale major CBRN incident may need cross-border and cross-professional engagement where efficient interoperability is vital. This research is the first EU consensus of a STS map for CONOPS. It supports future research for technology development, e.g., detection and decontamination equipment design and use, communication, diagnosis and response technologies.

Ergonomics Systems Mapping for Professional Responder Inter-operability in Chemical, Biological, Radiological and Nuclear Events

A European consensus was developed as a concept of operations (CONOPS) for cross-border, multi-professional chemical, biological, radiological and nuclear (CBRN) responses. AcciMaps were co-designed with professional responders from military, fire, ambulance, and police services in UK, Finland and Greece. Data were collected using document analysis from both open and restricted sources to extract task and operator information, and through interviews with senior staff representatives (Gold or Silver Command level). The data were represented on the Accimaps as a high level Socio-Technical Systems (STS) map of CBRN response using the themes of communication, planning, action, and reflection. Despite differences between service sectors and in terminology, a macro systems level consensus was achieved for the command structures (Gold, Silver and Bronze), and Hot Zone responders (Specialist Blue Light Responders and Blue Light Responders). The detailed tasks and technologies have been analysed using Hierarchical Task Analysis (HTA) to represent both complex response scenarios (macro) and detailed technologies (micro interfaces) for detection, diagnosis and decontamination. The outputs from these two systems mapping tools (Accimaps and HTAs) are being used in two field trials/exercises.

Applying Human Factors Methods to Explore ‘Work as Imagined’ and ‘Work as Done’ in the Emergency Departments Response to Chemical, Biological, Radiological, and Nuclear Events

The Emergency Department (ED) is a complex, hectic, and high-pressured environment. Chemical, Biological, Radiological, and Nuclear (CBRN) events are multi-faceted emergencies and present numerous challenges to ED staff (first receivers) with large scale trauma, consequently requiring a combination of complex responses.