Czech hospital shooting highlights occupancy risk, need for preparation
A view from inside a waiting room at University Hospital in Ostrava, Czech Republic, where Tuesday morning a gunman killed six people in the country's deadliest mass shooting since 2015. Image Capture: Aug 2017, Copyright 2017 Google
A shooting in a hospital waiting room in the city of Ostrava, Czech Republic, left six people dead this morning, the New York Times reported.
The shooter, a 42-year-old man, killed himself as officers closed in. It was the deadliest shooting in the country since 2015, when a gunman killed eight at a restaurant.
The incident highlights the risk of active shooter or other hostile events occurring in hospitals—something emergency management officials have been concerned over for some time.
"We're wide open. We don't run you through a metal detector on the way in," Michael Marturano, safety officer for a health care system in Duluth, Minnesota, said of hospitals during a November 2017 interview with NFPA Journal. "Surgery's locked down, the birthing center is locked down, but the other 80 percent of the building is pretty open. You've got sales people coming in, family members coming in, you've got meetings with a lot of community folks, and they need to get in."
My interview with Marturano served as the Perspectives article for the January/February issue of NFPA Journal. Our conversation covered the importance of preparing health care facilities for situations involving active shooters, some of the challenges involved with the training, and measures health care workers can take to stay safe in active shooter events.
In the nearly three years since our interview, advancements in preparing for active shooter and other hostile events have been made—most notably, NFPA 3000 (PS), Standard for an Active Shooter/Hostile Event Response (ASHER) Program, was released in May 2018.
But the risk of such an event occurring in a hospital has pretty much stayed in the same. In June 2017, a disgruntled doctor opened fire with an AR-15 at a hospital in New York City, killing one doctor and wounding six others. In November 2018, three people were killed in a mass shooting at Mercy Hospital in Chicago. Next month, the city of Augusta, Georgia, will embark on a yearlong journey to implement NFPA 3000 throughout its community, and the risk of a shooting occurring in one of the area's three hospitals will be a major consideration for project leaders. You'll be able to read more about this project when the January/February issue of NFPA Journal is published in the coming weeks.
While active shooter events in hospitals aren't that common in the US—only seven occurred from 2000 to 2015, according to data from Texas State University's Advanced Law Enforcement Rapid Response Training (ALERRT) Center—they can be a huge headache for hospital emergency planners, said John Montes, the NFPA staff liaison to NFPA 3000.
"They have to worry about having an incident on their site, but they are also part of any incident that occurs in the area because they receive the victims," he said. "They are part of that recovery process and response process. It can be very complicated for them to plan."