Publication:

Determinants of fire safety awareness and emergency evacuation preparedness in intensive care units and operating theatres: a cross-sectional study

Background Evacuation in intensive care units (ICUs) and operation theaters (OTs) is a complex task that requires well-trained staff. The aim of the study was to assess the level of fire safety awareness and emergency evacuation preparedness among healthcare personnel working in ICUs/OTs, and to identify the determinants influencing them.

Methods A cross-sectional study was conducted among healthcare workers in ICUs/OTs of two tertiary care hospitals in Bengaluru. A total of 150 participants were selected using population proportionate sampling followed by random number tables. Data were collected using a pre-tested, semi-structured questionnaire assessing socio-demographic characteristics, awareness of fire safety measures, and recommended practices during ICU/OT fire emergencies. The responses were compiled and analysed using descriptive and inferential statistics.

Results Of the 150 participants, 144 (96%) acknowledged the need for fire safety training; however, 125 (83.3%) did not consider themselves adequately trained to manage fires or related emergencies in the ICU/OT. Higher questionnaire scores were significantly associated with age, designation, and years of experience. Greater confidence in handling fire emergencies was observed among participants with prior training, longer work experience, or previous exposure to a fire incident. Overall, 125 (83.3%) participants demonstrated poor or very poor knowledge scores.

Conclusions The study revealed significant gaps in fire safety awareness and emergency evacuation preparedness among healthcare workers in ICUs and OTs. Factors such as age, designation, experience, and prior training were positively associated with better awareness and preparedness. These findings highlight the need for regular fire safety training to strengthen emergency preparedness in critical care areas.