Downey, E.L., Andress, K., and Schultz, C.H. (2013). External Factors Impacting Hospital Evacuations Caused by Hurricane Rita: The Role of Situational Awareness. (Abstract only.) Prehospital and Disaster Medicine. 28(3): 264-271.
The authors examined the effect situational awareness had on hospitals' decision to evacuate or shelter in place during and after Hurricane Rita. They found that incident management teams reported two main factors that guided decisions: (1) the effect of the incident on the facility's internal resources and challenges; and (2) how the incident characteristics would affect external evacuation activities.