Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster
Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster
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DOI：
10.1007/s00134-010-1759-y
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发表时间：
2010-03-01
影响因子：
38.9
通讯作者：
Adini, Bruria
中科院分区：
文献类型：
--
作者：
Sprung, Charles L.;Zimmerman, Janice L.;Adini, Bruria
为加强监护病房和医院对流感大流行的准备工作提供建议和标准操作程序，在文献回顾和专家意见的基础上，采用德尔菲法确定了必要的主题，主要建议包括：医院应通过扩大ICU容量和将ICU扩展到其他区域来最大限度地增加ICU床位。医院应该为这些扩展区域配备适当的病床和监视器。在设施、地方、区域和/或国家各级与控制小组建立管理系统，以行使对资源的权力。建立ICU与关键接口科室之间的沟通、协调和协作制度。需要一个计划来访问、协调和增加劳动力资源，并对所有临床和非临床工作人员进行集中清点。委托不属于工人惯例范围的职责。确保提供足够的基本医疗设备、药品和用品。通过感染控制实践和支持职业健康政策保护患者和工作人员。通过法律的保护和援助的保证计划保持员工的信心。有客观、道德、透明的分类标准，公平适用，并公开披露。ICU对患者的分诊应基于患者受益最大的可能性或“先到先得”的基础。制定高风险程序的安全执行协议。培训和教育工作人员。虽然在严重的流感爆发或灾难期间死亡率是不可避免的，但通过充分的准备可以降低死亡率。
To provide recommendations and standard operating procedures for intensive care units and hospital preparedness for an influenza pandemic.Based on a literature review and expert opinion, a Delphi process was used to define the essential topics.Key recommendations include: Hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas. Hospitals should have appropriate beds and monitors for these expansion areas. Establish a management system with control groups at facility, local, regional and/or national levels to exercise authority over resources. Establish a system of communication, coordination and collaboration between the ICU and key interface departments. A plan to access, coordinate and increase labor resources is required with a central inventory of all clinical and non-clinical staff. Delegate duties not within the usual scope of workers' practice. Ensure that adequate essential medical equipment, pharmaceuticals and supplies are available. Protect patients and staff with infection control practices and supporting occupational health policies. Maintain staff confidence with reassurance plans for legal protection and assistance. Have objective, ethical, transparent triage criteria that are applied equitably and publically disclosed. ICU triage of patients should be based on the likelihood for patients to benefit most or a 'first come, first served' basis. Develop protocols for safe performance of high-risk procedures. Train and educate staff.Mortality, although inevitable during a severe influenza outbreak or disaster, can be reduced by adequate preparation.