Surge capacity for healthcare systems: A conceptual framework
Surge capacity for healthcare systems: A conceptual framework
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DOI：
10.1197/j.aem.2006.06.032
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发表时间：
2006-11-01
影响因子：
4.4
通讯作者：
Bey, Tareg
中科院分区：
文献类型：
--
作者：
Kaji, Amy;Koenig, Kristi L.;Bey, Tareg
这份报告反映了2006年学术急诊医学共识会议“涌浪能力的科学”的分组会议“涌浪能力：定义概念”的会议记录。虽然文献中对浪涌容量有几种一般性的描述，但没有普遍接受的标准定义来说明各个组成部分。因此，本次分组会议的目标是更好地描述涌浪能力的组成部分，并概述规划涌浪能力时的主要考虑因素。参与者来自不同的背景，包括学术和社区急救医生、经济学家、医院管理人员和数学建模专家。确定了增压能力的三个基本组成部分：人员、人员和结构。在灾难性事件发生时，重点将是增加病人护理能力，而不是增加床位和医疗用品等东西。尽管每日激增和灾难激增有相似之处，但在灾难期间，目标从日常操作的重点转向优化个体患者的预后，而不是优化整个群体的预后。确定增压能力的其他关键考虑因素包括心理社会行为问题、一致的志愿精神、对特殊专门知识和用品的需要、制定适合特定情况的护理标准以及标准化增压能力的通用衡量标准。
This report reflects the proceedings of a breakout session, "Surge Capacity: Defining Concepts," at the 2006 Academic Emergency Medicine Consensus Conference, "Science of Surge Capacity." Although there are several general descriptions of surge capacity in the literature, there is no universally accepted standard definition specifying the various components. Thus, the objectives of this breakout session were to better delineate the components of surge capacity and to outline the key considerations when planning for surge capacity. Participants were from diverse backgrounds and included academic and community emergency physicians, economists, hospital administrators, and experts in mathematical modeling. Three essential components of surge capacity were identified: staff, stuff, and structure. The focus on enhancing surge capacity during a catastrophic event will be to increase patient-care capacity, rather than on increasing things, such as beds and medical supplies. Although there are similarities between daily surge and disaster surge, during a disaster, the goal shifts from the day-to-day operational focus on optimizing outcomes for the individual patient to optimizing those for a population. Other key considerations in defining surge capacity include psychosocial behavioral issues, convergent volunteerism, the need for special expertise and supplies, development of a standard of care appropriate for a specific situation, and standardization of a universal metric for surge capacity.