Evidence-based support for the all-hazards approach to emergency preparedness.
Evidence-based support for the all-hazards approach to emergency preparedness.
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DOI：
10.1186/2045-4015-1-40
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发表时间：
2012-10-25
影响因子：
4.5
通讯作者：
Bar-Dayan Y
中科院分区：
文献类型：
--
作者：
Adini B;Goldberg A;Cohen R;Laor D;Bar-Dayan Y
在过去十年中，需要应对各种类型的紧急情况，包括大规模伤亡事件(MCEs)、大规模毒物/化学事件(MTE)和生物事件(流行病和生物恐怖制剂)。如果采用全方位的应急计划，就更有可能实现有效的应急准备。调查医院对各种紧急情况的准备情况之间是否存在关系，以及一个紧急情况的组成部分是否与其他紧急情况的准备相关。利用基于可测量参数的结构化评估工具，评估了所有急性护理医院对MCE、MTE和生物事件的应急准备水平。由专业专家分两个阶段进行评估：评估标准作业程序(SOP)，然后实地考察。分析了不同类型突发事件的总体准备与各组成部分得分之间的关系。在对不同紧急情况的准备之间发现了显著的关系。生物事件的标准操作程序(SOP)与所有调查的紧急情况的准备工作相关。培训和演习与对所有调查的紧急情况的准备之间存在很强的相关性。与设备或人员知识等其他构建块相比，基本关键构建块(如SOP、培训和演练计划)可更好地提高对不同紧急情况(包括MCE、MTE和生物事件)的准备能力。在不熟悉的紧急情况下，SOP尤其重要。研究结果支持对应急准备采取一种全能的方法。
During the last decade there has been a need to respond and recover from various types of emergencies including mass casualty events (MCEs), mass toxicological/chemical events (MTEs), and biological events (pandemics and bio-terror agents). Effective emergency preparedness is more likely to be achieved if an all-hazards response plan is adopted. To investigate if there is a relationship among hospitals' preparedness for various emergency scenarios, and whether components of one emergency scenario correlate with preparedness for other emergency scenarios. Emergency preparedness levels of all acute-care hospitals for MCEs, MTEs, and biological events were evaluated, utilizing a structured evaluation tool based on measurable parameters. Evaluations were made by professional experts in two phases: evaluation of standard operating procedures (SOPs) followed by a site visit. Relationships among total preparedness and different components' scores for various types of emergencies were analyzed. Significant relationships were found among preparedness for different emergencies. Standard Operating Procedures (SOPs) for biological events correlated with preparedness for all investigated emergency scenarios. Strong correlations were found between training and drills with preparedness for all investigated emergency scenarios. Fundamental critical building blocks such as SOPs, training, and drill programs improve preparedness for different emergencies including MCEs, MTEs, and biological events, more than other building blocks, such as equipment or knowledge of personnel. SOPs are especially important in unfamiliar emergency scenarios. The findings support the adoption of an all-hazards approach to emergency preparedness.
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DOI：
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发表时间：
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影响因子：
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作者：
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影响因子：
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通讯作者：
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影响因子：
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作者：
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