Hospital bioterrorism preparedness linkages with the community: Improvements over time
Hospital bioterrorism preparedness linkages with the community: Improvements over time
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DOI：
10.1016/j.ajic.2004.01.003
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发表时间：
2004-10-01
影响因子：
4.9
通讯作者：
Fishbeck, J
中科院分区：
文献类型：
--
作者：
Braun, BI;Darcy, L;Fishbeck, J
背景：医院和社区响应实体之间的紧密联系，如消防安全，执法，应急管理机构。紧急医疗服务、公共卫生和地方政府管理是医院全面准备的基本要素。这些预先建立的关系，使一个综合的社区反应在emergencyMethods：这项试点研究评估了医院和关键的社区实体之间的联系，准备为生物恐怖主义（BT）事件之前和之后的2001年秋季的事件的变化。一个51个项目的问卷邮寄到两个连续的医院样本计划进行认证调查（2001年4月至5月和2002年5月至6月，n = 68和n = 97的答复，分别）。调查员的现场访问证实了一项解决生物恐怖主义问题的计划的存在。结果：激增能力和实验室/药房问题的协作规划有了很大改进。解决BT的医院计划显着增加（47.1%至90.7%），社区BT相关计划的认识也显着增加（48.5%至74.2%）。结论：需要足够的资源，但仍有机会进一步改善合作计划，如与其他医院就单一媒体发言人达成协议或制定药物分配协议。需要就联系方面的预期业绩水平提供更多指导。
Background: Strong linkages between hospitals and community response entities such as fire safety, law enforcement, emergency management agencies. emergency medical services, public health, and local government administration are an essential element of overall hospital preparedness. These pre-established relationships enable an integrated community response during an emergencyMethods: This pilot study assessed changes in linkages between hospitals and key community entities related to preparedness for a bioterrorism (BT) event before and after the events of fall 2001. A 51-item questionnaire was mailed to two consecutive hospital samples scheduled for accreditation surveys (April-May 2001 and May-June 2002; n = 68 and n = 97 responses, respectively). On-site visits by surveyors verified the presence of a plan addressing bioterrorism issues.Results: Substantial improvement in collaborative planning for surge capacity and lab/pharmacy issues occurred. Hospital plans that addressed BT increased significantly (47.1% to 90.7%), as did awareness of community BT-related plans (48.5% to 74.2%). Hospitals that conducted a BT-related drill increased from 19.1% to 48.5%.Conclusions: Adequate resources are needed, but opportunities remain to further improve collaborative planning, such as agreements with other hospitals on a single media spokesperson or development of a protocol for pharmaceutical distribution. Additional guidance is needed on expected levels of performance regarding linkages.