Assessing hospital preparedness using an instrument based on the Mass Casualty Disaster Plan Checklist: Results of a statewide survey
Assessing hospital preparedness using an instrument based on the Mass Casualty Disaster Plan Checklist: Results of a statewide survey
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DOI：
10.1016/j.ajic.2004.03.006
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发表时间：
2004-10-01
影响因子：
4.9
通讯作者：
Carrico, R
中科院分区：
文献类型：
--
作者：
Higgins, W;Wainright, C;Carrico, R
背景：医院将在大规模杀伤性武器事件中发挥关键作用。本研究旨在评估肯塔基州短期和长期医院对大规模伤亡事件的准备情况。方法：使用基于大规模伤亡灾难计划清单的工具和基于医疗保健研究和质量局开发的清单的简短补充生物恐怖主义准备问卷，对肯塔基州所有短期和长期医院进行调查。结果：在接受调查的118家医院中，有116家（98%）做出了回应。医院报告说，激增的能力相当于27%的许可床位，几乎所有的受访者都参与了大规模杀伤性武器事件的规划。然而，提前规划和准备并不常见。观察到很大的区域差异，特别是在制药规划领域。一般的准备规划和药品管理规划，特别是更先进的县参与大都会医疗响应系统程序（MMRS）。结论：医院大规模伤亡准备工作在本次调查的时候，在发展的早期阶段，和一些关键的能力，如隔离，去污，和症状监测明显欠发达。在MMRS各州的医院中，准备计划更为先进。
Background: Hospitals would play a critical role in a weapon of mass destruction (WMD) event. The purpose of this study is to assess preparedness for mass casualty events in short-term and long-term hospitals in Kentucky.Methods: All short-term and long-term hospitals in Kentucky were surveyed using an instrument based on the Mass Casualty Disaster Plan Checklist and a brief supplemental bioterrorism preparedness questionnaire based on a checklist developed for the Agency for Healthcare Research and Quality.Results: Responses were received from 116 of the 118 (98%) hospitals surveyed. Hospitals reported surge capacity equal to 27% of licensed beds, and virtually all respondents were engaged in planning for weapons of mass destruction events. However, advanced planning and preparation were less common. Large regional differences were observed, especially in the area of pharmaceutical planning. Preparedness planning in general and pharmaceutical management planning in particular were more advanced in counties participating in the Metropolitan Medical Response System Program (MMRS).Conclusions: Hospital mass casualty preparedness efforts were in an early stage of development at the time of this survey, and some critical capabilities, such as isolation, decontamination, and syndromic surveillance were clearly underdeveloped. Preparedness planning was more advanced among hospitals located in MMRS counties.