[根据大规模伤亡事件演习评估医院应急计划]。

Chris Speicher, Thomas Wurmb, Gerhard Schwarzmann, Christian Zech, Hendrik Jansen, Dirk Weismann, Friedrich Anger, Mila Paul, Andreas Münch, Martina Ohr, Patrick Meybohm, Maximilian Kippnich
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引用次数: 0

摘要

背景:医院应急计划是医院处理大规模伤亡事件的重要工具。法律要求医院制定此类计划并进行演练。应急演练是培训员工和评估现有结构的有用工具。维尔茨堡大学医院(UKW)的应急计划在灾难演习中根据预先设定的演习目标进行了评估:方法:在一次大规模灾难演习中,根据维尔茨堡大学医院的应急计划对程序进行了演练。演习目标确定为:测试管理结构、人员部署、实际组织、分流、病人流动和沟通。事先确定了几个演习目标。采用匿名问卷对演习目标的实现情况进行评估:如果经过适当的培训和演练,英国水务局的应急计划一般都能很好地应对大规模伤亡事件。需要改进的方面包括:沟通结构、治疗区的责任以及工作人员对现有应急计划和可用材料的了解:讨论:大规模伤亡演习是评估医院应急计划的良好工具。成功的关键和决定性因素是要有明确的管理和沟通结构。对现有物资、应急计划内容的充分了解,以及对计划中规定程序的一致应用,对协调行动方案至关重要。这可以通过定期和强制性的培训课程来实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Evaluation of the hospital emergency plan based on an exercise for a mass casualty incident].

Background: The hospital emergency plan is an important tool for hospitals in the management of a mass casualty incident. It is a legal requirement for hospitals to have such plans in place and to carry out drills. Emergency drills are a useful tool for the training of staff and for the evaluation of existing structures. The emergency plan of the University Hospital Würzburg (UKW) was evaluated during a disaster drill based on predefined drill objectives.

Methods: The procedures according to the emergency plan of the UKW were practiced during a large-scale disaster exercise. The exercise objectives were defined as: testing the management structure, deployment of personnel, physical organization, triage, patient flow and communication. Several exercise objectives were defined in advance. An anonymized questionnaire was used to evaluate the achievement of the exercise objectives.

Results: When properly trained and practiced the UKW emergency plan is generally well-suited to managing a mass casualty event. Improvements need to be made in the communication structure, responsibilities in the treatment areas and staff knowledge of the existing emergency plans and available material.

Discussion: Mass casualty drills are a good tool for the evaluation of hospital emergency plans. A critical and decisive element for success is the existence of a clear management and communication structure. A good knowledge of the available material, the contents of the emergency plan and the consistent application of the procedures defined in this plan are essential for a coordinated course of action. This can be achieved by means of regular and mandatory training sessions.

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