Practice of hospital incident command system in the outbreak of coronavirus disease 2019_West China Medical Journal

Authors：

ZHAO Xin ^1,2,3 ,  HU Hai ^1,3 , YAN Hui ^1,3 , YAO Rong ⁴

1. Emergency Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. President & Dean’s Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Institute of Disaster Medicine, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HU Hai, Email: 412643356@qq.com

Keywords：

Hospital incident command system; Coronavirus disease 2019; Hospital management

DOI：

10.7507/1002-0179.202006360

Video：

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Hospital incident command system is a series of management systems for emergencies response of hospitals from the United States. Some hospitals in many countries have applied this system, but it has not yet been applied in China. In the process of responding to the coronavirus disease 2019 epidemic, West China Hospital of Sichuan University managed coronavirus disease 2019 patients through a standardized and programmatic model using the concept and framework of hospital incident command system, which included organizing hospital incident management team, carrying out incident action plan, space management, personnel management, material management and information management, in order to carry out standardized and procedural crisis response. This article introduces these management measures of West China Hospital of Sichuan University, aiming to provide a reference for establishing a more complete hospital emergency management system in line with China’s system in the future.

Citation： ZHAO Xin, HU Hai, YAN Hui, YAO Rong. Practice of hospital incident command system in the outbreak of coronavirus disease 2019. West China Medical Journal, 2021, 36(3): 311-315. doi: 10.7507/1002-0179.202006360 Copy

1.	Marjani M, Tabarsi P, Moniri A, et al. NRITLD protocol for the management of patients with COVID-19 admitted to hospitals. Tanaffos, 2020, 19(2): 91-99.
2.	Meier KA, Jerardi KE, Statile AM, et al. Pediatric hospital medicine management, staffing, and well-being in the face of COVID-19. J Hosp Med, 2020, 15(5): 308-310.
3.	Akdur O. COVID-19 pandemic hospital management experience in Turkey. Gac Med Mex, 2020, 156(5): 473-474.
4.	Shaw KA, Wilson KD, Brown JE. Hospital incident command system: tool for a TJC accreditation survey. J Healthc Prot Manage, 2016, 32(1): 63-70.
5.	Arnold JL, Dembry LM, Tsai MC, et al. Recommended modifications and applications of the hospital emergency incident command system for hospital emergency management. Prehosp Disaster Med, 2005, 20(5): 290-300.
6.	Jamie J, Dean A. Hospital incident command systems and their importance. Security, 2014, 51(3): 98-101.
7.	Shooshtari S, Tofighi S, Abbasi S. Benefits, barriers, and limitations on the use of hospital incident command system. J Res Med Sci, 2017, 22: 36.
8.	Djalali A, Hosseinijenab V, Peyravi M, et al. The hospital incident command system: modified model for hospitals in iran. PLoS Curr, 2015, 7: ecurrents.
9.	Sauer LM, Romig M, Andonian J, et al. Application of the incident command system to the hospital biocontainment unit setting. Health Secur, 2019, 17(1): 27-34.
10.	文进, 曾锐, 徐才刚, 等. 华西医院抗击新型冠状病毒肺炎疫情的十大管理举措. 中国循证医学杂志, 2020, 20(3): 365-368.
11.	Ma X, Li S, Yu S, et al. Emergency management of the prevention and control of novel coronavirus pneumonia in specialized branches of hospital. Acad Emerg Med, 2020, 27(4): 312-316.
12.	Hu H, Yao N, Qiu Y. Comparing rapid scoring systems in mortality prediction of critically ill patients with novel coronavirus disease. Acad Emerg Med, 2020, 27(6): 461-468.
13.	Liu S, Yao N, Qiu Y, et al. Predictive performance of SOFA and qSOFA for in-hospital mortality in severe novel coronavirus disease. Am J Emerg Med, 2020, 38(10): 2074-2080.
14.	朱培嘉, 李雷, 张龙浩, 等. 新型冠状病毒疫情在线防控的“华西项目化工作模式”探索与实践. 中国普外基础与临床杂志, 2020, 27(3): 257-260.
15.	陈竹, 庄英杰, 李进, 等. 新型冠状病毒肺炎患者定点收治医院的医疗管理. 中华医院感染学杂志, 2020, 30(6): 821-825.
16.	沈伟锋, 徐少文, 张茂, 等. 应重视急诊科医疗需求激增问题. 中华医学杂志, 2008, 88(47): 3313-3315.
17.	中华医学会急诊医学分会灾难医学学组. 大规模伤害事件时二级以上医院伤患激增应对能力的专家共识. 中华急诊医学杂志, 2016, 25(10): 1229-1236.
18.	王浩. 美国重大突发事件期间医疗卫生资源管理体系−医疗激增能力管理体系. 中国卫生事业管理, 2013, 30(7): 487-489.
19.	沈伟锋, 徐少文, 张茂, 等. 灾难性医疗需求激增的应对策略. 中华医院管理杂志, 2008, 24(6): 394-396.
20.	汪晖, 刘于, 王颖, 等. 新型冠状病毒肺炎疫情防控一线护理人员培训需求的质性研究. 护理学杂志, 2020, 35(8): 14-16.
21.	吴欣娟, 郭娜, 曹晶, 等. 新型冠状病毒肺炎院内感染防控规范化培训方案的制订与实施. 中华护理杂志, 2020, 55(4): 500-503.
22.	南玲, 陈萍, 刘莎, 等. 新型冠状病毒肺炎疫情期间个人防护用品穿脱技能培训学习曲线分析. 中国感染控制杂志, 2020, 19(3): 271-273.
23.	张瑜, 何苗, 李春华, 等. 临床一线医师面对新型冠状病毒肺炎疫情真实体验的质性研究. 中国全科医学, 2020, 23(9): 1078-1082.
24.	Ying W, Qian Y, Kun Z. Drugs supply and pharmaceutical care management practices at a designated hospital during the COVID-19 epidemic. Res Social Adm Pharm, 2021, 17(1): 1978-1983.
25.	Tsai MC, Arnold JL, Chuang CC, et al. Implementation of the hospital emergency incident command system during an outbreak of severe acute respiratory syndrome (SARS) at a hospital in Taiwan, ROC. J Emerg Med, 2005, 28(2): 185-196.
26.	Cao Y, Li Q, Chen J, et al. Hospital emergency management plan during the COVID-19 epidemic. Acad Emerg Med, 2020, 27(4): 309-311.
27.	Bahrami P, Ardalan A, Nejati A, et al. Factors affecting the effectiveness of hospital incident command system; findings froma systematic review. Bull Emerg Trauma, 2020, 8(2): 62-76.
28.	Fletcher B, Knight A, Pockrus B, et al. Hospital incident command: first responders or receiving centers?. Am J Disaster Med, 2016, 11(2): 125-130.

1. Marjani M, Tabarsi P, Moniri A, et al. NRITLD protocol for the management of patients with COVID-19 admitted to hospitals. Tanaffos, 2020, 19(2): 91-99.
2. Meier KA, Jerardi KE, Statile AM, et al. Pediatric hospital medicine management, staffing, and well-being in the face of COVID-19. J Hosp Med, 2020, 15(5): 308-310.
3. Akdur O. COVID-19 pandemic hospital management experience in Turkey. Gac Med Mex, 2020, 156(5): 473-474.
4. Shaw KA, Wilson KD, Brown JE. Hospital incident command system: tool for a TJC accreditation survey. J Healthc Prot Manage, 2016, 32(1): 63-70.
5. Arnold JL, Dembry LM, Tsai MC, et al. Recommended modifications and applications of the hospital emergency incident command system for hospital emergency management. Prehosp Disaster Med, 2005, 20(5): 290-300.
6. Jamie J, Dean A. Hospital incident command systems and their importance. Security, 2014, 51(3): 98-101.
7. Shooshtari S, Tofighi S, Abbasi S. Benefits, barriers, and limitations on the use of hospital incident command system. J Res Med Sci, 2017, 22: 36.
8. Djalali A, Hosseinijenab V, Peyravi M, et al. The hospital incident command system: modified model for hospitals in iran. PLoS Curr, 2015, 7: ecurrents.
9. Sauer LM, Romig M, Andonian J, et al. Application of the incident command system to the hospital biocontainment unit setting. Health Secur, 2019, 17(1): 27-34.
10. 文进, 曾锐, 徐才刚, 等. 华西医院抗击新型冠状病毒肺炎疫情的十大管理举措. 中国循证医学杂志, 2020, 20(3): 365-368.
11. Ma X, Li S, Yu S, et al. Emergency management of the prevention and control of novel coronavirus pneumonia in specialized branches of hospital. Acad Emerg Med, 2020, 27(4): 312-316.
12. Hu H, Yao N, Qiu Y. Comparing rapid scoring systems in mortality prediction of critically ill patients with novel coronavirus disease. Acad Emerg Med, 2020, 27(6): 461-468.
13. Liu S, Yao N, Qiu Y, et al. Predictive performance of SOFA and qSOFA for in-hospital mortality in severe novel coronavirus disease. Am J Emerg Med, 2020, 38(10): 2074-2080.
14. 朱培嘉, 李雷, 张龙浩, 等. 新型冠状病毒疫情在线防控的“华西项目化工作模式”探索与实践. 中国普外基础与临床杂志, 2020, 27(3): 257-260.
15. 陈竹, 庄英杰, 李进, 等. 新型冠状病毒肺炎患者定点收治医院的医疗管理. 中华医院感染学杂志, 2020, 30(6): 821-825.
16. 沈伟锋, 徐少文, 张茂, 等. 应重视急诊科医疗需求激增问题. 中华医学杂志, 2008, 88(47): 3313-3315.
17. 中华医学会急诊医学分会灾难医学学组. 大规模伤害事件时二级以上医院伤患激增应对能力的专家共识. 中华急诊医学杂志, 2016, 25(10): 1229-1236.
18. 王浩. 美国重大突发事件期间医疗卫生资源管理体系−医疗激增能力管理体系. 中国卫生事业管理, 2013, 30(7): 487-489.
19. 沈伟锋, 徐少文, 张茂, 等. 灾难性医疗需求激增的应对策略. 中华医院管理杂志, 2008, 24(6): 394-396.
20. 汪晖, 刘于, 王颖, 等. 新型冠状病毒肺炎疫情防控一线护理人员培训需求的质性研究. 护理学杂志, 2020, 35(8): 14-16.
21. 吴欣娟, 郭娜, 曹晶, 等. 新型冠状病毒肺炎院内感染防控规范化培训方案的制订与实施. 中华护理杂志, 2020, 55(4): 500-503.
22. 南玲, 陈萍, 刘莎, 等. 新型冠状病毒肺炎疫情期间个人防护用品穿脱技能培训学习曲线分析. 中国感染控制杂志, 2020, 19(3): 271-273.
23. 张瑜, 何苗, 李春华, 等. 临床一线医师面对新型冠状病毒肺炎疫情真实体验的质性研究. 中国全科医学, 2020, 23(9): 1078-1082.
24. Ying W, Qian Y, Kun Z. Drugs supply and pharmaceutical care management practices at a designated hospital during the COVID-19 epidemic. Res Social Adm Pharm, 2021, 17(1): 1978-1983.
25. Tsai MC, Arnold JL, Chuang CC, et al. Implementation of the hospital emergency incident command system during an outbreak of severe acute respiratory syndrome (SARS) at a hospital in Taiwan, ROC. J Emerg Med, 2005, 28(2): 185-196.
26. Cao Y, Li Q, Chen J, et al. Hospital emergency management plan during the COVID-19 epidemic. Acad Emerg Med, 2020, 27(4): 309-311.
27. Bahrami P, Ardalan A, Nejati A, et al. Factors affecting the effectiveness of hospital incident command system; findings froma systematic review. Bull Emerg Trauma, 2020, 8(2): 62-76.
28. Fletcher B, Knight A, Pockrus B, et al. Hospital incident command: first responders or receiving centers?. Am J Disaster Med, 2016, 11(2): 125-130.

West China Medical Journal

Practice of hospital incident command system in the outbreak of coronavirus disease 2019

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