Hospital Emergency Preparedness for Disasters: A Systematic Literature Review_Chinese Journal of Evidence-Based Medicine

Authors：

WEN Jin ¹ ,  LI Youping ¹ , SHI Yingkang ²³ , CHEN Qian ² , LI Linhong ² , GAO Zhan ¹ , YANG Xiaoyan ¹ , CHENG Lan ¹

1. Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;2. West China Medical School, Sichuan University, Chengdu 610041, China;3. West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

LI Youping, Email: yzmylab@hotmail.com

Keywords：

Disaster; Mass casualty incident; Emergency preparedness; Hospital

DOI：

10.7507/1672-2531.20080109

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Objective 　To provide reference for hospital emergency preparedness for disasters in China by summarizing the main results from articles involving hospital emergency readiness.
Method 　We systematically searched MEDLINE (1950 to June 2008), CNKI (1980 to June 2008) and some websites. The main results of the eligible articles are described.
Results 　A total of 85 articles were included, of which expert articles and surveys accounted for 44% and 29%, respectively. An emergency hospital plan should address the following 4 phases of disaster management: mitigation, preparation, response, and recovery. The following factors should be considered when developing hospital emergency plans: surge capacity, disaster planning, collaboration, training, drill, personnel, equipment, triage, diagnosis, treatment, decontamination, funding, individual security, logistic, psychological support, etc. Questionnaires, checklists or specific tools could be applied to evaluate such emergency plans.
Conclusion 　Hospital emergency preparedness is essential for effective disaster relief. Hospitals should develop emergency plans for a variety of disasters, based on their local situations.

Citation： WEN Jin,LI Youping,SHI Yingkang,CHEN Qian,LI Linhong,GAO Zhan,YANG Xiaoyan,CHENG Lan. Hospital Emergency Preparedness for Disasters: A Systematic Literature Review. Chinese Journal of Evidence-Based Medicine, 2008, 08(7): 483-488. doi: 10.7507/1672-2531.20080109 Copy

1.	Adini LCB, Goldberg CA, Laor CD, et al. Assessing levels of hospital emergency preparedness. Prehosp Disast Med, 2006, 21(6): 451-457.
2.	程红群. 医院应急医学救援能力建设研究(博士学位论文). 中国人民解放军军事科学研究院, 2007年5月.
3.	http://www.trainforemergencymanagement.com/JCAHO.html.
4.	Cyganik KA. Disaster preparedness in Virginia Hospital Center-Arlington, after Sept 11, 2001. Disaster Manage Response, 2003, 1: 80-86.
5.	Healthcare Association of Hawaii: Hospital Capability Assessment for Readiness .Version 1.10. Honolulu; Healthcare Association of Hawaii, 2001.
6.	Institute of Medicine. Hospital-Based Emergency Care: At the Breaking Point. Washington, DC: National Academy Press; 2006.
7.	Kaji AH, Koenig KL, Lewis RJ. Current hospital disaster preparedness. JAMA, 2007, 298(18): 2188-2190.
8.	Meyers S. Disaster preparedness: hospitals confront the challenge. Lessons learned from Oklahoma City and Manhattan provide national guidance. Trustee, 2006, 59(2): 12-14.
9.	Clancy CM. Emergency departments in crisis: implications for disaster preparedness. American Journal of Medical Quality, 2007, 22(2): 123-126.
10.	Greenberg MI, Hendrickson RG. Report of the CIMERC/Drexel University Emergency Department Terrorism Preparedness Consensus Panel. Academic Emergency Medicine, 2003, 10(7): 783-788.
11.	http://www.aha.org/aha_app/issues/Emergency-Readiness/index.jsp.
12.	American College of Emergency Physicians. Health care system surge capacity recognition, preparedness, and response. Ann Emerg Med, 2005, 45(2): 239-239.
13.	Okumura T, Ninomiya N, Ohta M. The chemical disaster response system in Japan. Prehosp Disast Med, 2003, 18(3): 189-192.
14.	Becker SM. Emergency communication and information issues in terrorist events involving radioactive materials. Biosecur Bioterror, 2004, 2(3): 195-207.
15.	Chess C, Salomone KL, Sandman P. Risk communication activities of state health agencies. Am J Public Health, 1991, 81(4): 489-491.
16.	Reitherman R. How to prepare a hospital for an earthquake. Journal of Emergency Medicine, 1986, 4(2): 119-131.
17.	Manning FJ, Goldfrank L (ed). Tools for Evaluating the Metropolitan Medical Response System Program: Phase I Report . Washington, DC: National Academy Press, 2001.
18.	石应康, 郑尚维. 区域性国家级医院在汶川地震医疗救援中的战略支撑作用. 中国循证医学杂志, 2008, 8(6): 380-382.
19.	Braun BI, Wineman NV, Finn NL, et al. Integrating hospitals into community emergency preparedness planning. Ann Intern Med, 2006, 144(5): 799-811.
20.	辛衍涛. 医院应急管理的研究进展. 中国急救复苏与灾害医学杂志, 2008, 3(3): 158-160.

1. Adini LCB, Goldberg CA, Laor CD, et al. Assessing levels of hospital emergency preparedness. Prehosp Disast Med, 2006, 21(6): 451-457.
2. 程红群. 医院应急医学救援能力建设研究(博士学位论文). 中国人民解放军军事科学研究院, 2007年5月.
3. http://www.trainforemergencymanagement.com/JCAHO.html.
4. Cyganik KA. Disaster preparedness in Virginia Hospital Center-Arlington, after Sept 11, 2001. Disaster Manage Response, 2003, 1: 80-86.
5. Healthcare Association of Hawaii: Hospital Capability Assessment for Readiness .Version 1.10. Honolulu; Healthcare Association of Hawaii, 2001.
6. Institute of Medicine. Hospital-Based Emergency Care: At the Breaking Point. Washington, DC: National Academy Press; 2006.
7. Kaji AH, Koenig KL, Lewis RJ. Current hospital disaster preparedness. JAMA, 2007, 298(18): 2188-2190.
8. Meyers S. Disaster preparedness: hospitals confront the challenge. Lessons learned from Oklahoma City and Manhattan provide national guidance. Trustee, 2006, 59(2): 12-14.
9. Clancy CM. Emergency departments in crisis: implications for disaster preparedness. American Journal of Medical Quality, 2007, 22(2): 123-126.
10. Greenberg MI, Hendrickson RG. Report of the CIMERC/Drexel University Emergency Department Terrorism Preparedness Consensus Panel. Academic Emergency Medicine, 2003, 10(7): 783-788.
11. http://www.aha.org/aha_app/issues/Emergency-Readiness/index.jsp.
12. American College of Emergency Physicians. Health care system surge capacity recognition, preparedness, and response. Ann Emerg Med, 2005, 45(2): 239-239.
13. Okumura T, Ninomiya N, Ohta M. The chemical disaster response system in Japan. Prehosp Disast Med, 2003, 18(3): 189-192.
14. Becker SM. Emergency communication and information issues in terrorist events involving radioactive materials. Biosecur Bioterror, 2004, 2(3): 195-207.
15. Chess C, Salomone KL, Sandman P. Risk communication activities of state health agencies. Am J Public Health, 1991, 81(4): 489-491.
16. Reitherman R. How to prepare a hospital for an earthquake. Journal of Emergency Medicine, 1986, 4(2): 119-131.
17. Manning FJ, Goldfrank L (ed). Tools for Evaluating the Metropolitan Medical Response System Program: Phase I Report . Washington, DC: National Academy Press, 2001.
18. 石应康, 郑尚维. 区域性国家级医院在汶川地震医疗救援中的战略支撑作用. 中国循证医学杂志, 2008, 8(6): 380-382.
19. Braun BI, Wineman NV, Finn NL, et al. Integrating hospitals into community emergency preparedness planning. Ann Intern Med, 2006, 144(5): 799-811.
20. 辛衍涛. 医院应急管理的研究进展. 中国急救复苏与灾害医学杂志, 2008, 3(3): 158-160.

Chinese Journal of Evidence-Based Medicine

Hospital Emergency Preparedness for Disasters: A Systematic Literature Review

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