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Managing victims of terrorist attacks: An analysis of the preparedness of Mississippi hospitals for attacks involving chemical or biological weapons of mass destruction.

机译：管理恐怖袭击的受害者：密西西比州医院对涉及化学或生物大规模毁灭性武器的袭击的准备情况的分析。

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摘要

The world has changed since September 11, 2001 and our nation remains at risk to additional terrorist attacks and will remain at risk for the foreseeable future. Even before the United States launched a war on Iraq, the threat of terrorist attacks on American soil had been a cause for concern in the health care industry, and the current war makes that threat even more of a concern. Since the events of September 11, 2001, hospitals have been working to ensure that they would be ready in the event of a major disaster, but according to a senior vice president at the American Hospital Association, our nation's hospitals still have a long way to go. Thus, there is a clear need for information about current hospital preparedness for terrorist attacks to provide a foundation for systematic planning and broader discussions about relative cost, probable effectiveness, and overall societal priorities.; To address this need, the present research examined the preparedness of acute care hospitals for managing victims of terrorist attacks involving chemical or biological weapons of mass destruction. Both quantitative and qualitative methods were utilized in this research. By using a questionnaire survey of all acute care hospitals in the state of Mississippi (n = 102), the researcher examined documented and functional preparedness plans, specific preparedness education/training, adequacy of decontamination facilities, adequacy of surge capacity, adequacy of pharmaceutical supplies, and adequacy of laboratory diagnostic capabilities. Six hypotheses were formulated and tested utilizing the Pearson r Correlation Analysis.; The findings in this research revealed that the majority (89.2%) of the respondent hospitals had documented and functional preparedness plans and provided specific preparedness education/training for employees. Additionally, a majority (75.7%) had one or more dedicated decontaminated facilities. However, over half (59.5%) reported that they do not have the ability to increase surge capacity. Further, at least half (59.8%) of the responding hospitals reported that their pharmaceutical service(s) had documented plans and procedures appropriate for prophylaxis/treatment of victims in the event of a chemical or biological disaster. A majority (89.2%) of the hospitals reported that their laboratory diagnostic service(s) do not have the capacity to analyze and identify chemically or biologically contaminated specimens. However, over half (78.4%) reported that their laboratory diagnostic service(s) do have procedures/protocols in place for transporting chemically or biologically contaminated specimens. Additionally, 73.0% reported that they had identified an alternative laboratory in the event that their laboratory service(s) was contaminated.; Acute care hospitals in the state of Mississippi generally are not prepared in an organized fashion to manage victims of terrorist attacks involving chemical or biological weapons of mass destruction. Thus, as indicated in the findings of this research, these hospitals will require substantial additional resources at the local, state, and national levels to be truly prepared.
机译：自2001年9月11日以来，世界已经发生了变化，我们的国家仍然面临着其他恐怖袭击的危险，并且在可预见的未来仍将处于危险之中。甚至在美国对伊拉克发动战争之前，恐怖袭击在美国土地上的威胁就一直引起医疗保健行业的关注，而当前的战争使这种威胁更加令人担忧。自2001年9月11日事件以来，医院一直在努力确保在发生重大灾难时能够做好准备，但据美国医院协会的一位高级副总裁说，我们国家的医院还有很长的路要走走。因此，显然需要有关当前医院为恐怖袭击做准备的信息，以便为系统规划和就相对成本，可能的效力和整体社会优先事项进行更广泛的讨论奠定基础。为了满足这一需求，本研究检查了急诊医院为处理涉及化学或生物大规模毁灭性武器的恐怖袭击的受害者的准备情况。定量和定性方法均用于本研究。通过对密西西比州（n = 102）的所有急诊医院进行的问卷调查，研究人员检查了成文的和功能的备灾计划，具体的备灾教育/培训，去污设施的充足性，急救能力的充足性，药品供应的充足性以及足够的实验室诊断能力。使用Pearson r相关分析制定并检验了六个假设。这项研究的发现表明，大多数（89.2％）的受访医院已经制定了文件化的功能性计划，并为员工提供了专门的准备教育/培训。此外，大多数（75.7％）拥有一个或多个专用的消毒设施。但是，超过一半（59.5％）的人表示他们没有能力增加浪涌能力。此外，至少有一半（59.8％）的回应医院报告说，他们的制药服务已记录了适用于在发生化学或生物灾难时预防/治疗受害者的计划和程序。大多数医院（89.2％）报告说，他们的实验室诊断服务没有能力分析和识别化学或生物污染的标本。但是，超过一半（78.4％）的报告称，他们的实验室诊断服务确实具有运输化学或生物污染标本的程序/协议。另外，有73.0％的人报告说，如果他们的实验室服务受到污染，他们已经找到了替代实验室。密西西比州的急诊医院通常没有采取有组织的方式来管理涉及化学或生物大规模毁灭性武器的恐怖袭击的受害者。因此，正如本研究结果所表明的那样，这些医院将需要大量的地方，州和国家级的资源，才能真正做好准备。

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