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首页> 外文期刊>Prehospital emergency care >Hospital collaboration with public safety organizations on bioterrorism response.
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Hospital collaboration with public safety organizations on bioterrorism response.

机译：医院与公共安全组织在生物恐怖主义应对方面的合作。

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OBJECTIVE: To identify hospital characteristics that predict collaboration with public safety organizations on bioterrorism response plans and mass casualty drills. METHODS: The 2003 and 2004 Bioterrorism and Mass Casualty Supplements to the National Hospital Ambulatory Medical Care Survey examined collaboration with emergency medical services (EMS), hazardous materials teams (HAZMAT), fire departments, and law enforcement. The sample included 112 geographic primary sampling units and 1,110 hospitals. Data were weighted by inverse selection probability, to yield nationally representative estimates. Characteristics included residency and medical school affiliation, bed capacity, ownership, urbanicity and Joint Commission accreditation. The response rate was 84.6%. Chi-square analysis was performed with alpha set at p < 0.05. Logistic regression modeling yielded odds ratios with 95% confidence intervals. RESULTS: During a bioterrorism incident, 68.9% of hospitals would contact EMS, 68.7% percent law enforcement, 61.6% fire departments, 58.1% HAZMAT, and 42.8% all four. About 74.2% had staged mass casualty drills with EMS, 70.4% with fire departments, 67.4% with law enforcement, 43.3% with HAZMAT, and 37.0% with all four. Predictors of drilling with some or all of these public safety organizations included larger bed capacity, nonprofit and proprietary ownership, and JCAHO accreditation. Medical school affiliation was a negative predictor of drilling with EMS. CONCLUSIONS: The majority of hospitals involve public safety organizations in their emergency plans or drills. Bed capacity was most predictive of drilling with these organizations. Medical school affiliation was the only characteristic negatively associated with drilling.
机译：目的：确定能够预测与公共安全组织在生物恐怖主义应对计划和大规模伤亡演习方面进行合作的医院特征。方法：《 2003年和2004年国家医院门诊医疗调查的生物恐怖主义和大规模人员伤亡补编》研究了与紧急医疗服务（EMS），危险材料小组（HAZMAT），消防部门和执法部门的合作。样本包括112个地理主要抽样单位和1,110家医院。通过逆选择概率对数据进行加权，以得出具有全国代表性的估算值。这些特征包括居民身份和医学院的隶属关系，床位，所有权，城市性和联合委员会认证。回应率为84.6％。卡方分析以α设置为p <0.05。 Logistic回归模型得出具有95％置信区间的比值比。结果：在一次生物恐怖事件中，有68.9％的医院会联系EMS，68.7％的执法部门，61.6％的消防部门，58.1％的HAZMAT和42.8％的所有四个机构。约有74.2％的人使用EMS进行了大规模伤亡演习，消防部门的有70.4％，执法部门有67.4％，HAZMAT的有43.3％，四者中的37.0％。与这些公共安全组织中的一些或所有组织一起进行钻探的预测指标包括较大的床层容量，非营利组织和专有所有权以及JCAHO认证。医学院附属机构是EMS钻探的负面预测指标。结论：大多数医院在其应急计划或演习中都涉及公共安全组织。床容量最能预测这些组织的钻探情况。医学院的隶属关系是唯一与钻探负相关的特征。

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