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首页> 外文期刊>Health affairs >A Hospital System's Response To A Hurricane Offers Lessons, Including The Need For Mandatory Interfacility Drills.
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A Hospital System's Response To A Hurricane Offers Lessons, Including The Need For Mandatory Interfacility Drills.

机译：医院系统对飓风的反应提供了一些教训，包括必须进行强制性设施间互通演习。

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摘要

This case study explores the lessons learned when the North Shore-Long Island Jewish Health System, a large, integrated health network in New York, evacuated three hospitals at high risk of flooding from Hurricane Irene in August?2011. The episode resulted in the evacuation, transport, and placement of 947 patients without any resulting deaths or serious injuries. This case demonstrates the utility of having in place a functional evacuation plan, such as the one North Shore-Long Island Jewish Health System developed through its own full-scale exercises in the years following Hurricane Katrina in 2005. In those drills, the health system discovered that it needed to abandon its 1:1 matching of patients to available beds in the region in favor of the group transport of patients with similar needs to facilities that could accommodate them. Despite its overall success, the system identified the need for internal improvements, including automated patient tracking through the use of bar-coded wristbands and identification and training of additional backup personnel for its emergency operations center. Among other changes, policy makers at the state and federal levels should consider mandating full-scale interfacility evacuation drills to refine mechanisms to send and receive patients.
机译：本案例研究探索了当北海岸长岛犹太人医疗系统（纽约的一个大型综合医疗网络）于2011年8月从艾琳飓风中撤离三处高洪灾医院时吸取的教训。这一事件导致947名患者的撤离，运输和安置，没有造成任何死亡或严重伤害。该案例证明了制定功能性疏散计划的效用，例如在2005年卡特里娜飓风之后的几年中，通过自己的全面演习开发的一个北岸-长岛犹太人卫生系统。在这些演习中，卫生系统发现需要将患者的1：1配比放弃到该地区的可用床位上，以便将具有类似需求的患者集体运输到可以容纳他们的设施。尽管取得了整体成功，该系统仍发现需要进行内部改进，包括通过使用条形码腕带来自动跟踪患者，以及为其紧急操作中心识别和培训其他后备人员。除其他变化外，州和联邦一级的决策者应考虑强制进行全面的机构间疏散演习，以完善收发病人的机制。

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