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首页> 外文期刊>Journal of public health management and practice: JPHMP >Adequacy of US Hospital Security Preparedness for Mass Casualty Incidents: Critical Lessons From the Israeli Experience
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Adequacy of US Hospital Security Preparedness for Mass Casualty Incidents: Critical Lessons From the Israeli Experience

机译：美国医院对大规模伤亡事件的防范准备是否充分：来自以色列经验的重要教训

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Context: Due to Israel's threat environment, Israeli hospitals have developed effective and innovative security preparations for responding to all-hazards incidents. Although Israeli hospital preparedness has been the subject of international praise and attention, there has been a dearth of research focused specifically on applying Israeli hospital security measures to the US hospital setting to augment emergency planning. Objective: This study examined practical and cost-effective lessons from the Israeli experience for improving US hospital security preparedness for a wide range of mass casualty incidents, both natural and man-made. Design: Sixty semi-structured interviews were conducted with officials throughout Israel's and America's health, defense, and emergency response communities. Hospital preparedness was examined and disaster drills were evaluated in both countries, with San Francisco hospitals analyzed as a case study. Qualitative analysis was conducted and recommendations were made on the basis of an all-hazards approach to emergency preparedness. Results: US hospitals examined in this study had not undertaken crucial preparations for managing the security consequences of a large-scale disaster. Recommendations from Israel included installing permanent emergency signage, improving security perimeter protocols and training, increasing defense against primary and secondary attacks, enhancing coordination with law enforcement, the National Guard, and other outside security agencies, and conducting more frequent and realistic lockdown exercises. Conclusions: A number of US hospitals have overlooked the important role of security in emergency preparedness. This study analyzed practical and cost-effective security recommendations from Israel to remedy this dangerous deficiency in some US hospitals' disaster planning.
机译：背景：由于以色列的威胁环境，以色列医院已经开发出有效且创新的安全准备措施来应对所有危害事件。尽管以色列的医院准备工作一直受到国际赞扬和关注，但仍缺乏专门针对美国医院环境应用以色列医院安全措施以加强紧急计划的研究。目的：本研究从以色列的经验中总结了实用且具有成本效益的经验教训，以改善美国在自然和人为造成的大量人员伤亡事件中的医院安全准备。设计：在以色列和美国的卫生，国防和应急社区中，对官员进行了60次半结构化访谈。在这两个国家中，检查了医院的准备情况并评估了灾难演习，并分析了旧金山的医院作为案例研究。进行了定性分析，并在应急准备的全危险方法的基础上提出了建议。结果：在这项研究中接受检查的美国医院没有为管理大规模灾难的安全后果进行关键准备。以色列的建议包括安装永久性紧急标志，改善安全边界协议和培训，增强对初次和二次攻击的防御能力，加强与执法机构，国民警卫队和其他外部安全机构的协调，以及进行更频繁，更现实的锁定演习。结论：美国许多医院都忽略了安全措施在应急准备中的重要作用。这项研究分析了以色列提出的实用且具有成本效益的安全建议，以纠正美国某些医院灾难规划中的这一危险缺陷。

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