Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-19T00:24:16.716Z Has data issue: false hasContentIssue false

Benchmarking for Hospital Evacuation: A Critical Data Collection Tool

Published online by Cambridge University Press:  28 June 2012

Carl H. Schultz*
Affiliation:
Department of Emergency Medicine, University of California-Irvine Medical Center, Orange, California, USA
Kristi L. Koenig
Affiliation:
Department of Emergency Medicine, University of California-Irvine Medical Center, Orange, California, USA Professor of Emergency Medicine, University of California-Irvine College of Medicine, Irvine, California, USA
Erik Auf der Heide
Affiliation:
Medical Officer, Agency for Toxic Substances and Disease Registry, US Department of Health and Human Services, Atlanta, GeorgiaUSA
Robert Olson
Affiliation:
Principal, Robert Olson Associates, Folsom, California, USA
*
Department of Emergency MedicineRoute #128UCI Medical Center101 City DriveOrange, California 92668USA E-mail: [email protected]

Abstract

In events such as earthquakes or terrorist attacks, hospitals may be victims of disasters. They may need to transfer patients to outside facilities rather than continue to provide on-site care. Following the Northridge earthquake, eight hospitals in the damaged area were the foci of a United States National Science Foundation study that examined the status of the hospitals' pre-event planning, post-event evacuationdecision-making, and internal and external evacuation processes. Building on this experience, this paper offers a standardized data collection tool, which will enable researchers to record hospital evacuation information in a systematic manner so that comparable data can be accumulated, evacuation research methods can be improved, and consensus on methods can be reached. The study's principal subjects include: (1) hospital demographics; (2) description of existing disaster response plans; (3) an event's impacts on hospital operations; (4) decision-making and incident command; (5) movement of patients within the facility; (6) movement of patients to off-site institutions; and (7) hospital recovery.

Type
Special Reports
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Joint Commission on the Accreditation of Healthcare Organizations: Accreditation Manual for Hospitals, Oak Brook:Terrace, III, 2005, Joint Commission.Google Scholar
2.Sternberg, E, Lee, GC, Huard, D: Counting crises: US hospital evacuations, 1971–1999. Prehosp Disast Med 2004;19(2):150157.CrossRefGoogle ScholarPubMed
3. Robert Olson Associates: Tough Decisions: Hospital Evacuation in the Northridge Earthquake, Folsom, CA, 25 January 1998.Google Scholar
4.Schultz, CH, Koenig, KL, Lewis, RJ: Implications of Hospital Evacuation after the Northridge, California Earthquake. N Engl J Med 2003:348;13491355.CrossRefGoogle ScholarPubMed
5.Blaser, MJ, Ellison, RT, III: Rapid nighttime evacuation of a vetera's hospital. J Emerg Med 1985;3:387394.CrossRefGoogle Scholar
6.Fisher, HL: Emergency evacuation of the Denver Veteran's Administration Medical Center. Mil Med 1986;151:154161.Google Scholar
7.Chavez, CS, Binder, B: A hospital as victim and responder: The Sepulveda VA Medical Center and the Northridge earthquake. J Emerg Med 1996;14:445454.CrossRefGoogle Scholar
8.De Lorenzo, RA, Augustine, JJ: Lessons in emergency evacuation from the Miamisburgtrain derailment. Prehosp Disast Med 1996;11:270275.CrossRefGoogle ScholarPubMed
9.Tanaka, H, Iwai, A, Oda, J et al. : Overview of evacuation andtransport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med 1998;3:439444.CrossRefGoogle Scholar
10.Bell, JR: 200 patients evacuated in hospital fire. Fire Journal 1985;Jul:5595.Google ScholarPubMed
11.Blumhagen, DW: Evacuation of patients during a fire at a general hospital. Ann Emerg Med 1987;16(2:209214.CrossRefGoogle ScholarPubMed
12.Burton, I, Victor, P, Whyte, A: The Mississauga Evacuation: Final Report to the Ontario Ministry of the Solicitor General. Toronto: Institute for Environmental Studies, University of Toronto; 1981.Google Scholar
13.Henry, S: Mississauga Hospital: Largest evacuation in Canada's History. CMAJ 1980;122:582586.Google ScholarPubMed
14.Vogt, BM: Evacuation of Institutionalized and Specialized Populations. Oak Ridge (Tennessee): OakRidge National Laboratory; 1990. ORNL/SUB-7685/1 & T23.CrossRefGoogle Scholar
15.Maxwell, C: Hospital organizational response to the nuclear accident at Three Mile Island: Implications for future-oriented disaster planning. Am J Public Health 1982;72(3):275279.CrossRefGoogle Scholar
16.Quarantelli, EL: Social Psychological Aspects of Evacuating or Sheltering Healthcare Facilities in the Event of a Nuclear Power Plant Accident. Newark (Delaware): University ofDelaware, Disaster Research Center; 1992. p.248.Google Scholar
17.Sporty, L, Breslin, L, Lizza, P: The emergency evacuation of a psychiatric hospital. Journal of Social Psychology 1978;107(1):117123.CrossRefGoogle Scholar
18.Vasudevan, P, Wade, K: Total facility evacuation at Helena Regional Medical Center. Journal of the Arkansas Medical Society 1997;94(2):7677.Google ScholarPubMed
19.McCaughrin, WC: Perfect storm: Organizational management of patient care under natural disaster conditions. Journal of Healthcare Management 2003;48(5):295310.CrossRefGoogle ScholarPubMed
20.Nates, JL: Combined external and internal hospital disaster: Impact and response in a Houston trauma center intensive care unit. Crit Care Med 2004;32(3):686690.CrossRefGoogle Scholar