Oxford Post Graduate Medical Deanery, seconded to Chemical Hazards and Poisons Division, Health Protection Agency London.
Prehosp Disaster Med. 2009 Sep-Oct;24(5):461-7. doi: 10.1017/s1049023x00007329.
A scoping exercise to establish how common hospital evacuations are, identify hospital evacuation policies and review case studies to identify triggers, processes and challenges involved in the evacuation of hospitals globally.
A systematic search of PubMed and disaster agency online resources, search of grey literature and media reports.
This study showed that hospitals are vulnerable to both natural and man made disasters and that hospital evacuations do occur globally. It highlighted the paucity of published data and policy on hospital evacuation and emphasised the vital need to collect data on triggers, reasons for evacuation, sheltering facilities and the process of evacuation.
This study recommends the collection of case studies and the development of a database to assist with the research and development of well tailored hospital evacuation plans. These recommendations reflect and support the 2008-2009 World Disaster Reduction Campaign on Hospitals Safe from Disasters and the timely 2009 Global Platform priority that, Critical services and infrastructure such as health facilities and schools must be safe from disasters.
通过范围界定研究，确定医院疏散的常见程度，确定医院疏散政策，并审查案例研究，以确定全球医院疏散所涉及的触发因素、流程和挑战。
对 PubMed 和灾害机构在线资源进行系统搜索，对灰色文献和媒体报道进行搜索。
本研究表明，医院容易受到自然和人为灾害的影响，医院疏散确实在全球范围内发生。它强调了关于医院疏散的出版数据和政策的缺乏，并强调了收集关于触发因素、疏散原因、避难设施和疏散过程的数据的重要性。
本研究建议收集案例研究并开发数据库，以协助制定精心设计的医院疏散计划的研究和开发。这些建议反映并支持 2008-2009 年世界减灾运动关于医院在灾害中安全的目标，以及 2009 年全球平台的及时重点，即卫生设施和学校等关键服务和基础设施必须在灾害中安全。
