Ricci E, Pretto E
Graduate School of Public Health, University of Pittsburgh, Pennsylvania.
Crit Care Clin. 1991 Apr;7(2):471-84.
The assessment of the response of a prehospital/hospital system to a disaster will prove a complex and challenging undertaking for those who attempt it. Data availability and quality will prove to be an immediate problem. Finding the time to devote to assessment is usually difficult. Identifying qualified and interested members of the required multidisciplinary team and, in particular, an individual with health services research background who can assist in all phases of the design and implementation of the project, is often difficult. Obviously, these problems will be less severe if they are addressed to some degree in the disaster plan. That is, a general protocol for assessment could be developed as part of the disaster planning effort and evaluation staff could tentatively be identified by position (e.g., emergency department medical director). The issue of data availability could be confronted and provisions made for the recording of at least minimal information on patient log forms under disaster conditions.
对于那些试图评估院前/医院系统对灾难的应对情况的人来说，这将是一项复杂且具有挑战性的任务。数据的可得性和质量将是一个紧迫的问题。抽出时间进行评估通常很困难。确定所需多学科团队中合格且感兴趣的成员，尤其是具备卫生服务研究背景、能够协助项目设计和实施各阶段工作的人员，往往也很困难。显然，如果在灾难预案中对这些问题有所涉及，那么问题的严重程度将会降低。也就是说，可以制定一个通用的评估方案作为灾难规划工作的一部分，并且可以根据职位初步确定评估人员（例如急诊科医疗主任）。可以应对数据可得性问题，并规定在灾难情况下至少要在患者日志表格上记录基本信息。
