Smith Philip W, Hansen Keith, Sayles Harlan, Brodersen Brendan, Medcalf Sharon
Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Am J Disaster Med. 2011 Jul-Aug;6(4):219-30. doi: 10.5055/ajdm.2011.0061.
To assess qualitative aspects of long-term care facility (LTCF) preparedness programs and to test the utility of a LTCF pandemic preparedness Tool.
A Tool was developed and weighted with input from various subject matter experts.
LTCFs.
LTCF preparedness programs.
A 61-question Tool was used in facilities.
Prevalence of pandemic preparedness elements was assessed, and total Tool scores were calculated and graphed.
The Tool results were used to assess overall preparedness and specific preparedness measures in LTCFs. Results suggested that LTCFs that are engaged in planning are addressing many but not all key plan details. LTCFs scored better on plan elements rated as most important (eg, does the LTCF designate an individual in charge during a disaster?) than on all pooled plan elements. The LTCF preparedness Tool score correlated positively with both facility size and whether the facilities had exercised their plan.
Most LTCFs had developed a number of aspects of a preparedness program, but additional preparedness measures remain to be implemented. The LTCF should focus on the identified key plan elements and exercise their plan before a disaster occurs.
评估长期护理机构（LTCF）应急准备计划的质量方面，并测试LTCF大流行应急准备工具的效用。
开发了一种工具，并根据各主题专家的意见进行加权。
长期护理机构。
长期护理机构应急准备计划。
在各机构中使用了一个包含61个问题的工具。
评估大流行应急准备要素的普遍性，计算并绘制工具总分。
工具结果用于评估长期护理机构的总体应急准备情况和具体应急准备措施。结果表明，参与规划的长期护理机构正在解决许多但并非所有关键计划细节。长期护理机构在被评为最重要的计划要素（例如，长期护理机构是否指定了灾难期间的负责人？）上的得分高于所有汇总的计划要素。长期护理机构应急准备工具得分与机构规模以及机构是否演练过其计划均呈正相关。
大多数长期护理机构已经制定了应急准备计划的多个方面，但仍需实施额外的应急准备措施。长期护理机构应关注已确定的关键计划要素，并在灾难发生前演练其计划。
