McGrady Elizabeth, Blanke Sandra J, Swanson Cathy
1Appalachian State University, Boone, NC, USA.
Am J Hosp Palliat Care. 2014 May;31(3):260-8. doi: 10.1177/1049909113481401. Epub 2013 Mar 26.
This study was conducted to provide lessons learned from the experience of a small, rural hospice care organization to an actual crisis that required evacuation of the facility. A process improvement framework using the emergency response certification guidelines was used to first provide details of the incident, second analyze the effectiveness of disaster planning and response in response to an actual crisis, and third discuss the post-event review, lessons learned, and process improvement. This case study revealed 5 emerging themes-disaster can happen at the most inopportune times, facilities should focus on the most likely hazards, written agreements are needed even in small tight-knit communities, redundancy of resources is needed, and disaster planning and response is a process that should be continually improved.
本研究旨在从小型农村临终关怀护理组织应对实际危机（该危机要求撤离设施）的经验中吸取教训。使用应急响应认证指南的过程改进框架，首先提供事件细节，其次分析应对实际危机时灾难规划和响应的有效性，第三讨论事后审查、经验教训及过程改进。本案例研究揭示了5个新出现的主题——灾难可能在最不合时宜的时候发生，设施应关注最可能的危害，即使在紧密的小社区也需要书面协议，需要资源冗余，并且灾难规划和响应是一个应不断改进的过程。
