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卫生保健系统危险脆弱性分析:对阿布扎比所有公立医院的评估。

Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi.

机构信息

Adjunct faculty member in the Disaster Medicine Section, Harvard Medical School, Boston, Massachusetts, United States, an adjunct faculty member in the Division of Disaster Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States, and Head of the Emergency Department, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.

出版信息

Disasters. 2014 Apr;38(2):420-33. doi: 10.1111/disa.12047.

DOI:10.1111/disa.12047
PMID:24601924
Abstract

Hazard vulnerability analysis (HVA) is used to risk-stratify potential threats, measure the probability of those threats, and guide disaster preparedness. The primary objective of this project was to analyse the level of disaster preparedness in public hospitals in the Emirate of Abu Dhabi, utilising the HVA tool in collaboration with the Disaster Medicine Section at Harvard Medical School. The secondary objective was to review each facility's disaster plan and make recommendations based on the HVA findings. Based on the review, this article makes eight observations, including on the need for more accurate data; better hazard assessment capabilities; enhanced decontamination capacities; and the development of hospital-specific emergency management programmes, a hospital incident command system, and a centralised, dedicated regional disaster coordination centre. With this project, HVAs were conducted successfully for the first time in health care facilities in Abu Dhabi. This study thus serves as another successful example of multidisciplinary emergency preparedness processes.

摘要

危害脆弱性分析(HVA)用于对潜在威胁进行风险分层,衡量这些威胁的可能性,并指导备灾工作。本项目的主要目的是利用 HVA 工具,与哈佛医学院灾难医学科合作,分析阿布扎比酋长国公立医院的备灾水平。次要目标是审查每个设施的灾难计划,并根据 HVA 结果提出建议。基于审查,本文提出了八项观察结果,包括需要更准确的数据;更好的危害评估能力;增强去污能力;以及制定医院特定的应急管理计划、医院事故指挥系统以及集中、专门的区域灾难协调中心。通过这个项目,阿布扎比的医疗保健设施首次成功地进行了 HVA。因此,这项研究是多学科应急准备流程的另一个成功范例。

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