Wexler Bryan, Flamm Avram
1WellSpan,York Hospital,York, Pennsylvania.
Disaster Med Public Health Prep. 2017 Oct;11(5):522-525. doi: 10.1017/dmp.2016.181. Epub 2017 Mar 6.
The primary objective of this exercise was to conduct a full-scale functional exercise utilizing an active-shooter-based scenario to test and evaluate hospital response and coordination with local law enforcement.
A multidisciplinary group, including community partners, formulated objectives in accordance with the Homeland Security Exercise and Evaluation Program and defined a scenario. A date to conduct the exercise was chosen on the basis of the expected completion of a large section of the new emergency department but prior to its opening for patient care.
The exercise highlighted several strengths, but more importantly, illuminated areas for improvement that might otherwise have been missed in tabletop exercises and smaller-scale drills. Educational opportunities to improve functional skills and protocol were recognized.
Conducting a full-scale functional exercise of an active shooter in a newly constructed emergency department prior to opening for patient care provided valuable insight into areas for improvement while minimizing the impact such an exercise can have on daily operations. Should a similar opportunity arise as a result of new facilities being developed or renovations and maintenance requiring temporary closure, we advise hospitals to consider planning an exercise in the area prior to reopening for patient care. (Disaster Med Public Health Preparedness. 2017;11:522-525).
本演练的主要目的是利用基于活跃枪手事件的场景进行一次全面的功能演练，以测试和评估医院的应对措施以及与当地执法部门的协调情况。
一个包括社区合作伙伴在内的多学科团队，根据国土安全演练与评估计划制定目标并确定了一个场景。根据新急诊科大部分区域预计完工但尚未开放接诊患者的时间选择了演练日期。
此次演练突出了几个优点，但更重要的是，揭示了一些在桌面演练和小规模演习中可能被忽视的有待改进的方面。认识到了提高功能技能和规程的教育机会。
在新建急诊科开放接诊患者之前，针对活跃枪手事件进行全面的功能演练，能在尽量减少此类演练对日常运营影响的同时，为有待改进的方面提供宝贵见解。如果由于新设施建设或翻新维护需要临时关闭而出现类似机会，我们建议医院在重新开放接诊患者之前考虑在该区域策划一次演练。（《灾难医学与公共卫生防范》。2017年；11:522 - 525）
