Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Department of Research and Development, Swedish Armed Forces Center for Defense Medicine, Gothenburg, Sweden.
Disaster Med Public Health Prep. 2022 Apr;16(2):650-658. doi: 10.1017/dmp.2020.391. Epub 2021 Feb 3.
To analyze the evacuation preparedness of hospitals within the European Union (EU).
This study consisted of 2 steps. In the first step, a systematic review of the subject matter, according to the PRISMA flow diagram, was performed. Using Scopus (Elsevier, Amsterdam, Netherlands), PubMed (National Library of Medicine, Bethesda, MD), and Gothenburg University´s search engine, 11 questions were extracted from the review and were sent to representatives from 15 European Union (EU)- and non-EU countries.
The findings indicate that there is neither a full preparedness nor a standard guideline for evacuation within the EU or other non-EU countries in this study. A major shortcoming revealed by this study is the lack of awareness of the untoward consequences of medical decision-making during an evacuation. Some countries did not respond to the questions due to the lack of relevant guidelines, instructions, or time.
Hospitals are exposed to internal and external incidents and require an adequate evacuation plan. Despite many publications, reports, and conclusions on successful and unsuccessful evacuation, there is still no common guide for evacuation, and many hospitals lack the proper preparedness. There is a need for a multinational collaboration, specifically within the EU, to establish such an evacuation planning or guideline to be used mutually within the union and the international community.
分析欧盟（EU）内医院的疏散准备情况。
本研究包括 2 个步骤。在第 1 步中，根据 PRISMA 流程图对该主题进行了系统回顾。使用 Scopus（爱思唯尔，阿姆斯特丹，荷兰）、PubMed（美国国立医学图书馆，贝塞斯达，MD）和哥德堡大学搜索引擎，从综述中提取了 11 个问题，并将其发送给来自 15 个欧盟（EU）和非欧盟国家的代表。
研究结果表明，在本研究中，欧盟或其他非欧盟国家既没有全面的疏散准备，也没有标准的指导方针。本研究揭示的一个主要缺点是，人们对疏散过程中医疗决策的不利后果缺乏认识。由于缺乏相关指南、指示或时间，一些国家没有对这些问题作出回应。
医院面临内部和外部事件，需要有适当的疏散计划。尽管有许多关于成功和失败的疏散的出版物、报告和结论，但仍没有共同的疏散指南，许多医院缺乏适当的准备。有必要在欧盟内建立跨国合作，特别是建立这种疏散规划或准则，以便在联盟内和国际社会中相互使用。
