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医院的持续备灾

Sustaining Preparedness in Hospitals.

出版信息

Adv Health Care Manag. 2024 Feb 7;22. doi: 10.1108/S1474-823120240000022008.

DOI:10.1108/S1474-823120240000022008
PMID:38262015
Abstract

PURPOSE

The years following the 9/11/2001 terrorists attacks saw a marked increase in community and hospital emergency preparedness, from communications across community networks, development of policies and procedures, to attainment and training in the use of biological warfare resources. Regular drills ensured emergency and health care personnel were trained and prepared to address the next large-scale crisis, especially from terrorist and bioterrorist attacks. This chapter looks at some of the more familiar global health issues over the past two decades and the lessons learned from hospital responses to inform hospital management in preparation for future incidents.

SEARCH METHODS

This study is a narrative review of the literature related to lessons learned from four major events in the time period from 2002 to 2023 - SARS, MERS, Ebola, and COVID-19.

SEARCH RESULTS

The initial search yielded 25,913 articles; 57 articles were selected for inclusion in the study.

DISCUSSION AND CONCLUSIONS

Comparison of key issues and lessons learned among the four major events described in this article - SARS, MERS, Ebola, and COVID-19 - highlight that several lessons are "relearned" with each event. Other key issues, such as supply shortages, staffing availability, and hospital capacity to simultaneously provide care to noninfectious patients came to the forefront during the COVID-19 pandemic. A primary, ongoing concern for hospitals is how to maintain their preparedness given competing priorities, resources, and staff time. This concern remains post-COVID-19.

摘要

目的

2001 年 9 月 11 日恐怖袭击事件发生后的几年里,社区和医院的应急准备工作显著加强,包括跨社区网络的通信、政策和程序的制定,以及生物战资源的获取和培训。定期演练确保了应急和医疗保健人员接受培训并准备好应对下一次大规模危机,特别是来自恐怖主义和生物恐怖主义的袭击。本章回顾了过去二十年中一些较为熟悉的全球卫生问题,以及医院对这些问题的应对经验,为医院管理部门做好未来事件的准备提供参考。

检索方法

本研究是对 2002 年至 2023 年期间四项重大事件(SARS、MERS、埃博拉和 COVID-19)中吸取的经验教训的文献进行的叙述性综述。

检索结果

初步检索得到 25913 篇文章,其中 57 篇文章被选入本研究。

讨论和结论

本文对 SARS、MERS、埃博拉和 COVID-19 这四项重大事件中描述的关键问题和吸取的经验教训进行了比较,结果表明,随着每一次事件的发生,一些经验教训都被“重新吸取”。其他关键问题,如供应短缺、人员配置可用性以及医院同时为非传染性患者提供护理的能力,在 COVID-19 大流行期间成为焦点。医院面临的一个主要、持续的问题是,如何在竞争的优先事项、资源和员工时间的情况下保持其准备状态。这一问题在 COVID-19 之后仍然存在。

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