医院对三里岛核事故的组织应对：对面向未来的灾难规划的启示。
Hospital organizational response to the nuclear accident at Three Mile Island: implications for future-oriented disaster planning.
作者信息
Maxwell C
出版信息
Am J Public Health. 1982 Mar;72(3):275-9. doi: 10.2105/ajph.72.3.275.
Abstract
The 1979 nuclear accident at Three Mile Island (TMI) near Harrisburg, Pennsylvania, caused severe organizational problems for neighboring health care institutions. Dauphin County, just north of TMI, contained four hospitals ranging in distance from 9.5 to 13.5 miles from the stricken plant. Crash plans put into effect within 48 hours of the initial incident successfully reduced hospital census to below 50 per cent of capacity, but retained bedridden and critically ill patients within the risk-zone. No plans existed for area-wide evacuation of hospitalized patients. Future-oriented disaster planning should include resource files of host institution bed capacity and transportation capabilities for the crash evacuation of hospitalized patients during non-traditional disasters.
摘要
1979年发生在宾夕法尼亚州哈里斯堡附近三里岛（TMI）的核事故给周边医疗机构带来了严重的组织问题。位于TMI以北的多芬县有四家医院，距离受灾工厂的距离在9.5至13.5英里之间。在事故发生后的48小时内实施的应急计划成功地将医院的住院人数减少到容量的50%以下，但仍将卧床和重症患者留在了危险区域。当时没有针对住院患者进行全区疏散的计划。面向未来的灾难规划应包括宿主机构床位容量的资源文件，以及在非传统灾难期间对住院患者进行应急疏散的运输能力。
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本文引用的文献
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OH. 1979 Jul-Aug;23(7):6, 8-9.
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Hospitals prepare radiation plans in wake of nuclear plant accident.核电站事故后医院制定辐射计划。
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