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PubMed2001

Disaster planning.

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Disaster Planning↗
PubMed2003

Disaster planning.

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Disaster Planning↗
PubMed1979

Disaster planning.

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Disaster Planning↗
PubMed2004

Assessing hospital preparedness using an instrument based on the Mass Casualty Disaster Plan Checklist: results of a statewide survey.

BACKGROUND: Hospitals would play a critical role in a weapon of mass destruction (WMD) event. The purpose of this study is to assess preparedness for mass casualty events in short-term and long-term hospitals in Kentucky. METHODS: All short-term and long-term hospitals in Kentucky were surveyed using an instrument based on the Mass Casualty Disaster Plan Checklist and a brief supplemental bioterrorism preparedness questionnaire based on a checklist developed for the Agency for Healthcare Research and Quality. RESULTS: Responses were received from 116 of the 118 (98%) hospitals surveyed. Hospitals reported surge capacity equal to 27% of licensed beds, and virtually all respondents were engaged in planning for weapons of mass destruction events. However, advanced planning and preparation were less common. Large regional differences were observed, especially in the area of pharmaceutical planning. Preparedness planning in general and pharmaceutical management planning in particular were more advanced in counties participating in the Metropolitan Medical Response System Program (MMRS). CONCLUSIONS: Hospital mass casualty preparedness efforts were in an early stage of development at the time of this survey, and some critical capabilities, such as isolation, decontamination, and syndromic surveillance were clearly underdeveloped. Preparedness planning was more advanced among hospitals located in MMRS counties.

Accreditation↗
PubMed1982

Hospital organizational response to the nuclear accident at Three Mile Island: implications for future-oriented disaster planning.

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.

Disaster Planning↗
PubMed2001

The 'terrifying' Seattle/Olympia earthquake: a learning experience for area hospitals about disaster plans.

A 6.8-magnitude earthquake that struck the Seattle/Olympia area about an hour before lunchtime on Wednesday, February 28, caused an estimated $2 billion in damage but resulted in only one death. The quake was centered near Washington's state capital, Olympia, about 50 miles from Seattle. Scientists attribute the relatively small amount of damage to the fact that the quake was a deep one centered about 30 miles below the earth's surface. Experts also credit modern building codes, which require new buildings to be quake-resistant, and the retrofitting of older buildings to resist quakes for the lack of damage and casualties (less than 400 injuries). Hospitals in the region escaped serious damage and emergency rooms received relatively few casualties. However, in carrying out disaster plans, security and safety officials uncovered a number of problems that could have had serious impact in another emergency situation.

Building Codes↗