Abstract:
INTRODUCTION:Currently, there is no widely available method to evaluate an emergency department disaster plan. Creation of a standardized patient database and the use of a virtual, live exercise may lead to a standardized and reproducible method that can be used to evaluate a disaster plan. PURPOSE:A virtual, live exercise was designed with the primary objective of evaluating a hospital's emergency department disaster plan. Education and training of participants was a secondary goal. METHODS:A database (disastermed.ca) of histories, physical examination findings, and laboratory results for 136 simulated patients was created using information derived from actual patient encounters. The patient database was used to perform a virtual, live exercise using a training version of the emergency department's information system software. RESULTS:Several solutions to increase patient flow were demonstrated during the exercise. Conducting the exercise helped identify several faults in the hospital disaster plan, including outlining the important rate-limiting step. In addition, a significant degree of under-triage was demonstrated. Estimates of multiple markers of patient flow were identified and compared to Canadian guidelines. Most participants reported that the exercise was a valuable learning experience. CONCLUSIONS:A virtual, live exercise using the disastermed.ca patient database was an inexpensive method to evaluate the emergency department disaster plan. This included discovery of new approaches to managing patients, delineating the rate-limiting steps, and evaluating triage accuracy. Use of the patient timestamps has potential as a standardized international benchmark of hospital disaster plan efficacy. Participant satisfaction was high.
journal_name
Prehosp Disaster Medjournal_title
Prehospital and disaster medicineauthors
Franc-Law JM,Bullard M,Della Corte Fdoi
10.1017/s1049023x00005999subject
Has Abstractpub_date
2008-07-01 00:00:00pages
346-53issue
4eissn
1049-023Xissn
1945-1938journal_volume
23pub_type
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::State governments and hospital facilities are often unprepared to handle a complex medical crisis, despite a moral and ethical obligation to be prepared for disaster. The 2019 novel coronavirus disease (COVID-19) has drawn attention to the lack of state guidance on how hospitals should provide care in a crisis. When t...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2021-02-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章,评审
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更新日期:2008-03-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00004441
更新日期:2007-03-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00040565
更新日期:1993-10-01 00:00:00
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pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
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更新日期:2015-08-01 00:00:00
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journal_title:Prehospital and disaster medicine
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更新日期:2012-02-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2001-10-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章,评审
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更新日期:2011-08-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00007445
更新日期:2009-11-01 00:00:00
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journal_title:Prehospital and disaster medicine
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更新日期:2017-06-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00005240
更新日期:2007-09-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2009-01-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00003435
更新日期:2006-03-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2010-09-01 00:00:00
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journal_title:Prehospital and disaster medicine
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journal_title:Prehospital and disaster medicine
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
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journal_title:Prehospital and disaster medicine
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更新日期:2020-12-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2017-06-01 00:00:00
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更新日期:1994-04-01 00:00:00
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