Allocating Scarce Resources in Disasters: Emergency Department Principles

Hick, John L.; Hanfling, Dan; Cantrill, Stephen V.

doi:10.1016/j.annemergmed.2011.06.012

Cited by 153 publications

(128 citation statements)

References 48 publications

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“…The effective use of medical care resources is important to cater to the greatest number of affected people 4. Although several reports have been released on indicators for assessing damage due to disasters, the majority of them comprise the opinions of experts or are drawn from observational studies and retrospective studies.…”

Section: Discussionmentioning

confidence: 99%

Creating a new index to evaluate imbalance in medical demand and supply when disasters occur

Takahashi

Morimura

Takeuchi

et al. 2018

Acute Medicine & Surgery

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AimThis study examines the use of the medical risk/resource ratio (RRR) and need for medical resources (NMR) as new indicators of the imbalance in medical demand and supply in disasters. These indicators are used to quantify the medical demand–supply imbalance per disaster base hospital, examine the demand–supply imbalance in the region, and verify the need for medical support.MethodsWe calculated the RRR of each disaster base hospital by dividing the revised estimate of the number of patients with the number of empty beds. We calculated the required number of hospital beds as the NMR to restore the RRR of each disaster base hospital to two. The RRR and NMR were combined, and prioritization for medical support was classified into three levels.ResultsThe median RRR was 23 (range, 1–101), and the median NMR was 943 (range, 0–2,124). Fifteen hospitals had a medical support priority of 1, five hospitals had a priority of 2, and 13 hospitals had a priority of 3.ConclusionThe medical demand–supply imbalance and amount of medical support needed can be quantified using RRR and NMR, which allows examination of the priority level for medical support.

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Section: Discussionmentioning

confidence: 99%

Creating a new index to evaluate imbalance in medical demand and supply when disasters occur

Takahashi

Morimura

Takeuchi

et al. 2018

Acute Medicine & Surgery

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“…The development of sufficient surge capacity to maintain a standard of care during disasters that is functionally equivalent to the conventional standard relies on adequate space, staff, supplies, and special resources [4]. Children's particular needs should be addressed in each of these areas.…”

Section: Conventional and Contingency Carementioning

confidence: 99%

“…Most algorithms for primary triage (triage that occurs before the initial medical intervention [3,4]) are based on expert opinion rather than derived from statistical analysis of patient outcomes. They use physiological and observational data to sort individuals into the following categories of priority for curative treatment: immediate, delayed, ambulatory, and deceased or expectant (i.e., likely to die even if given the available treatment) [9].…”

Section: Crisis Carementioning

confidence: 99%

“…The Institute of Medicine recommends defining pediatric competencies and developing clinical practice guidelines for pediatric emergency care [1]. Special resources include treating older children in adult facilities or treating parents who accompany children to pediatric facilities [4]. One of the key questions is how much should society invest in creating surge capacity as opposed to interventions to prevent disasters or programs to meet other societal needs.…”

Section: Conventional and Contingency Carementioning

confidence: 99%

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Ethical Issues in Pediatric Emergency Medicine's Preparation for and Response to Disasters

Antommaria

Kaziny²

2012

AMA Journal of Ethics

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“…Developing a comprehensive emergency preparedness plan includes risk analysis to foresee the potential threats and plan for them. Some hospitals may have the expertise to plan and conduct drills for testing the disaster preparedness plan but many lack such skills (Hick et al, 2012).…”

Section: Study Backgroundmentioning

confidence: 99%

Determinants of Business Continuity Management in Hospitals

Jafar

Taneja

2017

IJCIS

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A large number of hospitals and health facilities in India are at a high risk of being damaged by disasters. Continuity of healthcare during disasters is critical. This research surveys the hospitals in National Capital Territory of Delhi having more than 100 beds with an effort to understand and identify the determinants of business continuity management (BCM) in hospitals. The results of this study show that the six identified determinants; 1) funds for business continuity planning (BCP); 2) skills for BCM; 3) risk awareness; 4) contingency plan; 5) protocols for BCM; 6) government schemes; are the key determinants for BCM in hospitals. Besides these, another two determinants have emerged through a qualitative survey -the mandate by government for BCP in hospitals, and protocols for business impact analysis, that need to be validated by further research.

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Allocating Scarce Resources in Disasters: Emergency Department Principles

Cited by 153 publications

References 48 publications

Creating a new index to evaluate imbalance in medical demand and supply when disasters occur

Creating a new index to evaluate imbalance in medical demand and supply when disasters occur

Ethical Issues in Pediatric Emergency Medicine's Preparation for and Response to Disasters

Determinants of Business Continuity Management in Hospitals

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