Resource Utilization in the Emergency Department of a Tertiary Care University-Based Hospital in Tokyo Before and After the 2011 Great East Japan Earthquake and Tsunami

Shimada, Masatoshi; Tanabe, Akiko; Gunshin, Masataka; Riffenburgh, Robert H.; Tanen, David A.

doi:10.1017/s1049023x12001318

Cited by 9 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abir et al demonstrate that during a mass casualty incident, both hospital length of stay and hospital charges increase for all patients. By contrast, Shimada et al note that ED length of stay decreased for patients during a disaster, perhaps reflecting that throughput decreases in the ED, but is prolonged in a hospital, during a disaster.…”

Section: Discussionmentioning

confidence: 90%

“…Following abstract and article review for relevance, a total of 313 articles addressing surge and surge capacity remained. Following detailed text review, 50 quantitative and 11 concept papers (consensus conference recommendations) met all inclusion criteria (Tables A–E and Data Supplement S1, available as supporting information in the online version of this paper). Of the quantitative articles judged relevant, 31 articles focused on criteria and methods for decision‐making for scarce resource allocation, 16 were related to effective triage protocols, nine concerned key decision makers for surge‐capacity planning and evaluating response efficacy, seven addressed meeting workforce needs, and seven were related to developing communication and information‐sharing strategies.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Developments in Surge Research Priorities: A Systematic Review of the Literature Following the Academic Emergency Medicine Consensus Conference, 2007–2015

Morton

DeAugustinis

Velasquez

et al. 2015

Academic Emergency Medicine

View full text Add to dashboard Cite

Objectives: In 2006, Academic Emergency Medicine (AEM) published a special issue summarizing the proceedings of the AEM consensus conference on the "Science of Surge." One major goal of the conference was to establish research priorities in the field of "disasters" surge. For this review, we wished to determine the progress toward the conference's identified research priorities: 1) defining criteria and methods for allocation of scarce resources, 2) identifying effective triage protocols, 3) determining decision-makers and means to evaluate response efficacy, 4) developing communication and information sharing strategies, and 5) identifying methods for evaluating workforce needs.Methods: Specific criteria were developed in conjunction with library search experts. PubMed, Embase, Web of Science, Scopus, and the Cochrane Library databases were queried for peer-reviewed articles from 2007 to 2015 addressing scientific advances related to the above five research priorities identified by AEM consensus conference. Abstracts and foreign language articles were excluded. Only articles with quantitative data on predefined outcomes were included; consensus panel recommendations on the above priorities were also included for the purposes of this review. Included study designs were randomized controlled trials, prospective, retrospective, qualitative (consensus panel), observational, cohort, case-control, or controlled before-and-after studies. Quality assessment was performed using a standardized tool for quantitative studies.Results: Of the 2,484 unique articles identified by the search strategy, 313 articles appeared to be related to disaster surge. Following detailed text review, 50 articles with quantitative data and 11 concept papers (consensus conference recommendations) addressed at least one AEM consensus conference surge research priority. Outcomes included validation of the benchmark of 500 beds/million of population for disaster surge capacity, effectiveness of simulation-and Internet-based tools for forecasting of hospital and regional demand during disasters, effectiveness of reverse triage approaches, development of new disaster surge metrics, validation of mass critical care approaches (altered standards of care), use of telemedicine, and predictions of optimal hospital staffing levels for disaster surge events. Simulation tools appeared to provide some of the highest quality research.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Developments in Surge Research Priorities: A Systematic Review of the Literature Following the Academic Emergency Medicine Consensus Conference, 2007–2015

Morton

DeAugustinis

Velasquez

et al. 2015

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…After 4-5 days, the number of patients gradually returns to preearthquake levels [94]. Similarly, during the 2011 East Japan Earthquake, the number of patients admitted to the emergency department increased by 23% after the earthquake based on the utilization rate of emergency department resources at the University of Tokyo tertiary hospital [140]. Lin et al [141] compared the rapid triage approaches to the emergency department.…”

Section: Medical Rescue Procedures In the Hospital During Thementioning

confidence: 99%

Integrated the Medical Procedure Analyze Seismic Resilience of Healthcare System: A Critical Review from the Resilience of Healthcare System vs. Medical Demand Perspective

Liang

Tao

Gao

et al. 2023

Advances in Civil Engineering

View full text Add to dashboard Cite

The healthcare system is the bearer of treating the wounded and the victims of earthquakes. The functional integrity of the healthcare system is critical to the process of postearthquake medical rescue. Thus, the requirements for seismic resilience of the medical functions of the healthcare systems are increasing. Many studies have applied resilience research to address critical issues in the medical rescue of postearthquake casualties, such as medical diagnosis, emergency surgery, and intensive care. However, systematic construction is still lacking. System resilience is one of the most promising systemic management theories with great potential to address the abovementioned challenges. This article puts forward a scientific concept that system resilience can improve the efficiency of earthquake relief in medical rescue. Firstly, a scientific review of medical demand and medical resilience was conducted, summarizing resilience and resilience of healthcare system concepts. In addition, the postearthquake medical demand was reviewed, and the classification and distribution probability of postearthquake injuries were summarized. Furthermore, by reviewing the postearthquake medical rescue process, the weak points of each medical link were summarized. Combined with the key points in the medical rescue process, the application of resilience studies in the medical system is reviewed, and the progress of medical resilience is illustrated. In summary, combined with medical demand, the article provides some guidance for the deep integration between medical rescue processes and medical resilience and identifies the challenges of system resilience to reduce the waiting time of the injured future medical rescue in the earthquake.

show abstract

“…In a situation like this it would be interesting to see how people, sensing the nearness of the representatives of various public and administrative institutions are able to monitor the different phases of the reconstruction process and for this reason the citizens can feel involved in the planning strategies concerning the rebuilding of the city and surrounds (Shimada et al, 2012). Three years after the earthquake, the management of funds allocated for the reconstruction of the city is a problem that the people in L'Aquila still talk about.…”

Section: Introductionmentioning

confidence: 99%

Satisfaction level on quality of life post-earthquake rebuilding

Mazza

Pino

Peretti

et al. 2014

International Journal of Disaster Resilience in the Built Environment

View full text Add to dashboard Cite

Purpose – In April 2009, a terrible earthquake badly damaged the city of L'Aquila. Several studies have shown that the citizens' ability to react to a stressful situation is related to the satisfaction level of services during the reconstruction process of the city. The general aim of the present study is to investigate whether the knowledge of information about the reconstruction phase has an influence on the satisfaction of the citizens, regarding the lifestyles and the capacity to adapt and respond to changes. Design/methodology/approach – Five hundred and three residents in L'Aquila city were interviewed using a questionnaire that examines the satisfaction level, understanding of political issues and the resiliency skills of individuals. Findings – The date shows that the lack of information about the work of the facilities of by the government has caused dissatisfaction among the citizens who feel that they have not been well informed about the rebuilding on the city. Originality/value – The study can represent an indication concerning the facilities and assistance provided by politicians and be understood as an input in order to improve the administrative system and public welfare.

show abstract

Resource Utilization in the Emergency Department of a Tertiary Care University-Based Hospital in Tokyo Before and After the 2011 Great East Japan Earthquake and Tsunami

Cited by 9 publications

References 17 publications

Developments in Surge Research Priorities: A Systematic Review of the Literature Following the Academic Emergency Medicine Consensus Conference, 2007–2015

Developments in Surge Research Priorities: A Systematic Review of the Literature Following the Academic Emergency Medicine Consensus Conference, 2007–2015

Integrated the Medical Procedure Analyze Seismic Resilience of Healthcare System: A Critical Review from the Resilience of Healthcare System vs. Medical Demand Perspective

Satisfaction level on quality of life post-earthquake rebuilding

Contact Info

Product

Resources

About