RESUMO
Background: Hospital preparedness is critical for the early detection and management of public health emergency (PHE). Understandig the current status of PHE preparedness is the first steep in planning to enhance hospitals capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Methods: Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diangnosis and management; staff training; and risk communication were collected and analyzed. Results: Valid responses were received from 318 (79.5%) of the 400 hospitals surveyed. Of the valid responses, 264 (85.2%) hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity (See appendix). Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institutions PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5NI avian flu and SARS. Staff training or drill programs were reported in 94.5% of the instituions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their modical staff to assess PHE-related stress. All of the above capacities...
Assuntos
Hospitais , Saúde Pública , Planejamento Hospitalar , Administração Hospitalar , ChinaRESUMO
Describe un plan de atención médicoquirúrgica a heridos y enfermos en situaciones de desastre. El plan de atención hospitalaria contiene los puntos que se citan a continuación. Activación del plan, que incluye la coordinación entre el servicio de comunicaciones, el servicio o departamento de emergencia, servicio de seguridad del hospital, notificación de la situación al presidente del comité de desastre y al administrador del hospital. También se describe el procedimiento de triage a la entrada y dentro del hospital, la categorización de las víctimas, disposición de las áreas de tratamiento, recursos para el área de triage. Se incluyen instrucciones para el personal de acuerdo con su categoría. Se enumeran los servicios médicos y administrativos a suministrarse en una situación de emergencia
Assuntos
Planejamento Hospitalar , Serviços Médicos de Emergência , Triagem , Administração Hospitalar , Planejamento em Desastres , Departamentos Hospitalares , Recursos Humanos em HospitalRESUMO
En caso de desastres naturales, los sistemas de salud ven afectado su funcionamiento normal, dependiendo de la estructura y fluidez administrativa y de la magnitud del desastre. Se ofrecen recomendaciones para la organización de centros asistenciales en estos casos, para lo cual se desarrollan los siguientes aspectos: rol que debe desempeñar las unidades de atención médica en el plan nacional de salud en casos de emergencia, regionalización de los servicios de salud, niveles de autoridad y coordinación, sistemas de referencia. Además incluye información sobre la organización técnica-administrativa del hospital en caso de desastres naturales, como, estructura física, áreas de circulación dentro y fuera del hospital, servicios básicos, atención masiva de pacientes, triage y suministros básicos
