Assessing Thai Hospitals’Evacuation Preparedness Using the Flexible Surge Capacity Concept and Its Collaborative Tool

作     者：Phatthranit Phattharapornjaroen Eric Carlström Lina Dahlén Holmqvist Yuwares Sittichanbuncha Amir Khorram-Manesh Phatthranit Phattharapornjaroen;Eric Carlstr?m;Lina Dahlén Holmqvist;Yuwares Sittichanbuncha;Amir Khorram-Manesh

作者机构：Institute of Clinical SciencesDepartment of SurgerySahlgrenska AcademyUniversity of Gothenburg40530GothenburgSweden Department of Emergency MedicineFaculty of Medicine Ramathibodi HospitalMahidol UniversityBangkok10400Thailand Institute of Health and Care SciencesSahlgrenska AcademyUniversity of Gothenburg40100GothenburgSweden Gothenburg Emergency Medicine Research GroupSahlgrenska AcademyUniversity of Gothenburg40530GothenburgSweden USN School of BusinessUniversity of South-Eastern Norway3603KongsbergNorway Institute of MedicineDepartment of Internal Medicine and Clinical NutritionSahlgrenska University Hospital40530GothenburgSweden 

出 版 物：《International Journal of Disaster Risk Science》 (国际灾害风险科学学报（英文版）)

年 卷 期：2023年第14卷第1期

页      面：52-63页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 0708[理学-地球物理学] 0815[工学-水利工程] 0706[理学-大气科学] 10[医学] 

主　　题：Collaborative tool Disaster preparedness Flexible surge capacity Hospital evacuation Multiagency collaboration Thailand 

摘      要：According to the concept of“flexible surge capacity,hospitals may need to be evacuated on two occasions:(1)when they are exposed to danger,such as in war;and(2)when they are contaminated,such as during the Covid-19 *** the former,the entire hospital must be evacuated,while in the latter,the hospital becomes a pandemic center necessitating the transfer of its non-contaminated staff,patients,and routine activities to other *** occasions involve several degrees of evacuation—partial or total—yet all require deliberate surge planning and collaboration with diverse *** study aimed to investigate the extent of hospital evacuation preparedness in Thailand,using the main elements of the flexible surge capacity concept.A mixed method cross-sectional study was conducted using a hospital evacuation questionnaire from a previously published multinational hospital evacuation *** tool contained questions regarding evacuation preparedness encompassing surge capacity and collaborative elements and an open-ended inquiry to grasp potential *** 143 secondary care,tertiary care,and university hospitals received the questionnaire;43 hospitals provided *** findings indicate glitches in evacuation protocols,particularly triage systems,the inadequacies of surge planning and multiagency collaboration,and knowledge limitations in community *** conclusion,the applications of the essential components of flexible surge capacity allow the assessment of hospital preparedness and facilitate the evaluation of guidelines and instructions through scenario-based training exercises.