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Assessing Healthcare Facilities Preparedness for Mass Fatalities Incident

International Journal of Clinical Medicine 2013年第12期4卷 525-531页

作者： Marisol Pena-Orellana Ralph Rivera-Gutierrez Juan AGonzalez-Sanchez Nilsa Padilla-Elias heriberto marin centeno Hector Alonso-Serra Liza Millan-Perez Patricia Monserrate-Vazquez Center for Public Health Preparedness Graduate School of Public HealthMedical Sciences CampusUniversity of Puerto RicoSan JuanPuerto Rico Department of Health Services Administration Graduate School of Public HealthMedical Sciences CampusUniversity of Puerto RicoSan JuanPuerto Rico Department of Emergency Medicine School of MedicineMedical Sciences CampusUniversity of Puerto RicoSan JuanPuerto Rico

Background: Any healthcare facility must be prepared to handle a dramatic increase in deaths that can be produced by a catastrophic disaster. A mass fatality incident (MFI) will significantly increase the usual number of deaths that hospitals or forensic science services can manage on a daily basis. A survey was conducted to assess the hospital emergency department level of preparedness to deal with an MFI. Objective: To examine healthcare facilities level of preparedness for an MFI and morgue capacity. Methods: A total of 39 out of a sample of 44 hospitals participated in the study. Seven questionnaires were administered to explore: hospital general characteristics;emergency plans;equipment and infrastructure;collaborative agreements;personnel trainings;emergency communications;laboratory facilities;treatment protocols;security;and, epidemiologic surveillance. Results: Three-fourths (79.5%) of the healthcare facilities reported having a morgue, their average storage capacity was of three bodies. More than two-thirds (66.7%) of the institutions stated that they could not increase their morgue’s capacity. Most installations without a morgue do not possess an agreement with any other institution for the management of bodies. Hospitals have a very limited number of body bags utilized for the handling and transport of bodies. Conclusion: Most of healthcare facilities have morgues, but there are limitations with the current capacity and the lack of resources to increase their capacity in case of a disaster. Management of an MFI must be part of every hospital’s emergency plan, and must include collaborative agreements with forensic authorities, emergency management and public health agencies, and the community.

关键词： Hospitals Morgues Mass Casualties Mass Fatalities Puerto Rico

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