Health Crisis Management in Acute Care Hospitals

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Author :
Publisher : Springer Nature
ISBN 13 : 303095806X
Total Pages : 344 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis Health Crisis Management in Acute Care Hospitals by : Ridwan Shabsigh

Download or read book Health Crisis Management in Acute Care Hospitals written by Ridwan Shabsigh and published by Springer Nature. This book was released on 2022-03-28 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the USA, the COVID-19 crisis came as an unpleasant surprise and a shock to many healthcare systems and hospitals, especially in the crisis epicenter, New York City. The Bronx was one of the hardest hit boroughs of New York City, with significant negative impact of the COVID-19 pandemic on its indigent population. SBH Health System (formerly known as St. Barnabas Hospital) is an integrated system of an acute care hospital, ambulatory care center, trauma center, dialysis center, stroke center and other services and facilities, serving the community of the Bronx. The story of SBH in preparing for and managing the rapidly escalating surge of severely ill patients is a treasure of lessons in health crisis preparedness and management at all levels: clinical, administrative, financial, etc. These lessons can be used for other acute care hospital settings and other potential health crises that may arise in the future. Within a short 3 weeks, SBH increased its in-patient capacity by 50%. However, during the same short time, it increased its critical care capacity by over 500%, providing critical care to severely ill patients on ventilators. This book chronicles the situation step by step and describes how this accomplishment was done. Accounts from the frontline health workers and from the clinical and administrative leaders describe important aspects of crisis management, such as team building, multi-departmental coordination, effective communications, dynamic decision-making in response to rapidly changing situations, keeping up the morale and caring for the healthcare workers and managing the supply chain. The uniqueness of the experience of SBH is enhanced by the fact that SBH is a low budget “safety net” hospital serving the poorest population in New York City. The worldwide trend is toward tighter healthcare budgets with demands for higher efficiency and productivity. There is a lot to be learned from the SBH health crisis management, including how efficient management, team building, management of limited resources and collaborative workplace culture make the foundation of success in the face of the crisis of the century. This unique text serves as a “how to” guide for implementing skills necessary for crisis management. Lessons from the success of SBH in tackling the dramatically fast unfolding crisis are utilized in a clear and concise manner. Such lessons may benefit other health systems and hospitals in planning and preparing for similar crises.

Crisis Management in Acute Care Settings

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Author :
Publisher : Springer
ISBN 13 : 3319414275
Total Pages : 433 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Crisis Management in Acute Care Settings by : Michael St.Pierre

Download or read book Crisis Management in Acute Care Settings written by Michael St.Pierre and published by Springer. This book was released on 2016-11-07 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is unique in providing a comprehensive overview of the human factors issues relevant to patient safety during acute care. By elucidating the principles of human behavior and decision-making in critical situations and identifying frequent sources of human error, it will help healthcare professionals provide safer, more effective treatment when dealing with emergencies characterized by uncertainty, high stakes, time pressure, and stress. The third edition has emerged from an ongoing synergistic relationship between clinicians and behavioral scientists on both sides of the Atlantic to update and enhance each chapter -- blending the strengths of the two professions into a readily accessible text. Among other improvements, readers will find sharper articulation of concepts and significantly more information on the organizational impact on individual and team performance. Crisis Management in Acute Care Settings is the required reference for all who are learning about, teaching, or providing acute and emergency healthcare. It will be of high value for undergraduate and graduate medical and nursing program and offer a much-needed resource for those who use high-fidelity healthcare simulation to teach teamwork.

Crisis Management in Acute Care Settings

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3540710620
Total Pages : 234 pages
Book Rating : 4.5/5 (47 download)

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Book Synopsis Crisis Management in Acute Care Settings by : Michael St.Pierre

Download or read book Crisis Management in Acute Care Settings written by Michael St.Pierre and published by Springer Science & Business Media. This book was released on 2007-11-08 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses all issues relevant to error prevention and safe practice in the acute and emergency health-care setting. It begins with the basic principles of human behavior and decision making and then partitions into three sections where the individual, the team, and the organizational influences within the health-care system are discussed in greater depth. Case reports and proven strategies help to ground psychological theory in daily practice. This book has emerged from a long-standing cooperation between clinicians and psychologists and blends the strengths of both professions into a readily accessible text.

Crisis Management in Acute Care Settings

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Publisher : Springer Science & Business Media
ISBN 13 : 3642197000
Total Pages : 346 pages
Book Rating : 4.6/5 (421 download)

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Book Synopsis Crisis Management in Acute Care Settings by : Michael St.Pierre

Download or read book Crisis Management in Acute Care Settings written by Michael St.Pierre and published by Springer Science & Business Media. This book was released on 2011-06-28 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical situations in acute and emergency care are one of the great clinical challenges because of the uncertainty, high stakes, time pressure, and stress that are involved. This book provides a comprehensive outline of all the human factors issues relevant to patient safety during acute care. Following an initial section discussing the basic principles of human behavior and decision making, the various influences on safe patient care are discussed in depth. These are divided into three interacting groups: individual factors, team factors, and organizational factors. Relevant psychological theories are carefully examined, and case studies and descriptions of proven strategies help to ground these theories in daily practice. This newly revised edition, in which each chapter has been enlarged and updated, will help both physicians and non-physicians to better understand the principles of human behavior and decision making in critical situations and thus to provide safer treatment.

Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations

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Author :
Publisher : National Academies Press
ISBN 13 : 0309145481
Total Pages : 161 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations by : Institute of Medicine

Download or read book Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations written by Institute of Medicine and published by National Academies Press. This book was released on 2009-09-23 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise-including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication-to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and man-made, under conditions in which resources are scarce. This book explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event. Outlining current concepts and offering guidance, this book will prove an asset to state and local public health officials, health care facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters when resources are scarce. In addition, the extensive operations section of the book provides guidance to clinicians, health care institutions, and state and local public health officials for how crisis standards of care should be implemented in a disaster situation.

Crisis Standards of Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309285526
Total Pages : 217 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2013-10-27 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Emergencies and Public Health Crisis Management- Current Perspectives on Risks and Multiagency Collaboration

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Author :
Publisher : MDPI
ISBN 13 : 3039436813
Total Pages : 188 pages
Book Rating : 4.0/5 (394 download)

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Book Synopsis Emergencies and Public Health Crisis Management- Current Perspectives on Risks and Multiagency Collaboration by : Amir Khorram-Manesh

Download or read book Emergencies and Public Health Crisis Management- Current Perspectives on Risks and Multiagency Collaboration written by Amir Khorram-Manesh and published by MDPI. This book was released on 2020-12-11 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: The successful management of emergencies and public health crises depends on adequate measures being implemented at all levels of the emergency chain of action, from policy makers to the general population. It starts with appropriate risk assessment, prevention, and mitigation and continues to prehospital and hospital care, recovery, and evaluation. All levels of action require well-thought out emergency management plans and routines based on established command and control, identified safety issues, functional communication, well-documented triage and treatment policies, and available logistics. All these characteristics are capabilities that should be developed and trained, particularly when diverse agencies are involved. In addition to institutional responses, a robust, community-based disaster response system can effectively mitigate and respond to all emergencies. A well-balanced response is largely dependent on local resources and regional responding agencies that all too often train and operate within “silos”, with an absence of interagency cooperation. The importance of this book issue is its commitment to all parts of emergency and public health crisis management from a multiagency perspective. It aims to discuss lessons learned and emerging risks, introduce new ideas about flexible surge capacity, and show the way it can practice multiagency collaboration.

Crisis Standards of Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309126665
Total Pages : 174 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2010-02-22 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable health care providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.

The SAFER-R Model

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Publisher :
ISBN 13 : 9781943001149
Total Pages : pages
Book Rating : 4.0/5 (11 download)

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Book Synopsis The SAFER-R Model by : George Everly, Jr.

Download or read book The SAFER-R Model written by George Everly, Jr. and published by . This book was released on 2017-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychological Crisis Intervention: The SAFER-R Model is designed to provide the reader with a simple set of guidelines for the provision of psychological first aid (PFA). The model of psychological first aid (PFA) for individuals presented in this volume is the SAFER-R model developed by the authors. Arguably it is the most widely used tactical model of crisis intervention in the world with roughly 1 million individuals trained in its operational and derivative guidelines. This model of PFA is not a therapy model nor a substitute for therapy. Rather it is designed to help crisis interventionists stabile and mitigate acute crisis reactions in individuals, as opposed to groups. Guidelines for triage and referrals are also provided. Before plunging into the step-by-step guidelines, a brief history and terminological framework is provided. Lastly, recommendations for addressing specific psychological challenges (suicidal ideation, resistance to seeking professional psychological support, and depression) are provided.

Emergency Care and the Public's Health

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Publisher : John Wiley & Sons
ISBN 13 : 1118779789
Total Pages : 232 pages
Book Rating : 4.1/5 (187 download)

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Book Synopsis Emergency Care and the Public's Health by : Jesse M. Pines

Download or read book Emergency Care and the Public's Health written by Jesse M. Pines and published by John Wiley & Sons. This book was released on 2014-03-27 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: As US health care systems undergo a period of transformative change, so too will emergency care, and more specifically emergency departments. This transformation will include: The development of new diagnostic, therapeutic, and information technologies A growing need to prepare and respond to emerging public health threats The expansion of the role of allied health professionals to address the workforce crisis Novel expectations for care coordination The fundamental economics of emergency care under new payment models, and The key relationship with American law. Emergency Care and the Public's Health explores the complex role of emergency care in the context of these changes and as an increasingly vital component of health care systems both within and outside the US. From an expert emergency medicine team, this new title is a reference for emergency care and critical care providers, allied health professionals and hospital administrators. It is also for relevant for public policy and healthcare policy professionals.

Hospital-Based Emergency Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309133777
Total Pages : 424 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Hospital-Based Emergency Care by : Institute of Medicine

Download or read book Hospital-Based Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Emergency Medicine, Trauma and Disaster Management

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Author :
Publisher : Springer Nature
ISBN 13 : 303034116X
Total Pages : 616 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Emergency Medicine, Trauma and Disaster Management by : Emmanouil Pikoulis

Download or read book Emergency Medicine, Trauma and Disaster Management written by Emmanouil Pikoulis and published by Springer Nature. This book was released on 2021-06-12 with total page 616 pages. Available in PDF, EPUB and Kindle. Book excerpt: The number of natural and man-made disasters has risen dramatically over the last decade. Natural disasters, industrial accidents and terrorist attacks represent major incidents, often involving multiple casualties. In such cases, health professionals face multiple challenges because the type of medical care required differs from what is taught and provided in their everyday hospital duties. The aim of this book is to inform and prepare healthcare professionals for the challenges posed by major incidents, so that they can act effectively in medical teams sent on humanitarian missions or into conflict zones. It offers a holistic and horizontal approach covering all stages of the disaster management cycle. The book is divided into 5 sections: section 1: prehospital emergency services; section ii: hospital response; section iii: management of incidents; section iv: after the disaster; and section v: evaluation, ethical issues, education and research. Healthcare providers will find essential information on the special medical considerations in both prehospital and hospital disaster settings, medical management of disaster response, recovery, mitigation and preparedness. The book offers an interdisciplinary and interprofessional approach, and was written by prominent researchers and experienced practitioners.

Crisis Standards of Care

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Author :
Publisher : National Academies Press
ISBN 13 : 9780309253468
Total Pages : 0 pages
Book Rating : 4.2/5 (534 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2012-08-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.

Crisis Management in Anesthesiology E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455738093
Total Pages : 434 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Crisis Management in Anesthesiology E-Book by : David M. Gaba

Download or read book Crisis Management in Anesthesiology E-Book written by David M. Gaba and published by Elsevier Health Sciences. This book was released on 2014-09-02 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fully updated Crisis Management in Anesthesiology continues to provide updated insights on the latest theories, principles, and practices in anesthesiology. From anesthesiologists and nurse anesthetists to emergency physicians and residents, this medical reference book will effectively prepare you to handle any critical incident during anesthesia. Identify and respond to a broad range of life-threatening situations with the updated Catalog of Critical Incidents, which outlines what may happen during surgery and details the steps necessary to respond to and resolve the crisis. React quickly to a range of potential threats with an added emphasis on simulation of managing critical incidents. Useful review for all anesthesia professionals of the core knowledge of diagnosis and management of many critical events. Explore new topics in the ever-expanding anesthesia practice environment with a detailed chapter on debriefing. Expert Consult eBook version included with purchase.

Crisis Standards of Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309253462
Total Pages : 519 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2012-08-26 with total page 519 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.

Disease Control Priorities in Developing Countries

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Author :
Publisher : World Bank Publications
ISBN 13 : 0821361805
Total Pages : 1449 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Disease Control Priorities in Developing Countries by : Dean T. Jamison

Download or read book Disease Control Priorities in Developing Countries written by Dean T. Jamison and published by World Bank Publications. This book was released on 2006-04-02 with total page 1449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

Hospital Safety Index

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Author :
Publisher :
ISBN 13 : 9789241548984
Total Pages : 0 pages
Book Rating : 4.5/5 (489 download)

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Book Synopsis Hospital Safety Index by : World Health Organization

Download or read book Hospital Safety Index written by World Health Organization and published by . This book was released on 2017-01-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide provides a step-by-step explanation of how to use the Safe Hospitals Checklist, and how the evaluation can be used to obtain a rating of the structural and nonstructural safety, and the emergency and disaster management capacity, of the hospital. The results of the evaluation enable hospital's own safety index to be calculated. The Hospital Safety Index tool may be applied to individual hospitals or to many hospitals in a public or private hospital network, or in an administrative or geographical area. In some countries, such as Moldova, all government hospitals have been evaluated using the Hospital Safety Index. In this respect, the Hospital Safety Index provides a useful method of comparing the relative safety of hospitals across a country or region, showing which hospitals need investment of resources to improve the functioning of the health system. The purpose of this Guide for Evaluators is to provide guidance to evaluators on applying the checklist, rating a hospital's safety and calculating the hospital's safety index. The evaluation will facilitate the determination of the hospital's capacity to continue providing services following an adverse event, and will guide the actions necessary to increase the hospital's safety and preparedness for response and recovery in case of emergencies and disasters. Throughout this document, the terms "safe" or "safety" cover structural and nonstructural safety and the emergency and disaster management capacity of the hospital. The Hospital Safety Index is a tool that is used to assess hospitals' safety and vulnerabilities, make recommendations on necessary actions, and promote low-cost/high-impact measures for improving safety and strengthening emergency preparedness. The evaluation provides direction on how to optimize the available resources to increase safety and ensure the functioning of hospitals in emergencies and disasters. The results of the evaluation will assist hospital managers and staff, as well as health system managers and decision-makers in other relevant ministries or organizations in prioritizing and allocating limited resources to strengthen the safety of hospitals in a complex network of health services. It is a tool to guide national authorities and international cooperation partners in their planning and resource allocation to support improvement of hospital safety and delivery of health services after emergencies and disasters. Over the past three years, the expert advice of policy-makers and practitioners from disciplines, such as engineering, architecture and emergency medicine, has been compiled, reviewed and incorporated into this second edition of the Guide. Global and regional workshops and virtual consultations have enabled technical and policy experts to contribute to the revision of Hospital Safety Index until consensus was reached on the content for its publication and distribution. Further comments and observations are certain to arise as the Hospital Safety Index continues to be applied across the world and these experiences will enable us to improve future editions. The rapid diagnostic application of the Hospital Safety Index provides, as a comparison, an out-of-focus snapshot of a hospital: it shows enough of the basic features to allow evaluators to confirm or disprove the presence of genuine risks to the safety of the hospital, and the hospital's level of preparedness for the emergencies and disasters to which it will be expected to provide health services in the emergency response. The Hospital Safety Index also takes into account the hospital's environment and the health services network to which it belongs. This second version of the second edition was released in December 2016.