使用世卫组织安全指数对医院防灾准备的比较描述性分析:来自印度东部的多中心研究
Kumar Guru Mishra1, Nabnita Patnaik2, Nihar Ranjan Pradhan3
1Department of Community Medicine, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India.
BMC emergency medicine
|October 8, 2025
概括
印度东部医院的灾难准备情况显示出显著的差异. 虽然一些设施已经做好了充分的准备,但其他设施在应急响应计划和通信系统方面需要紧急改进.
科学领域:
- 医疗保健管理的管理
- 灾难医学 灾难医学
- 公共卫生 公共卫生
背景情况:
- 医院的灾难准备对于紧急情况下的医疗保健连续性至关重要,特别是在发展中国家.
- 印度东部三级医院的现有准备水平在很大程度上没有得到评估.
- 本研究通过使用标准化框架评估准备程度来解决这些差距.
研究的目的:
- 评估印度东部13家三级医院的防灾准备水平.
- 确定医院应急管理中的强项和弱项的具体领域.
- 为加强区域医疗保健灾难适应能力的战略提供信息.
主要方法:
- 在奥迪沙州霍尔达区的13家三级护理医院进行了横截面的观察性研究.
- 世界卫生组织 (WHO) 的安全医院检查清单 (模块-4) 用于评估.
- 数据是通过直接观察,文档审查和半结构面试收集的.
主要成果:
- 总体安全指数差异很大,从0.412到0.782.2不等.
- 四家医院表现出高度的准备,而三家则表现出严重的缺陷.
- 在应急响应计划,通信和疏散协议方面发现了重大缺陷,尽管物流和财务管理强.
结论:
- 在区域的第三级护理机构之间,在灾难准备方面存在很大差异.
- 一些医院需要对其应急管理系统进行重大改进.
- 建议采用标准化协议,定期评估和机构间知识共享,以加强医疗保健的抗灾能力.
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