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Assessment of Hospital Emergency Management in the Beijing Area

Published online by Cambridge University Press:  16 August 2011

Xin Yantao
Xin Yantao*
Affiliation:
Beijing Ditan Hospital, Capital Medical University, Beijing, China
*
Correspondence: Xin Yantao Beijing Ditan Hospital Capital Medical UniversityNo. 8 Jingshun Dongjie Chaoyang DistrictBeijing 100015China E-mail: [email protected]
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Abstract

Introduction: In recent years, the number of public health emergencies has increased. Improving hospital emergency management is an important challenge.

Objective: This is a pilot study intended to assess hospital emergency management in the Beijing area, make recommendations to government health authorities and hospital managers, and offer references for similar studies.

Methods: This was an observational, cross-sectional survey. Forty-five hospitals in the Beijing area were selected randomly. A self-administered questionnaire was used as a data collection tool. It comprised of three sections: (1) Section A was the introduction; (2) Section B asked for the respondent's personal information; and (3) Section C comprised the major part of the questionnaire and was intended to gather information regarding the hospital's general emergency management situation.

Results: The survey response rate was 44%, accounting for 29% of total hospitals that the study targeted. No hospital had an established emergency management department or full-time staff for emergency management. A total of 15–45% of the hospitals had established a hospital emergency management committee, performed a vulnerability analysis, or evaluated emergency management regularly. Twenty-five percent of respondents thought that the local government health authority had established an integrated hospital incident command system. A total of 40%–55% of hospitals contracted with outside institutions for supplements, backup of key functional systems and professional support.

Conclusions: After the occurrence of the 2003 severe acute respiratory syndrome (SARS) epidemic, Chinese hospital managers took many measures to improve hospital resilience. However, most of these efforts lacked the guidance of theories, concepts, principles, and methods. An integrated, standardized, operational hospital emergency management model has not been established. Although the survey response rate was relatively low, some clues for further study were discovered, and suggestions to the health authority for hospital emergency management improvement were revealed.

Keywords

assessmentemergency managementhospital managementpublic health
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 26 , Issue 3 , June 2011 , pp. 180 - 183
Copyright
Copyright Xin © World Association for Disaster and Emergency Medicine 2011

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References

Arnold, JL: Disaster medicine in the 21st Century: Future hazards, vulnerabilities, and risks. Prehosp Disaster Med 2002;17(1):3–11.CrossRefGoogle Scholar
Brower, J, Chalk, P: The Global Threat of New and Reemerging Infectious Diseases: Reconciling US National Security and Public Health Policy. RAND California; 2003, pp 13–26.Google Scholar
Xue, L, Zhang, Q, Zhong, KB: Crisis Management in China: The Challenge of the Transition. Beijing: Tsinghua University Press; 2003, pp 1–21.Google Scholar
Xin, YT: The challenges of hospital emergency management in China. Chin J Hosp Admin 2007;23(10):685–687.Google Scholar
World Health Organization: Emergency preparedness for the health sector and communities—Challenges and the way forward. Prehosp Disaster Med 2007;22(6):s188–s197.Google Scholar
Regulation of hospital classification management. Beijing: Ministry of Public Health; 1989. Available at http://www.law-lib.com/Law/law_view.asp?id=6145. Accessed 29 January 2010.Google Scholar
Ministry of Public Health (China): China Health Almanac. Beijing: Ministry of Public Health; 2009, p 14.Google Scholar
Accreditation Standards for Hospitals in Beijing Area. Beijing: Beijing Health Bureau; 2007, pp 60–61.Google Scholar
US Veterans Health Administration: Emergency Management Principles and Practices for Healthcare Systems. Washington: Veterans Health Administration; 2006: Unit 1, 1–227.Google Scholar
VHA Comprehensive Emergency Management Program Analysis Capabilities Description. Washington: Veterans Health Administration; 2008, 1–168.Google Scholar
Global Assessment of National Health Sector Emergency Preparedness and Response. Geneva: World Health Organization; 2008, 11–39.Google Scholar
Xin, YT: Hazard vulnerability analysis of hospital emergency management. China Emergency Management 2008;16:35–39.Google Scholar
Arnold, JL: Risk and risk assessment in health emergency management. Prehosp Disaster Med 2005;20(3):143–154.CrossRefGoogle ScholarPubMed
Emergency Management Principles and Practices for Healthcare Systems. Washington: Veterans Health Administration; 2006: Unit 4, 81–127.Google Scholar
Adini, B, Goldberg, A, Laor, D, Cohen, R, Zadok, R, Bar-Dayan, Y: Assessing levels of hospital emergency preparedness. Prehosp Disaster Med 2006;21(6):451–457.Google ScholarPubMed
National Incident Management System. Washington: U.S. Department of Homeland Security; 2004, 7–28.Google Scholar
Hospital Incident Command System Guidebook. California: California Emergency Medical Services Authority; 2006: 33–50.Google Scholar
Strategic Command Arrangements for the NHS during a Major Incident. London: Department of Health; 2007, pp 9–16.Google Scholar
Jin, DP: Public Health Incident Management. Beijing: Peking Union Medical College Press; 2004, pp 61–64.Google Scholar
Xin, YT: Hospital emergency management research review. Chinese Journal of Emergency Resuscitation and Disaster Medicine 2008;3(3):158–160.Google Scholar
Xin, YT: American hospital emergency management model. Chin J Hosp Admin 2008;24(9):588–590.Google Scholar
Li, ZH: Progress and practice of Chinese medical rescue. China Journal of Emergency Resuscitation and Disaster Medicine 2009;4(5):259–262.Google Scholar