Definition and Functions of Health Unified Command and Emergency Operations Centers for Large-scale Bioevent Disasters Within the Existing ICS

被引：37

作者：

Burkle, Frederick M., Jr. ^{[1
]}

Hsu, Edbert B. ^{[2
]}

Loehr, Michael ^{[8
]}

Christian, Michael D. ^{[3
,4
]}

Markenson, David ^{[5
,6
]}

Rubinson, Lewis ^{[8
]}

Archer, Frank L. ^{[7
]}

机构：

[1] Harvard Univ, Sch Publ Hlth, Cambridge, MA 02138 USA

[2] Johns Hopkins Univ, Inst Med, Dept Emergency Med, Baltimore, MD 21218 USA

[3] Univ Toronto, Mt Sinai Hosp, Toronto, ON M5S 1A1, Canada

[4] Harvard Univ, Univ Hlth Network, Cambridge, MA 02138 USA

[5] New York Med Coll, Dept Publ Hlth, Valhalla, NY 10595 USA

[6] New York Med Coll, Dept Pediat, Valhalla, NY 10595 USA

[7] Monash Univ, Dept Community Emergency Hlth & Paramed Practice, Clayton, Vic 3800, Australia

[8] Publ Hlth Seattle King Cty, Healthcare Coalit, Seattle, WA USA

来源：

DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS | 2007年 / 1卷 / 02期

关键词：

emergency operations center; incident command system; triage; surge capacity; biological; pandemics/epidemics;

D O I：

10.1097/DMP.0b013e3181583d66

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The incident command system provides an organizational structure at the agency, discipline, or jurisdiction level for effectively coordinating response and recovery efforts during most conventional disasters. This structure does not have the capacity or capability to manage the complexities of a large-scale health-related disaster, especially a pandemic, in which unprecedented decisions at every level (eg, surveillance, triage protocols, surge capacity, isolation, quarantine, health care staffing, deployment) are necessary to investigate, control, and prevent transmission of disease. Emerging concepts supporting a unified decision-making, coordination, and resource management system through a health-specific emergency operations center are addressed and the potential structure, function, roles, and responsibilities are described, including comparisons across countries with similar incident command systems. (Disaster Med Public Health Preparedness. 2007; 1: 135-141)

引用

页码：135 / 141

页数：7

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