THE WHITE PLAN AND HOSPITAL RESILIENCE - TWO FACES OF THE CAPABILITY OF THE HOSPITAL TO RESPOND TO MASS CASUALTY TRAUMATIC INCIDENTS
Abstract
Background- Resilience defines the reserve capacity of the system in the disasters or mass casualty incidents, which requires far superior or different resources to those current, on extended periods, in order to resolve the crisis. Cost efficiency designate the term of tangible benefits produced by money spent to build and maintain the system in action.
Purpose of the paper- is to highlight the benefits and usefulness of hospitals in general and specially ED resilience as critical facilities for large-scale events intervention, to identify the main practical issues that limit their ability of specific intervention in emergency situations and to identify their vulnerability and risk elements of in these situations which, if you are promptly fined, can improve overall system performance.
The method of study - several mass casualty s events analysis involving the hospitals over the past 13 years and parallel analysis of hospitals resources from 3 different Romanian’s regions.
Conclusion- Resiliency and cost efficiency in emergency systems preplanning must reside in a dynamic balance system. Hospital medical network is top of the medical pyramid system, but in terms of reaction to crises, has specific needs of planning, command and control that can becomes vulnerabilities throughout the chain of emergency response in case of disaster. The system flexibility consist of both in the ability to prompt expand capacity and intervention specialization, to ensure sustainability of the primary benefits of the intervention and the ability to develop functional relationships with similar foreign systems.
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References
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