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Cover of Barriers to Integrating Crisis Standards of Care Principles into International Disaster Response Plans

Barriers to Integrating Crisis Standards of Care Principles into International Disaster Response Plans

Workshop Summary


Washington (DC): National Academies Press (US); .
ISBN-13: 978-0-309-22178-8ISBN-10: 0-309-22178-1


When a nation or region prepares for public health emergencies such as a pandemic influenza, an earthquake, or any disaster scenario in which the health system may be stressed to its limits, it is important to describe how standards of care would change due to shortage of critical resources. “Crisis standards of care” is defined as a substantial change in usual health care operations and the level of care it is possible to deliver, which is made necessary by a pervasive (e.g., pandemic influenza) or catastrophic (e.g., earthquake, hurricane) disaster. To ensure that the utmost care possible is provided to patients in a catastrophic event, nations/regions need a robust system to guide the public, health care professionals and institutions, and governmental entities at all levels. Building off a report of the U.S. Institute of Medicine, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations, this session focus on opportunities and challenges to integrate crisis standards of care principles into international disaster response plans.

Learning Objectives:

  • Discuss the challenges of providing fair and equitable care in mass casualty incidents
  • Discuss a potential framework for the equitable delivery of care in situations of scarce resources and strategies for operationalizing crisis standards of care in austere environments
  • Examine strategies for integrating crisis standards of care principles into disaster response plans
  • Highlight the impact of international disaster response on changing the standard of care in the host country

Rapporteurs: Bruce M. Altevogt, Clare Stroud, and Theresa Wizemann

This project was supported by contracts between the National Academy of Sciences and the American College of Emergency Physicians; the American Hospital Association; the American Medical Association; the American Nurses Association; the Association of State and Territorial Health Officials; the Centers for Disease Control and Prevention (Contract No. 200-2005-13434 TO #6); the Department of the Army (Contract No. W81XWH-08-P-0934); the Department of Health and Human Services’ National Institutes of Health (Contract No. N01-OD-4-2139 TO #198 and TO #244); the Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response (Contract Nos. HHSP233200900680P, HHS P23320042509X1); the Department of Homeland Security’s Office of Health Affairs (Contract No. HSHQDC-07-C-00097); the Department of Homeland Security’s Federal Emergency Management Agency (Contract No. HSFEHQ-08-P-1800); the Department of Transportation’s National Highway Traffic Safety Administration (Contract No. DTNH22-10-H-00287); the Department of Veterans Affairs (Contract No. V101(93)P-2136 TO #10); the Emergency Nurses Association; the National Association of Chain Drug Stores; the National Association of County and City Health Officials; the National Association of Emergency Medical Technicians; the Pharmaceutical Research and Manufacturers of America; the Robert Wood Johnson Foundation; and the United Health Foundation.

Suggested citation:

IOM (Institute of Medicine). 2012. Barriers to integrating crisis standards of care principles into international disaster response plans: Workshop summary. Washington, DC: The National Academies Press.

The views presented in this publication are those of the editors and attributing authors and do not necessarily reflect the views of the organizations or agencies that provided support for this project.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

Copyright © 2012, National Academy of Sciences.
Bookshelf ID: NBK91501PMID: 22696782
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