Format

Send to:

Choose Destination
See comment in PubMed Commons below
Scand J Trauma Resusc Emerg Med. 2009 Jun 3;17:26. doi: 10.1186/1757-7241-17-26.

Hospital-related incidents; causes and its impact on disaster preparedness and prehospital organisations.

Author information

  • 1Prehospital and Disaster Medicine Centre, Gothenburg, Sweden. amir.khorram-manesh@surgery.gu.se

Abstract

BACKGROUND:

A hospital's capacity and preparedness is one of the important parts of disaster planning. Hospital-related incidents, a new phenomenon in Swedish healthcare, may lead to ambulance diversions, increased waiting time at emergency departments and treatment delay along with deterioration of disaster management and surge capacity. We aimed to identify the causes and impacts of hospital-related incidents in Region Västra Götaland (western region of Sweden).

METHODS:

The regional registry at the Prehospital and Disaster Medicine Center was reviewed (2006-2008). The number of hospital-related incidents and its causes were analyzed.

RESULTS:

There were an increasing number of hospital-related incidents mainly caused by emergency department's overcrowdings, the lack of beds at ordinary wards and/or intensive care units and technical problems at the radiology departments. These incidents resulted in ambulance diversions and reduced the prehospital capacity as well as endangering the patient safety.

CONCLUSION:

Besides emergency department overcrowdings, ambulance diversions, endangering patient s safety and increasing risk for in-hospital mortality, hospital-related incidents reduces and limits the regional preparedness by minimizing the surge capacity. In order to prevent a future irreversible disaster, this problem should be avoided and addressed properly by further regional studies.

PMID:
19493330
[PubMed - indexed for MEDLINE]
PMCID:
PMC2700787
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for BioMed Central Icon for PubMed Central
    Loading ...
    Write to the Help Desk