BOX 3Continuum of Conventional, Contingency, and Crisis Capacity

Conventional capacity: The spaces, staff, and supplies used are consistent with daily practices within the institution. These spaces and practices are used during a major mass casualty incident that triggers activation of the facility emergency operations plan.

Contingency capacity: The spaces, staff, and supplies used are not consistent with daily practices, but maintain or have minimal impact on usual patient care practices. These spaces or practices may be used temporarily during a major mass casualty incident or on a more sustained basis during a disaster (when the demands of the incident exceed community resources).

Crisis capacity: Adaptive spaces, staff, and supplies are not consistent with usual standards of care, but provide sufficiency of care in the setting of a catastrophic disaster (i.e., provide the best possible care to patients given the circumstances and resources available) (Hick et al., 2009).

From: Continuum of Surge Capacity and Standards of Care

Cover of Crisis Standards of Care
Crisis Standards of Care: Summary of a Workshop Series.
Institute of Medicine (US) Forum on Medical and Public Health Preparedness for Catastrophic Events.
Washington (DC): National Academies Press (US); 2010.
Copyright © 2010, National Academy of Sciences.

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