Research Article | Open Access
Ashley Childers, Kevin M. Taaffe, "Healthcare Facility Evacuations: Lessons Learned, Research Activity, and the Need for Engineering Contributions", Journal of Healthcare Engineering, vol. 1, Article ID 546285, 16 pages, 2010. https://doi.org/10.1260/2040-2218.104.22.168
Healthcare Facility Evacuations: Lessons Learned, Research Activity, and the Need for Engineering Contributions
Over the past few years, there has been an increase in research related to a healthcare facility's role during a disaster. Most of this literature relates to emergencies where the facility is a resource to the affected population, and the facility must make decisions associated with sudden, increased patient demands. Some emergencies, however, may affect the facility's ability to function and may therefore force the need for a complete patient evacuation. This paper provides an overview of the available literature including lessons learned from actual healthcare facility evacuations and research focusing on making improvements. The purpose is to summarize a variety of healthcare evacuation issues and highlight the research in this area. We raise questions for further research and conclude with an example of using engineering techniques to improve healthcare facility evacuations by prioritizing patients for transport.
- C. Schultz and S. Stratton, “Improving Hospital Surge Capacity: A New Concept for Emergency Credentialing of Volunteers,” Annals of Emergency Medicine, vol. 49, no. 5, pp. 602–609, 2007.
- J. Hick, J. Barbera, and G. Kelen, “Refining Surge Capacity: Conventional, Contingency, and Crisis Capacity,” Disaster Medicine and Public Health Preparedness, vol. 3, no. 1, pp. S59–S67, 2009.
- K. Peleg and A. Kellermann, “Enhancing Hospital Surge Capacity for Mass Casualty Events,” Journal of the American Medical Association, vol. 302, no. 5, pp. 565–567, 2009.
- N. Argon, S. Ziya, and R. Righter, “Scheduling Impatient Jobs in a Clearing System with Insights on Patient Triage in Mass Casualty Incidents,” Probability in the Engineering and Informational Sciences, vol. 22, no. 3, pp. 301–332, 2008.
- K. McGlown, Determinants of the Evacuation of Health Care Facilities, PhD Dissertation, University of Alabama at Birmingham, 1999.
- P. Bowers, M. Maguire, P. Silva, and R. Kitchen, “Everybody Out!,” Nursing Management, vol. 35, no. 4, pp. 50–54, 2004.
- C. Schultz, K. Koerig, and R. Lewis, “Implications of Hospital Evacuation after the Northridge, California, Earthquake,” The New England Journal of Medicine, vol. 348, no. 14, pp. 1349–1355, 2003.
- D. Dosa, N. Grossman, T. Wetle, and V. Mor, “To Evacuate or Not to Evacuate: Lessons Learned From Louisiana Nursing Home Administrators Following Hurricanes Katrina and Rita,” Journal of the American Medical Directors Association, vol. 8, no. 3, pp. 142–149, 2007.
- K. Taaffe, R. Kohl, and D. Kimbler, “Hospital Evacuation: Issues and Complexities,” in Proceedings of the 2005 Winter Simulation Conference, M. Kuhl, N. Steiger, F. Armstrong, and J. Joines, Eds., pp. 943–950, Orlando, 2005.
- C. Schultz, K. Koenig, E. Auf der Heide, and R. Olson, “Benchmarking for Hospital Evacuation: A Critical Data Collection Tool,” Prehospital and Disaster Medicine, vol. 20, no. 5, pp. 331–342, 2005.
- E. Sternberg, G. Lee, and D. Huard, “Counting Crises: US Hospital Evacuations, 1971 - 1999,” Prehospital and Disaster Medicine, vol. 9, no. 2, pp. 150–157, 2004.
- Nursing Home Emergency Preparedness and Response during Recent Hurricanes, 2006, United States Department of Health and Human Service, Office of Inspector General, OEI-06-06-00020.
- E. Quarantelli, Evacuation Behavior and Problems: Findings and Implications from the Research Literature, Disaster Research Center, Ohio State University, Columbus, Ohio, 1980.
- M. Pidd, F. de Silva, and R. Eglese, “A Simulation Model for Emergency Evacuation,” European Journal of Operational Research, vol. 90, no. 3, pp. 413–419, 1996.
- A. Hobeika and C. Kim, “Comparison of Traffic Assignments in Evacuation Modeling,” IEEE Transactions of Engineering Management, vol. 45, no. 2, pp. 192–198, 1998.
- T. Cova and J. Johnson, “A Network Flow Model for Lane-based Evacuation Routing,” Transportation Research Part A, vol. 37, no. 7, pp. 579–604, 2003.
- C. Johnson, Using Computer Simulations to Support a Risk-based Approach for Hospital Evacuation, 2006, Technical Report, Glasgow Accident Analysis Group, University of Glasgow.
- NIMS Resource Center, Federal Emergency Management Agency, U.S. Department of Homeland Security, Web. 18 Nov. 2009. http://www.fema.gov/emergency/nims.
- Center for HICS Education & Training, Hospital Incident Command System, Washington Hospital Center and Kasier Permanente, Web. 18 Nov. 2009. http://www.hicscenter.org/.
- C. Cocanour, S. Allen, J. Mazabob et al., “Lessons Learned From the Evacuation of an Urban Teaching Hospital,” Archives of Surgery, vol. 137, no. 2, pp. 1141–1145, 2002.
- K. Hyer, L. Brown, A. Berman, and L. Polivka-West, “Establishing and Refining Hurricane Response Systems for Long-term Care Facilities,” Health Affairs, vol. 25, no. 5, pp. 407–411, 2006.
- J. Augustine and J. Schoettmer, “Evacuation of a Rural Community Hospital: Lessons Learned From an Unplanned Event,” Disaster Management & Response, vol. 3, no. 3, pp. 68–72, 2005.
- J. Bovender Jr. and B. Carey, “A Week We Don't Want to Forget: Lessons Learned from Tulane,” Frontiers of Health Services Management, vol. 23, no. 1, pp. 3–12, 2006.
- B. Gray and K. Hebert, “Hospitals in Hurricane Katrina: Challenges Facing Custodial Institutions in a Disaster,” Journal of Healthcare for the Poor and Underserved, vol. 18, no. 2, pp. 283–298, 2007.
- C. Castro, D. Persson, N. Bergstrom, and S. Cron, “Surviving the Storms: Emergency Preparednes in Texas Nurisng Facilities and Assisted Living Facilities,” Journal of Gerontological Nursing, vol. 34, no. 8, pp. 9–16, 2008.
- S. Laditka, J. Laditka, S. Xirasagar, C. Cornman, C. Davis, and J. Richter, “Providing Shelter to Nursing Home Evacuees in Disasters: Lessons From Hurricane Katrina,” American Journal of Public Health, vol. 98, no. 7, pp. 1288–1293, 2008.
- K. Hyer, L. Brown, J. Christensen, and K. Thomas, “Weathering the Storm: Challenges to Nurses Providing Care to Nursing Home Residents during Hurricanes,” Applied Nursing Research, vol. 22, pp. e9–e14, 2009.
- Disaster Preparedness: Limitations in Federal Evacuation Assistance for Health Facilities Should be Addressed, 2006, United States Government Accountability Office, Report to Congressional Committees, GAO-06-826.
- S. Lewis, “Georgia Hospital Hit by F3 Tornado - All Patients Evacuated Through the ED,” ED Management Tornado, vol. 19, no. 4, pp. 37–39, 2007.
- J. Barnett, M. Dennis-Rouse, and V. Martinez, “Wildfire Disaster Leads to Facilities Evacuation,” Orthopaedic Nursing, vol. 28, no. 1, pp. 17–20, 2009.
- D. Dosa, K. Hyer, L. Brown, A. Artenstein, L. Polivka-West, and V. Mor, “The Controversy Inherent in Managing Frail Nursing Home Residents During Complex Hurricane Emergencies,” Journal of the American Medical Directors Association, vol. 9, no. 10, pp. 599–604, 2008.
- Center for Bioterrorism Preparedness and Planning, Evacuation Planning for Hospitals Draft Document, 2006.
- “AORN Guidance Statement: Mass Casualty, Triage, and Evacuation,” AORN Journal, vol. 85, no. 4, pp. 297–304, 2007.
- New York Centers for Terrorism Preparedness and Planning, Hospital Evacuation Protocol, 2006.
- A. Ünlü, G. Ülken, and E. Edgü, “A Space Syntax Based Model in Evacuation of Hospitals,” in Proceedings, 5th International Space Syntax Symposium, A. van Nes, Ed., pp. 161–171, Delft, 2005.
- N. Castle, “Nursing Home Evacuation Plans,” The American Journal of Public Health, vol. 98, no. 7, pp. 1235–1240, 2008.
- B. Vogt, “Issues in Nursing Home Evacuations,” International Journal of Mass Emergencies and Disasters, vol. 9, no. 2, pp. 247–265, 1991.
- J. Sorensen, “When Shall We Leave? Factors Affecting the Timing of Evacuation Departures,” International Journal of Mass Emergencies and Disasters, vol. 9, no. 2, pp. 153–165, 1991.
- R. Perry and M. Lindell, “The Effects of Ethnicity on Evacuation Decision-Making,” International Journal of Mass Emergencies and Disasters, vol. 9, no. 1, pp. 47–68, 1991.
- J. Fischer, G. Stine, B. Stoker, M. Trowbridge, and E. Drain, “Evacuation Behaviour: Why Do Some Evacuate, While Others Do Not? A Case Study of the Ephrata, Pennsylvania (USA) Evacuation,” Disaster Prevention and Management, vol. 4, no. 4, pp. 30–36, 1995.
- S. Gwynne, E. Galea, J. Parke, and J. Hickson, “The Collection and Analysis of Pre-evacuation Times Derived from Evacuation Trials and Their Application to Evacuation Modeling,” Fire Technology, vol. 39, no. 2, pp. 179–195, 2003.
- Mass Evacuation Transportation Planning Model, Agency for Healthcare Research and Quality, US Department of Health and Human Services, Web. 22 Sept. 2009. http://massevacmodel.ahrq.gov/(X(1)S(2rp4lf55pbtftr55zk0ktm21))/Home.aspx.
- E. Tayfur and K. Taaffe, 2009. A Model for Allocating Resources during Hospital Evacuations, Computers and Industrial Engineering, in press.
- E. Tayfur and K. Taaffe, 2009. Simulating Hospital Evacuation - The Influence of Traffic and Evacuation Time Windows, Journal of Simulation, in press.
- J. Duanmu, K. Taaffe, and M. Chowdhury, Minimizing Patient Transport Times During Mass Population Evacuations. Research Report, 2009, Department of Industrial Engineering, Clemson University.
- K. Qureshi, R. Gershon, M. Sherman et al., “Health Care Workers' Ability and Willingness to Report to Duty during Catastrophic Disasters,” Journal of Urban Health, vol. 82, no. 3, pp. 378–388, 2005.
- M. W. Chaffee, “Making the Decision to Report to Work in a Disaster,” American Journal of Nursing, vol. 106, no. 9, pp. 54–57, 2006.
- A. K. Childers, G. Visagamurthy, and K. Taaffe, Prioritizing Patients for Evacuation from a Healthcare Facility, Transportation Research Record: Journal of the Transportation Research Board, 2009, in press.
- C. Kraus, F. Levy, and G. Kelen, “Lifeboat Ethics: Considerations in the Discharge of Inpatients for the Creating of Hospital Surge Capacity,” Disaster Medicine and Public Health Preparedness, vol. 1, no. 1, pp. 51–56, 2007.
- K. Klein and N. Nagel, “Mass Medical Evacuation: Hurricane Katrina and Nursing Experiences at the New Orleans Airport,” Journal of Emergency Nursing, vol. 5, no. 2, pp. 56–61, 2007.
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