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An emergency response plan to control emerging infectious disease hazards in Taiwans Hospitals

机译:台湾医院控制新出现的传染病危害的应急计划

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摘要

This study is a proposal for a framework for an emergency response plan (ERP) to tackle emerging infectious diseases (EIDs) in order to reduce possible hazards to medical personnel. This ERP was formulated and amended based on the?PDRA-Cycle mechanism, which was developed from Deming’s?PDCA?Management Cycle (1986). A total of 11 emergency response management items were drawn up using document analysis and in-depth interviews to facilitate the making of applicable standard operation procedures (SOPs) for each hospital. This study includes key recommendations for the implementation of ERP, specifically for the government and hospital administrations, as follows: 1) The existing Labor Health and Safety Law should be amended to include specific guidelines for biological hazards; 2) labor should be coordinated and divided between infection control departments and occupational health and safety departments to jointly prevent the transmission of EIDs; 3) hospitals should set up SOPs based on the emergency response framework proposed in this study; 4) hospitals should establish a risk-assessment mechanism for EID hazards; 5) hospitals should strengthen the training, education and practice programs required to prevent EID hazards; and 6) hospitals should strengthen communication/coordination, setting up a framework and a center for incident command structure to deal with various emergency activities regarding EIDs.
机译:这项研究是为应对新出现的传染病(EID)以减少对医务人员的危害而制定的应急计划(ERP)框架的建议。此ERP是根据“ PDRA循环”机制制定和修订的,该机制是由戴明的“ PDCA”管理周期(1986年)开发的。通过文档分析和深入访谈,共制定了11个应急管理项目,以帮助为每个医院制定适用的标准操作程序(SOP)。这项研究包括实施ERP的主要建议,特别是针对政府和医院行政部门的建议如下:1)应修订现行的《劳动健康与安全法》,以包括针对生物危害的具体指南; 2)感染控制部门和职业健康与安全部门之间应进行协调和分工,共同预防EID的传播; 3)医院应根据本研究提出的应急框架建立SOP; 4)医院应建立EID危害的风险评估机制; 5)医院应加强防止EID危害所需的培训,教育和实践计划; 6)医院应加强沟通/协调,建立事件指挥结构的框架和中心,以处理与EID有关的各种紧急活动。

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