Emergency wards hazard vulnerability assessment and response strategies based on the Kaiser model
10.3969/j.issn.1673-9701.2024.31.004
- VernacularTitle:基于Kaiser模型的急诊病区灾害脆弱性评估与应对策略
- Author:
Jianfei GE
1
;
Wenyu LI
;
Xinqun LI
;
Tingting KE
;
Shaozhi TIAN
Author Information
1. 温州医科大学附属第一医院急诊科,浙江温州 325000
- Keywords:
Emergency ward;
Hazard vulnerability analysis;
Kaiser model;
Emergency management
- From:
China Modern Doctor
2024;62(31):13-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aims to assess the hazard vulnerability risks in emergency wards to enhance their flexibility and resilience in response to unexpected events.Methods A cross-sectional survey of 73 emergency specialist nurses from 39 hospitals in Zhejiang province was conducted to identify potential threats,assess their probability,and estimate their impact on specific organizations or regions using hazard vulnerability analysis(HVA)based on Kaiser model.The risk values associated with such events were calculated.Results Among the four categories of risk indicators,the highest risk value was attributed to the"system"(37.68％),followed by"staff'(36.53％),"stuff'(29.45％),and"space"(29.25％).The top 10 ranked risk events included exceeding emergency room capacity with patient numbers(52.03％),insufficient staff(47.23％),workplace violence(46.86％),medical litigation(43.64％),accidental removal of high-risk tubes(41.63％),lack of rescue experience or skills(41.51％),specimen errors(40.72％),inadequate experience in observing and handling circulatory support abnormalities(39.22％),information system failures(38.95％),and patient elopement(38.28％).Conclusion Improvements should be made in areas such as leadership planning,system enhancement,communication and collaboration,and adaptability.Emergency ward preparedness and service quality can be further enhanced through measures such as strengthening nurse training and staffing,continuously monitoring item and space-related risks,and implementing bed management and new nurse training programs.
