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Title Crisis standards of care : summary of a workshop series / Clare Stroud [and others], rapporteurs ; Forum on Medical and Public Health Preparedness for Catastrophic Events, Board on Health Sciences Policy, Institute of Medicine of the National Academies
Published Washington, D.C. : National Academies Press, ©2010

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Description 1 online resource
Series Online access: National Academy of Sciences National Academies Press
Online access: NCBI NCBI Bookshelf
Contents Forum and workshop objectives -- Related IOM work on crisis standards of care -- Crisis standards of care protocols -- Continuum of surge capacity and standards of care -- Clinical operations -- Provider involvement and engagement -- Public engagement and education -- Developing intrastate and interstate cooperation and consistency -- The role of the federal government and national leadership -- Ethical considerations -- Legal issues for crisis standards of care
Summary "During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable healthcare providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges."
In recent years, a number of federal, state, and local efforts have taken place to develop crisis standards of care protocols and policies for use in conditions of overwhelming resource scarcity. Those involved in these efforts have begun to carefully consider these difficult issues and to develop plans that are ethical, consistent with the community's values, and implementable during a crisis. These planning efforts are essential because, absent careful planning, there is enormous potential for confusion, chaos, and flawed decision making in a catastrophic public health emergency or disaster. However, although these efforts have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. Furthermore, the efforts have mainly been taking place independently, leading to a lack of consistency across neighboring jurisdictions and unnecessary duplication of effort. Lastly, many states have not yet substantially begun to develop policies and protocols for crisis standards of care during a mass casualty event. These issues prompted the Institute of Medicine's (IOM's) Forum on Medical and Public Health Preparedness for Catastrophic Events (Preparedness Forum) to organize a series of regional workshops on this topic. These workshops were held in Irvine, CA; Orlando, FL; New York, NY; and Chicago, IL, between March and May of 2009
Notes Title from PDF title page
Bibliography Includes bibliographical references
Notes This project was supported by contracts between the National Academy of Sciences and the American College of Emergency Physicians, the American Hospital Association, the American Medical Association, the American Nurses Association, the Association of State and Territorial Health Officials, the Centers for Disease Control and Prevention (Contract No. 200-2005-13434 TO #6), the Department of the Army (Contract No. W81XWH-08-P-0934), the Department of Health and Human Services' Agency for Healthcare Research and Quality (Contract No. HHSP233200800498P), the Department of Health and Human Services' National Institutes of Health (Contract No. N01-OD-4-2139 TO #198), the Department of Health and Human Services' Office of the Assistant Secretary for Preparedness and Response (Contract No. HHSP233200900680P), the Department of Homeland Security's Federal Emergency Management Agency (Contract No. HSFEHQ-08-P-1800), the Department of Homeland Security's Office of Health Affairs (Contract No. HSHQDC-07-C-00097), the Department of Veteran Affairs (Contract No. V101(93)P-2136 TO #10), the Emergency Nurses Association, the National Association of Chain Drug Stores, the National Association of County and City Health Officials, the National Association of Emergency Medical Technicians, the Pharmaceutical Research and Manufacturers of America, the Robert Wood Johnson Foundation, and the United Health Foundation
English
Subject Disaster medicine -- Standards -- United States -- Congresses
Emergency medical services -- Standards -- United States -- Congresses
Integrated delivery of health care -- Standards -- United States -- Congresses
Emergency management.
Medical policy.
Disaster Medicine -- standards
Disaster Planning
Emergency Medical Services -- standards
Health Policy
Standard of Care
disaster planning.
MEDICAL -- Allied Health Services -- Emergency Medical Services.
HEALTH & FITNESS -- First Aid.
Medical policy
Emergency management
Emergency medical services -- Standards
SUBJECT United States https://id.nlm.nih.gov/mesh/D014481
Subject United States
Genre/Form proceedings (reports)
Conference papers and proceedings
Conference papers and proceedings.
Actes de congrès.
Form Electronic book
Author Stroud, Clare.
Institute of Medicine (U.S.). Forum on Medical and Public Health Preparedness for Catastrophic Events.
LC no. 2010287562
ISBN 9780309126670
0309126673
1282554530
9781282554535
9786612554537
6612554533