当灾害发生时，医疗保健提供者作为响应团队的一部分发挥关键作用。虽然医院有一般的紧急管理计划，experts say the majority of facilities are not prepared for large-scale catastrophes.1
需要铺设重大的基础，以确保医院在自然和人为灾害，大流行爆发和其他人之后仍然运作mass-casualty incidents。在本文中，我们探讨了模拟培训如何准备贵组织以管理危机。而且，在最糟糕的培训方面，医疗保健提供者可以确信他们也会降低单身患者紧急情况的风险。
During a mass-casualty event (when every hospital bed and square-foot of space is taken) is not the time to run into latent system threats. As part of a larger risk reduction program, in situ simulation (taking place in the real, clinical environment) has been proven effective at minimizing this risk.3
通过在现实世界护理环境中练习，团队成员更能够找到流程问题，房间安排和存储缺陷，以及其他因素减缓球队的响应时间。And, these issues can be resolved prior to a real patient entering the room.
Chaos in the middle of an emergency can be off-set by command and coordination.指定领导者，定义的角色和职责，以及适当的沟通帮助团队保持专注，并对同一目标进行有意义的行动。
Multi-disciplinary simulation training can effectively transfer to the bedside, even in emergencies when new team members are added and patients begin to outnumber healthcare providers.5
考虑到灾难可以对护理团队，患者及其家人的心理影响也值得。压力，情感和震动都会影响患者的整体护理。As a precaution, hospitals can work toward reducing errors in patient care by reinforcing the usefulness of the两挑战统治和CUS（有关，不舒服，安全）警告。
在高压力情况下，医疗保健提供者觉得允许彼此断言他们的担忧至关重要。
单身患者紧急情况有时可以觉得小规模灾害。增加肾上腺素水平，较少熟悉的程序和协议，以及造成错误的概率较高促成这种感觉。幸运的是，模拟大规模事件可以提供每天安全治疗患者的框架。
The level-headed situational awareness, effective communication and quick decision-making skills used in a disaster have been proven to reduce common medical errors.6Specifically, research shows that simulation practice for physicians, nurses, and pharmacists led to:7
By strengthening the competencies required to respond to large-scale disasters, healthcare providers may feel better prepared for low-frequency, high-acuity patient cases too.
Sign up for Laerdal Medical email updates. You can identify your interests and receive new educational content, updates, event information and more.
