Practice of hospital incident command system in the outbreak of coronavirus disease 2019_West China Medical Journal

Authors：

ZHAO Xin ^1,2,3 ,  HU Hai ^1,3 , YAN Hui ^1,3 , YAO Rong ⁴

1. Emergency Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. President & Dean’s Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Institute of Disaster Medicine, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

HU Hai, Email: 412643356@qq.com

Keywords：

Hospital incident command system; Coronavirus disease 2019; Hospital management

DOI：

10.7507/1002-0179.202006360

Video：

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Hospital incident command system is a series of management systems for emergencies response of hospitals from the United States. Some hospitals in many countries have applied this system, but it has not yet been applied in China. In the process of responding to the coronavirus disease 2019 epidemic, West China Hospital of Sichuan University managed coronavirus disease 2019 patients through a standardized and programmatic model using the concept and framework of hospital incident command system, which included organizing hospital incident management team, carrying out incident action plan, space management, personnel management, material management and information management, in order to carry out standardized and procedural crisis response. This article introduces these management measures of West China Hospital of Sichuan University, aiming to provide a reference for establishing a more complete hospital emergency management system in line with China’s system in the future.

Citation： ZHAO Xin, HU Hai, YAN Hui, YAO Rong. Practice of hospital incident command system in the outbreak of coronavirus disease 2019. West China Medical Journal, 2021, 36(3): 311-315. doi: 10.7507/1002-0179.202006360 Copy

1.	Marjani M, Tabarsi P, Moniri A, et al. NRITLD protocol for the management of patients with COVID-19 admitted to hospitals. Tanaffos, 2020, 19(2): 91-99.
2.	Meier KA, Jerardi KE, Statile AM, et al. Pediatric hospital medicine management, staffing, and well-being in the face of COVID-19. J Hosp Med, 2020, 15(5): 308-310.
3.	Akdur O. COVID-19 pandemic hospital management experience in Turkey. Gac Med Mex, 2020, 156(5): 473-474.
4.	Shaw KA, Wilson KD, Brown JE. Hospital incident command system: tool for a TJC accreditation survey. J Healthc Prot Manage, 2016, 32(1): 63-70.
5.	Arnold JL, Dembry LM, Tsai MC, et al. Recommended modifications and applications of the hospital emergency incident command system for hospital emergency management. Prehosp Disaster Med, 2005, 20(5): 290-300.
6.	Jamie J, Dean A. Hospital incident command systems and their importance. Security, 2014, 51(3): 98-101.
7.	Shooshtari S, Tofighi S, Abbasi S. Benefits, barriers, and limitations on the use of hospital incident command system. J Res Med Sci, 2017, 22: 36.
8.	Djalali A, Hosseinijenab V, Peyravi M, et al. The hospital incident command system: modified model for hospitals in iran. PLoS Curr, 2015, 7: ecurrents.
9.	Sauer LM, Romig M, Andonian J, et al. Application of the incident command system to the hospital biocontainment unit setting. Health Secur, 2019, 17(1): 27-34.
10.	文進, 曾銳, 徐才剛, 等. 華西醫院抗擊新型冠狀病毒肺炎疫情的十大管理舉措. 中國循證醫學雜志, 2020, 20(3): 365-368.
11.	Ma X, Li S, Yu S, et al. Emergency management of the prevention and control of novel coronavirus pneumonia in specialized branches of hospital. Acad Emerg Med, 2020, 27(4): 312-316.
12.	Hu H, Yao N, Qiu Y. Comparing rapid scoring systems in mortality prediction of critically ill patients with novel coronavirus disease. Acad Emerg Med, 2020, 27(6): 461-468.
13.	Liu S, Yao N, Qiu Y, et al. Predictive performance of SOFA and qSOFA for in-hospital mortality in severe novel coronavirus disease. Am J Emerg Med, 2020, 38(10): 2074-2080.
14.	朱培嘉, 李雷, 張龍浩, 等. 新型冠狀病毒疫情在線防控的“華西項目化工作模式”探索與實踐. 中國普外基礎與臨床雜志, 2020, 27(3): 257-260.
15.	陳竹, 莊英杰, 李進, 等. 新型冠狀病毒肺炎患者定點收治醫院的醫療管理. 中華醫院感染學雜志, 2020, 30(6): 821-825.
16.	沈偉鋒, 徐少文, 張茂, 等. 應重視急診科醫療需求激增問題. 中華醫學雜志, 2008, 88(47): 3313-3315.
17.	中華醫學會急診醫學分會災難醫學學組. 大規模傷害事件時二級以上醫院傷患激增應對能力的專家共識. 中華急診醫學雜志, 2016, 25(10): 1229-1236.
18.	王浩. 美國重大突發事件期間醫療衛生資源管理體系?醫療激增能力管理體系. 中國衛生事業管理, 2013, 30(7): 487-489.
19.	沈偉鋒, 徐少文, 張茂, 等. 災難性醫療需求激增的應對策略. 中華醫院管理雜志, 2008, 24(6): 394-396.
20.	汪暉, 劉于, 王穎, 等. 新型冠狀病毒肺炎疫情防控一線護理人員培訓需求的質性研究. 護理學雜志, 2020, 35(8): 14-16.
21.	吳欣娟, 郭娜, 曹晶, 等. 新型冠狀病毒肺炎院內感染防控規范化培訓方案的制訂與實施. 中華護理雜志, 2020, 55(4): 500-503.
22.	南玲, 陳萍, 劉莎, 等. 新型冠狀病毒肺炎疫情期間個人防護用品穿脫技能培訓學習曲線分析. 中國感染控制雜志, 2020, 19(3): 271-273.
23.	張瑜, 何苗, 李春華, 等. 臨床一線醫師面對新型冠狀病毒肺炎疫情真實體驗的質性研究. 中國全科醫學, 2020, 23(9): 1078-1082.
24.	Ying W, Qian Y, Kun Z. Drugs supply and pharmaceutical care management practices at a designated hospital during the COVID-19 epidemic. Res Social Adm Pharm, 2021, 17(1): 1978-1983.
25.	Tsai MC, Arnold JL, Chuang CC, et al. Implementation of the hospital emergency incident command system during an outbreak of severe acute respiratory syndrome (SARS) at a hospital in Taiwan, ROC. J Emerg Med, 2005, 28(2): 185-196.
26.	Cao Y, Li Q, Chen J, et al. Hospital emergency management plan during the COVID-19 epidemic. Acad Emerg Med, 2020, 27(4): 309-311.
27.	Bahrami P, Ardalan A, Nejati A, et al. Factors affecting the effectiveness of hospital incident command system; findings froma systematic review. Bull Emerg Trauma, 2020, 8(2): 62-76.
28.	Fletcher B, Knight A, Pockrus B, et al. Hospital incident command: first responders or receiving centers?. Am J Disaster Med, 2016, 11(2): 125-130.

1. Marjani M, Tabarsi P, Moniri A, et al. NRITLD protocol for the management of patients with COVID-19 admitted to hospitals. Tanaffos, 2020, 19(2): 91-99.
2. Meier KA, Jerardi KE, Statile AM, et al. Pediatric hospital medicine management, staffing, and well-being in the face of COVID-19. J Hosp Med, 2020, 15(5): 308-310.
3. Akdur O. COVID-19 pandemic hospital management experience in Turkey. Gac Med Mex, 2020, 156(5): 473-474.
4. Shaw KA, Wilson KD, Brown JE. Hospital incident command system: tool for a TJC accreditation survey. J Healthc Prot Manage, 2016, 32(1): 63-70.
5. Arnold JL, Dembry LM, Tsai MC, et al. Recommended modifications and applications of the hospital emergency incident command system for hospital emergency management. Prehosp Disaster Med, 2005, 20(5): 290-300.
6. Jamie J, Dean A. Hospital incident command systems and their importance. Security, 2014, 51(3): 98-101.
7. Shooshtari S, Tofighi S, Abbasi S. Benefits, barriers, and limitations on the use of hospital incident command system. J Res Med Sci, 2017, 22: 36.
8. Djalali A, Hosseinijenab V, Peyravi M, et al. The hospital incident command system: modified model for hospitals in iran. PLoS Curr, 2015, 7: ecurrents.
9. Sauer LM, Romig M, Andonian J, et al. Application of the incident command system to the hospital biocontainment unit setting. Health Secur, 2019, 17(1): 27-34.
10. 文進, 曾銳, 徐才剛, 等. 華西醫院抗擊新型冠狀病毒肺炎疫情的十大管理舉措. 中國循證醫學雜志, 2020, 20(3): 365-368.
11. Ma X, Li S, Yu S, et al. Emergency management of the prevention and control of novel coronavirus pneumonia in specialized branches of hospital. Acad Emerg Med, 2020, 27(4): 312-316.
12. Hu H, Yao N, Qiu Y. Comparing rapid scoring systems in mortality prediction of critically ill patients with novel coronavirus disease. Acad Emerg Med, 2020, 27(6): 461-468.
13. Liu S, Yao N, Qiu Y, et al. Predictive performance of SOFA and qSOFA for in-hospital mortality in severe novel coronavirus disease. Am J Emerg Med, 2020, 38(10): 2074-2080.
14. 朱培嘉, 李雷, 張龍浩, 等. 新型冠狀病毒疫情在線防控的“華西項目化工作模式”探索與實踐. 中國普外基礎與臨床雜志, 2020, 27(3): 257-260.
15. 陳竹, 莊英杰, 李進, 等. 新型冠狀病毒肺炎患者定點收治醫院的醫療管理. 中華醫院感染學雜志, 2020, 30(6): 821-825.
16. 沈偉鋒, 徐少文, 張茂, 等. 應重視急診科醫療需求激增問題. 中華醫學雜志, 2008, 88(47): 3313-3315.
17. 中華醫學會急診醫學分會災難醫學學組. 大規模傷害事件時二級以上醫院傷患激增應對能力的專家共識. 中華急診醫學雜志, 2016, 25(10): 1229-1236.
18. 王浩. 美國重大突發事件期間醫療衛生資源管理體系?醫療激增能力管理體系. 中國衛生事業管理, 2013, 30(7): 487-489.
19. 沈偉鋒, 徐少文, 張茂, 等. 災難性醫療需求激增的應對策略. 中華醫院管理雜志, 2008, 24(6): 394-396.
20. 汪暉, 劉于, 王穎, 等. 新型冠狀病毒肺炎疫情防控一線護理人員培訓需求的質性研究. 護理學雜志, 2020, 35(8): 14-16.
21. 吳欣娟, 郭娜, 曹晶, 等. 新型冠狀病毒肺炎院內感染防控規范化培訓方案的制訂與實施. 中華護理雜志, 2020, 55(4): 500-503.
22. 南玲, 陳萍, 劉莎, 等. 新型冠狀病毒肺炎疫情期間個人防護用品穿脫技能培訓學習曲線分析. 中國感染控制雜志, 2020, 19(3): 271-273.
23. 張瑜, 何苗, 李春華, 等. 臨床一線醫師面對新型冠狀病毒肺炎疫情真實體驗的質性研究. 中國全科醫學, 2020, 23(9): 1078-1082.
24. Ying W, Qian Y, Kun Z. Drugs supply and pharmaceutical care management practices at a designated hospital during the COVID-19 epidemic. Res Social Adm Pharm, 2021, 17(1): 1978-1983.
25. Tsai MC, Arnold JL, Chuang CC, et al. Implementation of the hospital emergency incident command system during an outbreak of severe acute respiratory syndrome (SARS) at a hospital in Taiwan, ROC. J Emerg Med, 2005, 28(2): 185-196.
26. Cao Y, Li Q, Chen J, et al. Hospital emergency management plan during the COVID-19 epidemic. Acad Emerg Med, 2020, 27(4): 309-311.
27. Bahrami P, Ardalan A, Nejati A, et al. Factors affecting the effectiveness of hospital incident command system; findings froma systematic review. Bull Emerg Trauma, 2020, 8(2): 62-76.
28. Fletcher B, Knight A, Pockrus B, et al. Hospital incident command: first responders or receiving centers?. Am J Disaster Med, 2016, 11(2): 125-130.

West China Medical Journal

Practice of hospital incident command system in the outbreak of coronavirus disease 2019

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