Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations A Letter Report (2009) / Chapter Skim
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B Glossary
B Glossary
Pages 111-118
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From page 111... ...
The clinical care committee may also be formed at the healthcare coali tion level (e.g., hospital, primary care, emergency medical services agency, public health, emergency management. and others)
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From page 112... ...
designate a crisis triage officer and include provi sions for palliative care in triage models for scarce resource allocation (e.g., ven tilators) (Chang et al., 2008)
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From page 113... ...
May also be involved in providing broader recommendations regarding disaster planning and response efforts. When formed at the regional level, this group may take on the same functions as that of the clinical care committee.
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From page 114... ...
This includes acute care hospitals, commu nity health centers, long-term care insti tutions, private practices, and skilled nursing facilities. Healthcare practitioners Includes "healthcare professionals" and other non-licensed individuals who are involved in the delivery of healthcare services.
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From page 115... ...
Legal standard of care The minimum amount of care and skill that a healthcare practitioner must exer cise in particular circumstances based on what a reasonable and prudent health care practitioner would do in similar cir cumstances; during non-emergencies and disasters, they are based on the spe cific situation. Medical standard of care The type and level of medical care re quired by professional norms, profes sional requirements, and institutional objectives; these standards vary as cir cumstances change, including during emergencies or crisis events.
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From page 116... ...
Protocol A written procedural approach to a spe cific problem or condition. Public health system A complex network of individuals, or ganizations, and relevant critical infra structures that have the potential to act individually and together to create con ditions of health, including communi ties, healthcare delivery systems (e.g., home care, ambulatory care, private practice, hospitals, skilled nursing facili ties, and others)
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From page 117... ...
, at which point patients are assigned an acuity level based on the sever ity of their illness/disease. • Secondary triage: Reevaluation of the patient's condition after initial medical care.
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From page 118... ...
This may occur at an institutional, and often regional, level of response. It suggests the need for the immediate implementation of response pathways that are required to manage a crisis surge response emanating from the disaster situation.
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