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25 - Patient Identification and Tracking

from PART II - OPERATIONAL ISSUES

Published online by Cambridge University Press:  05 August 2011

Kristi L. Koenig
Affiliation:
University of California, Irvine
Carl H. Schultz
Affiliation:
University of California, Irvine
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Summary

OVERVIEW

Each year, many countries experience disasters including earthquakes, floods, fires, storms, and tornadoes, among others. These disasters vary in scope and magnitude and help shape the field of disaster management across these countries. Disaster planning previously based on limited experience and supposition is transitioning to planning based on evidence acquired from these actual catastrophic events. For the United States, at the time of this writing, the event that has most tested preparedness, response, and recovery is Hurricane Katrina along the Gulf coast in 2005. Hurricane Katrina provided disaster planners with first-hand experience in the challenges that arise after a major disaster that destroys significant infrastructure components of multiple communities.

One of the key issues illustrated by the study of Hurricane Katrina is that families and loved ones can and do get separated. In some instances, rescue workers sought to transport children to safety first, expecting that they would be reunited with parents within a brief period of time. Instead, confusion arose as to who was taken to which shelter. The same held true for hospitals evacuating patients or transferring patients to other locations. This created as much, or more, anxiety among hurricane victims than the destruction and loss of their property. As one news agency reported, “A centralized patient-tracking system did not exist. Without automated systems, it was almost impossible to know where evacuees were. Also, the federal government did not have a firm grasp on how many evacuees there were, and family reunification was difficult.....Data was spotty at command centers that state officials and organizations like the Red Cross set up.”

Type
Chapter
Information
Koenig and Schultz's Disaster Medicine
Comprehensive Principles and Practices
, pp. 377 - 388
Publisher: Cambridge University Press
Print publication year: 2009

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References

Jones, J. Katrina highlights holes in emergency health care system 2005. Available At http://www.federalcomputerweek.com/article91600-12-05-05-Print Federal Computer Week magazine's archive site, accessed June 7, 2006.
Roberts, S. FEMA's forgotten of the Gulf Coast and Katrina children. July 1, 2006, Available at: stevecokie@gmail.com. Accessed July 6, 2006.
Nossiter, A. 2005, as cited in Zuckerman S, Coughklin TA. Initial Health Policy Responses to Hurricane Katrina and Possible Next Steps. Available at: http://www.urban.org/publications/900929.html. Accessed February 27, 2009.
McCarthy, MJ. 2005, as cited in Zuckerman S, Coughklin TA. Initial Health Policy Responses to Hurricane Katrina and Possible Next Steps. Available at: http://www.urban.org/publications/900929.html. Accessed February 27, 2009.
American Red Cross Safe and Well website. https://disastersafe.redcross.org. Accessed July 6, 2009.
Geogoux, Theodore, Regional Coordinator for National Disaster Medical System, personal communication, June 12, 2006.
,U. S. Dept. of Health and Human Services Offices for Civil Rights, Hurricane Katrina Bulletin: HIPAA Privacy and Disclosures in Emergency Situations, September 2, 2005 available at www.hhs.gov/ocr/hipaa/EnforcementStatement.pdf.
Cleveland, Darryl, Corona Fire Department, personal communication, June 16, 2006.
Ortiz, Dennis, Disaster Management System, personal communication, June 20, 2006.
Petrie, Michael, San Francisco Emergency Medical Services Agency, personal communication, July 12, 2006.
Winens, Catherine, Healthcare Association of Southern California, personal communication, August 11, 2006.
Richter, Roger, California Hospital Association, personal communication, July 26, 2006.
,Department of Health and Human Services, 2005.
,This section draws on the July 2006 market and technology survey developed for the State of California's Emergency Medical Services Authority. See Gidley, Darlene and Ciraolo, Michael, “California EMS Patient Tracking System Project,” completed for the California Emergency Medical Services Authority through Global Vision Consortium, August 30, 2006. Report available by request from emsa.ca.gov.
Schultz, CH, Koenig, KI, Lewis, RJ. Implications of hospital evacuation after the Northridge, California earthquake. N Engl J Med. 2003;348:1349–1355.Google Scholar
,Recommendations for a National Mass Patient and Evacuee Movement, Regulating, and Tracking System. Available at: http://www.ahrq.gov/prep/natlsystem/?zbrandid=3032&zidType=CH&zid=1651203&zsubscriberId=750816690. Accessed March 9, 2009.
,For more background on RFID, see www.rfidjournal.com/faq and www.en.wikipedia.org/wiki/RFID.
,National Hospital Available Beds for Emergencies and Disasters (HAVBED) System: Final Report. AHRQ Publication No. 05–0103, December 2005. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.ahrq.gov/prep/havbed/. Accessed February 27, 2009.
,Emergency Data Exchange Language (EDXL). Available at: http://xml.coverpages.org/edxl.html. Accessed February 27, 2009.
,Ibid, and National Hospital Available Beds for Emergencies and Disasters (HAvBED) System: Final Report. AHRQ Publication No. 05–0103, December 2005.
,Integrated Patient Tracking Initiative. Available at: http://www.comcare.org/Patient_Tracking/IPTI_Index.html. Accessed February 27, 2009.
Buono, JL., Lyon, J., Huang, R., Brown, S., Liu, F., Vilke, G., Killeen, J., Chan, T., Kirsh, D., Lenert, L. “Does Wireless Technology Improve Patient Tracking in Mass Casualty Incidents?” https://wiisard.org/.

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