@article{ref1,
title="Comparison of hospital preparedness to deal with crisis situations in mass casualty incidents according to the UN Human Development Index",
journal="Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca",
year="2020",
author="Rogalewicz, V. and Pleva, L. and KozÁk, T. and Kloub, M. and Burget, F. and Douša, P.",
volume="87",
number="6",
pages="438-446",
abstract="PURPOSE OF THE STUDY This thesis presents the very current topic of general hospital preparedness to deal with crisis situations in mass casualty incidents. MATERIAL AND  METHODS The key part of the work consists in a questionnaire survey of 26 foreign  and domestic respondents, which provides a very good description of this issue in  various countries of the world. The group is divided into health facilities in  developed and developing countries of the world according to the UN Human  Development Index. Another sub-group consists of hospitals in areas with a higher  frequency of terrorist attacks and a separate group is formed by 5 hospitals in the  Czech Republic. Based on the results of the questionnaire survey, the preparedness  of hospitals for dealing with mass casualty incidents is compared in both the groups  according to the advancement of the country and also in the subgroup of hospitals in  the Czech Republic and in countries with frequent terrorist attacks. The maximum  achievable score evaluating the hospital readiness is 20 points. The data obtained  by the questionnaire survey is evaluated using statistical methods. <br><br>RESULTS Higher  preparedness of hospitals was found in developed countries, with a hospital  preparedness score of 12.9 points compared with 5.9 points in developing countries'  hospitals. Hospitals in the Czech Republic show a similar readiness for mass  casualties as the other hospitals in developed countries, with the mean score of  12.2 points. Hospitals in countries with a higher number of terrorist attacks did  not show a higher readiness to deal with crisis situations associated with mass  casualties - the mean score of 9.4 points. <br><br>DISCUSSION The following discussions and  evaluations, together with personal experience and thorough knowledge of real-life  solutions, became the basis for recommendations of triage procedures, organization  of surgery and traumatology departments and material equipment of medical facilities  in the Czech Republic. <br><br>CONCLUSIONS By applying the results of the habilitation  thesis it is possible to achieve an optimal solution and increase the reliability in  the preparedness of hospitals in dealing with crisis situations, especially to  eliminate the discrepancy between theory and practice. Key words: mass casualty  incidents, triage, hospital preparedness, disaster management response.<p /> <p>Language: cs</p>",
language="cs",
issn="0001-5415",
doi="",
url="http://dx.doi.org/"
}