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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Disaster+Med+Public+Health+Prep
2020 ; 14
(5
): 677-683
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Allocation of Scarce Resources in a Pandemic: A Systematic Review of US State
Crisis Standards of Care Documents
#MMPMID32295662
Romney D
; Fox H
; Carlson S
; Bachmann D
; O'Mathuna D
; Kman N
Disaster Med Public Health Prep
2020[Oct]; 14
(5
): 677-683
PMID32295662
show ga
The aim of this systematic review was to locate and analyze United States state
crisis standards of care (CSC) documents to determine their prevalence and
quality. Following PRISMA guidelines, Google search for "allocation of scarce
resources" and "crisis standards of care (CSC)" for each state. We analyzed the
plans based on the 2009 Institute of Medicine (IOM) report, which provided
guidance for establishing CSC for use in disaster situations, as well as the 2014
CHEST consensus statement's 11 core topic areas. The search yielded 42 state
documents, and we excluded 11 that were not CSC plans. Of the 31 included plans,
13 plans were written for an "all hazards" approach, while 18 were pandemic
influenza specific. Eighteen had strong ethical grounding. Twenty-one plans had
integrated and ongoing community and provider engagement, education, and
communication. Twenty-two had assurances regarding legal authority and
environment. Sixteen plans had clear indicators, triggers, and lines of
responsibility. Finally, 28 had evidence-based clinical processes and operations.
Five plans contained all 5 IOM elements: Arizona, Colorado, Minnesota, Nevada,
and Vermont. Colorado and Minnesota have all hazards documents and processes for
both adult and pediatric populations and could be considered exemplars for other
states.