抄録
The purpose of this paper is to make the initial action system of the hospitals in the 2011 Pacific coast Tohoku Earthquake clear.
Therefore a questionnaire survey and verbal survey were put into effect.
The main results are summarized as follows:
1. The priority at a hospital is "ensuring safety of patients and staff". Next "establishment of anti-disaster headquarters", with the purpose of " safety confirmation of patients and staff".
2. Clear differences could be seen at an accident base hospital and a general hospital in the areas of "outside cooperation", "initial triage action system" and "implementation of the earthquake emergency drill"
3. Initial action is clear and swift in an accident base hospital. On the other hand "safety of patients and staff" is given priority over "establishment of anti-disaster headquarters" by a general hospital.
4. While a disaster prevention plan for an earthquake was seen at all accident base hospitals, they were seen at only 45% of general hospitals. As for an emergency drill, general hospitals had an implementation rate of 30% compared to 75% at accident base hospitals.
5. An accident base hospital tends to do its own critical evaluation of the effect of the emergency drill.
6. Countermeasures against earthquake disaster aren't used in small-scale general hospitals below 3 floors.
7. Cases of no full-time disaster-prevention officer being employed at large-scale hospitals are often seen.
"Establishment of the system until human life is saved" and "establishment of a chain of command" are important in times of an earthquake disaster as an initial action system in a hospital. And it's necessary to be putting more realistic planning and practice into effect for realization of this initial action system.
It's also important to cooperate outside. The important condition of outside cooperation is "mutual understanding of polity, a civilian agency and a resident", "mutual complementing system" and "system to receive information at the time of initial action".
The data this questionnaire survey gave was an answer from the engine which doesn't have much damage relatively. Therefore we have to consider drafting of a disaster prevention plan by the severer condition.
