Using Simulation Technique on hospital evacuating--A Case-study of Medical Center
Date Issued
2005
Date
2005
Author(s)
Tsai, Shin-Tsung
DOI
zh-TW
Abstract
In a natural or man made disaster, a medical institute is our last line of defense. In preparation for dealing with a disaster, a hospital may be severely damaged due to a disastrous emergency, causing partial or all patients to evacuate; we would call this a “Disaster Plan”. Even though the “Outpatient Department” is the most condensed place in the hospital and as medical institutes are becoming super-sized and more complex, the lack of consideration to the prevention of pathway blockage or evacuation of personnel’s has become a severe problem. It is a critical problem because of the severity of casualties that can be caused by inadequate evacuation. Even though it is a serious problem, carrying out disaster drills is not an easy task; the amount of resources needed for drills are enormous and therefore computer simulation technologies provide us with an advantage:
This study hypothesizes that facing a bomb threat, a medical institute must under the circumstances of being able to evacuate all people inside the building(s), create a model of “people moving”. In understanding the pros and cons of evacuation routes, we must further understand and find the evacuation node in the evacuation process and design a substitute proposal to compare with the existing simulation.
This study provides four substitute proposals:
Proposal 1:Department of Internal Medicine and Obstetrics evacuate from the rear exit.
Proposal 2:The Department of Internal Medicine and Obstetrics evacuate from the front and the rear exit.
Proposal 3:The Department of Internal Medicine evacuate from the front exit, and the Department of Obstetrics evacuate from the rear exit.
Proposal 4:Department of Internal Medicine evacuate from the rear exit, and the Department of Obstetrics evacuate from the front exit.
Conclusion
1.The percentage of the patient in area of all people is 1.47.
2.Choke point of evacuation is at 10:00 and 15:00 ,after 10:00 and 14:00 the need for evacuation time begins to rise steadily.
3.In comparing variations in evacuation time, population hold up time and evacuation waiting time, proposal 2 seems to be the method which reduces evacuation time to the lowest without creating a hold up in the rear emergency exit. It is important that in using proposal two, elderly patients must be taken into consideration in keeping hold up time and waiting time to a minimum.
Subjects
模擬
災難疏散
門診
simulation
Evacuation
outpatient department
Type
thesis
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