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Evidence Report on Regionalization of Bioterrorism Preparedness and Response Planning. Dena M. Bravata, M.D., M.S. Project Director Stanford-University of California, San Francisco Evidence-based Practice Center. Evidence Report. Purpose: to synthesize the published evidence on a given topic
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Evidence Report on Regionalization of Bioterrorism Preparedness and Response Planning Dena M. Bravata, M.D., M.S. Project Director Stanford-University of California, San Francisco Evidence-based Practice Center
Evidence Report • Purpose: to synthesize the published evidence on a given topic • Method: • Search literature for relevant articles • Abstract data from each article • Evaluate the evidence
Literature Sources • Medical, public health • Identify key tasks for responding to bioterrorism-related events • Supply chain, logistics • Identify best practices for designing regional stockpiles and distribution systems • Emergency management • Identify key components of mutual aid agreements • Government documents • Identify ongoing bioterrorism response planning efforts
Two Approaches • Design a completely new system • Consider bioterrorism preparedness planning in the context of existing response infrastructures • Public health • First responders • Hospital systems • Laboratories
Key TasksSubtasksResources • Planning and Preparedness • Field assessment and triage • Diagnosis • Management of acutely ill • Prevention • Surveillance • Outbreak Investigation • Communication • Emergency Management
Preliminary Findings • Many systems • Few evaluations
Utility of the Evidence Report • Identify regional response organizations • Identify available evidence about regionalization of key tasks • Simulations of regionalization • Stockpiling/distributing antibiotics/vaccine • Surveillance
To obtain a copy of the Evidence Report • “Regionalization of Bioterrorism Preparedness and Response” (available after December 2003) • Free of charge: • www.ahrq.gov/clinic/epcix.htm • AHRQ Clearinghouse: 800.358.9295
Information Technology for Bioterrorism Preparedness • Detection/Diagnosis (78 systems) • Management and Prevention (18 systems) • Surveillance systems (90 systems)* • Reporting and Communication (26 systems)* • Integrated Surveillance, Communication, and Command and Control (7 systems)* *High relevance to surge capacity and regionalization
Humanitarian Logistics • Primary Objective: Timely mobilization of financing and goods • Tasks: procurement, transport, tracking and tracing, customs clearance, local transportation, warehousing and last mile delivery • Fritz Institute • Non-profit • Mission: apply logistics expertise from the corporate/academic community to humanitarian relief • http://www.fritzinstitute.org