Simulation Application – Hospital Emergency Command System
•Four areas in which the system needs to provide control and mobilization: communications, personnel, equipment and mobility
•Five phases in a hospital emergency: detect, dispatch, deploy, deliver and disperse
•Simulation program has been prepared in a modular manner
•Results showed improvements in emergency response time when using the system
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Communications include telephones, public address systems, pocket pagers, and visual pagers. Personnel includes physicians, nurses, technicians. Equipment includes emergency carts or cases with a variety of drugs. Mobility refers to elevators, doors, corridors etc.

Detect phase – someone discovers that an emergency exists. Dispatch phase – has two parts. Part 1 – the dispatch system must be alerted (usually by the person who discovers the emergency). Part 2- the system must alert the team members and direct them to the site of the emergency. Deploy phase – specific medical personnel must travel to the patient treatment location, special supplies must be obtained and transported and certain facilities must be prepared. Deliver phase – the time period during which the members of the emergency team are treating the patient. Disperse phase – occurs when the emergency is over and represents the time required to restore the initial settings (return material to its standby location)

The program has been done in a modular manner in order to permit the evaluation of a wide variety of hospital configurations and emergency mobilization approaches

The system has been tested over a period of two years (1966, 1967) and 229 cardiopulmonary arrests. Significant improvements have been reported. The system was tested on an IBM360-75 machine.

(Levine, 1969)