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Hospital Evacuation Decision Guide (Figure 1)

Public Health Emergency Preparedness

Figure 1. Advanced Warning Event Evacuation Decisions

This is a flowchart that documents decision points when hospital leaders have advanced notice of an impending disaster and are considering whether or not to evacuate. A rectangular box that says "Scope of Impending Disaster/Event" is at the top with an arrow pointing down. A rectangular box below and to the left reads "Pre-Disaster Self Assessment," and an arrow pointing right to the downward arrow indicates it is a step to take before the first decision point. A diamond-shaped box, indicating a decision point, reads "Order Pre-Event Evacuation?" An arrow points left to a triangular box that reads "Wait and Reassess." Another arrow from the top of the triangular box points back to the "Scope of Impending Disaster/Event" arrow, indicating a step to take before again considering the order for a pre-event evacuation. An arrow points right from the "Order Pre-Event Evacuation?" box to a circular box that reads "Start Evacuation." An arrow to the right points to a rectangular box that reads "Determine Sequence of Patient Evacuation," and an arrow to the right of that box points to another rectangular box that reads "Carry Out Evacuation." From the "Order Pre-Event Evacuation?" box, another arrow points down to a rectangular box that reads "Shelter In Place." An arrow pointing down from that points to a rectangular box that reads "Event Occurs." An arrow pointing down from that points to a rectangular box that reads "Assess Status." A rectangular box to the left of the "Assess Status" box reads "Updated Self Assessment." Below the "Assess Status" box, arrows point down to three rectangular boxes: the first reads "Danger Passed? No Threat," and an arrow points down to a rectangular box that reads "No Evacuation"; the second reads "Immediate Threat to Patient/Staff Safety," and an arrow points down to a rectangular box that reads "Order Immediate Evacuation"; the third reads "Potential/Evolving Threat to Patient/Staff Safety," and an arrow points down to a diamond-shaped box, indicating a decision point, that reads "Order Post-Event Evacuation?" From the "Order Post-Event Evacuation?" box, an arrow points right to a triangular box that reads "Wait and Reassess"; an arrow from this box points back up to the "Assess Status" box. An arrow points down from the "Order Post-Event Evacuation?" box to a circular box that reads "Start Evacuation." An arrow to the right points to a rectangular box that reads "Determine Sequence of Patient Evacuation," and an arrow to the right of that box points to another rectangular box that reads "Carry Out Evacuation."

Page last reviewed July 2018
Page originally created August 2017

Internet Citation: Hospital Evacuation Decision Guide (Figure 1). Content last reviewed July 2018. Agency for Healthcare Research and Quality, Rockville, MD.
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