OBJECTIVE To establish whether patients with a crisis plan had fewer voluntary or involuntary admissions, or fewer outpatient emergency visits, than patients without such a plan. DESIGN Multicenter randomized controlled trial with two intervention conditions and one control condition. PARTICIPANTS Adult outpatients diagnosed with psychotic or bipolar disorder who had experienced at least on...

Emergency planning is an ongoing activity in which a multidisciplinary group of experts intermittently collaborate to define the most appropriate response to risks. One of the most important tasks of emergency planning is the review of plans as a way of maintaining, refining, and improving them. This review of plans is based on exchanging knowledge and experiences in order to take into account ...

In recent years planning for large-scale disasters has become increasingly important. The advent of global terrorism has added a further impetus to such preparations particularly in the planning of the provision of emergency medical services. Whilst joint emergency service training exercises and pre-planning have improved the situation it is clear that further progress can be made. An emergency...

The EU Control of Major Accidents Hazards Directive (Seveso II) requires an external emergency plan for each top tier site. This paper sets out a method to build the protection of public health into emergency planning for Seveso sites in the EU. The method involves the review of Seveso site details prescribed under the directive. The site safety report sets out the potential accident scenarios....

Acute vital crisis in end-of-life situations may result in hospitalization and intensive care without recognizable benefit in many cases. Advance directives regarding indications for resuscitation, hospitalization, and symptomatic treatment help ensure that acute complications can be managed quickly and satisfactorily in the patient's customary surroundings. A plan was designed and implemented ...

background recognizing the importance of having a broad exploration of how cultural perspectives may shape thinking about ethical considerations, the centers for disease control and prevention (cdc) funded four regional meetings in africa, asia, latin america, and the eastern mediterranean to explore these perspectives relevant to pandemic influenza preparedness and response. the meetings were ...

OBJECTIVE To analyse the effect of Kenya's Emergency Hiring Plan for nurses on their inequitable distribution in rural and underserved areas. METHODS We used data from the Kenya Health Workforce Informatics System on the nursing workforce to determine the effect of the Emergency Hiring Plan on nurse shortages and maldistribution. The total number of nurses, the number of nurses per 100,000 po...