Psychological Effects of Patient Surge in Large-Scale Emergencies
A Quality Improvment Tool for Hospital Planning and Response

Novel and practical quality improvement tool for hospitals and clinics to use in planning for and responding to the psychological consequences of catastrophic events that creates a surge of psychological casualties presenting for health care. This paper describes the development of the tool, presents data on facility preparedness from 31 hospitals and clinics in Los Angeles County, and discusses how the tool can be used as a benchmark for targeting improvement. Meredith, L., Zazzali J., Shields, S., Eisenman, D., and Alsabagh, H. (March-April 2010).