GOA is a goal-oriented emergency response method.
“All's well that ends well.” is similar to the GOA way of thinking.
Because EBM (Evidence Based Medicine) has become established in medicine,
work with low evidence level is avoided.
Medical practice with perceived danger is also avoided.
However, it is special during a disaster.
Overcoming the crisis with flexible ideas helps patients.
The goal is important.
GOA needs a goal.
Set team goals and share with staff.
The goal can be anything, so there is no problem with the goal of “withdrawing from medical practice and keeping staff safe”.
The important thing is to set goals.
It is important that the people concerned look at the same goal.
It is important that the people concerned understand the goals.
I think that all the people concerned can overcome some difficulties by focusing on the same goal.
It is even better if interested parties are also aiming for the same goal.
BCP and DRP are plans, and BCM is management, but GOA is directly linked to practical actions.
In an emergency situation, it is not possible to give instructions for detailed work, so it is left to the judgment of the site.
Goal orientation is useful for acting conscientiously.
Vertical evacuation using elevators was prohibited in Japan.
As the number of high-rise buildings increased, the need for vertical evacuation by elevator increased.
Mori Building studied elevator evacuation and developed an evacuation method.
This is because even if it was prohibited in the event of a disaster, if there were people who used elevators, we wanted to make it usable.
Mori Building: Start operation of evacuation plan using emergency elevator at Toranomon Hills. - Acquired certification from the Tokyo Fire Department for the first time in a high-rise complex tower -
This exercise is also being conducted for patient safety.
It's a good way to discuss taboos.
For example, the reuse of disposable medical materials is not usually reused, but may be unavoidable in an emergency.
The staff will think seriously by simulating hands-on exercises.
It is also important to establish in-hospital guidelines and have a unified recognition among the parties concerned.
For example, it is natural to change gloves for each procedure, but create a guideline that admits not to change in an emergency.
It is difficult to recognize violations of laws and regulations in the guidelines.
In that case, it is also useful to introduce past disaster cases.
For example, the matters to be included in the prescription are stipulated in Article 21 of the Enforcement Rules of the Medical Doctor Law.
In the Great East Japan Earthquake, doctors used origami as a substitute for prescriptions.
Although the law could be violated, the goal of “prescribing drugs to patients” was achieved.
Doctoral Law enforcement regulations