title: Operation of emergency operating centers during mass casualty incidents in taiwan: a disaster management perspective.
abstract: OBJECTIVE
  On April 27, 2011, a train derailed and crashed in Taiwan, causing a mass casualty incident (MCI) that was similar to a previous event and with similar consequences. In both disasters, the emergency operating centers (EOCs) could not effectively integrate associated agencies to deal with the incident. The coordination and utilization of resources were inefficient, which caused difficulty in command structure operation and casualty evacuation.
  
  
  METHODS
  This study was designed to create a survey questionnaire with problem items using disaster management phases mandated by Taiwan's Emergency Medical Care Law (EMCL), use statistical methods (t test) to analyze the results and issues the EOCs encountered during the operation, and propose solutions for those problems.
  
  
  RESULTS
  Findings showed that EOCs lacked authority to intervene or coordinate with associated agencies. Also, placing emphasis on the recovery phase should improve future prevention and response mechanisms.
  
  
  CONCLUSIONS
  To improve the response to MCIs, the EMCL needs to be amended to give EOCs the lead during disasters; use feedback from the recovery phase to improve future disaster management and operation coordination; and establish an information-sharing platform across agencies to address all aspects of relief work.(Disaster Med Public Health Preparedness. 2014;0:1-6).
authors.affiliation: 1Graduate School of Engineering Science and Technology,National Yunlin University of Science and Technology,Douliou,Yunlin.
authors.forename: Jet-Chau
authors.initials: JC
authors.lastname: Wen
authors.affiliation: 1Graduate School of Engineering Science and Technology,National Yunlin University of Science and Technology,Douliou,Yunlin.
authors.forename: Chia-Chou
authors.initials: CC
authors.lastname: Tsai
authors.affiliation: 2Huatan Township Health Center,Huatan Township,Changhua County,Taiwan,Republic of China.
authors.forename: Mei-Hsuan
authors.initials: MH
authors.lastname: Chen
authors.affiliation: 1Graduate School of Engineering Science and Technology,National Yunlin University of Science and Technology,Douliou,Yunlin.
authors.forename: Wei-Ta
authors.initials: WT
authors.lastname: Chang
mesh_terms: D054597:Disaster Medicine / Q000458:organization & administration*; D004189:Disaster Planning; D017598:Efficiency, Organizational; D004632:Emergency Medical Services / Q000458:organization & administration*; D006801:Humans; D054527:Mass Casualty Incidents; D011446:Prospective Studies; D018635:Rescue Work / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D013624:Taiwan