Social Media and Crisis Care Principles During Pandemics and Disasters: A Consensus Report From a Subgroup of the Task Force for Mass Critical Care.

Failures in these domains during COVID-19 contributed to disrupted care delivery, strained staff, resource shortages, and adverse patient outcomes.

COVID-19期间这些领域的失败导致了护理服务的中断、员工压力、资源短缺和患者不良结果。

research_question

Drawing on pandemic lessons, the Task Force for Mass Critical Care (TFMCC) conducted a comprehensive assessment of peer-reviewed literature, gray sources, and firsthand experience using a modified Delphi process to develop consensus-based suggestions to strengthen communication strategies and operational coordination.

借鉴大流行的经验，大规模重症监护任务小组（TFMCC）通过修改的德尔菲过程，对同行评审的文献、灰色来源和第一手经验进行了全面评估，以制定基于共识的建议，以加强沟通策略和运营协调。

study_design_and_methods

Methodological frameworks from the World Health Organization and Guidelines International Network-McMaster Guideline Development Checklist for rapid guidelines were merged to establish a consensus development process, integrating evidence synthesized from the literature with expert opinions.

世界卫生组织的方法论框架和国际指南网络-麦克马斯特指南开发清单的快速指南被合并，以建立一个共识发展过程，将文献综合的证据与专家意见相结合。

The previously described process used a three-round modified Delphi approach to synthesize published evidence, collect anecdotal evidence, and develop suggestions.

之前描述的过程使用了三轮修改的德尔菲方法来综合已发表的证据，收集轶事证据，并制定建议。

Results

A total of 147 evidence statements were evaluated, resulting in 22 suggestions substantiated by other supporting literature and anecdotal experiences.

共评估了147个证据声明，产生了22个由其他支持性文献和轶事经验支持的建议。

The TFMCC identified transparent, timely, and scientifically grounded public communication with proactive engagement through social media as indispensable for information dissemination and misinformation mitigation.

TFMCC确定了透明、及时且基于科学的公共沟通，并通过社交媒体主动参与，对于信息传播和误导信息的缓解是不可或缺的。

Planning and coordination across federal, state, regional, and hospital systems are critical for effective disaster response, which depends on standardized crisis care frameworks, Medical Operations Coordination Centers, and interoperable health information systems enabling real-time situational awareness.

在联邦、州、地区和医院系统之间的规划和协调对于有效的灾难响应至关重要，这依赖于标准化的危机护理框架、医疗运营协调中心和可互操作的健康信息系统，以实现实时的情境意识。

Important findings include community engagement, equitable resource allocation, accessible communication strategies, and processes to avoid restrictive visitation policies that can impede surrogate decision-making.

重要发现包括社区参与、公平的资源分配、易于获取的沟通策略，以及避免限制性探视政策的流程，这些政策可能会阻碍代理决策。

Finally, integrating emergency department expertise into hospital incident command and strengthening the "last mile" of supply-chain distribution are necessary to sustain clinical operations.

最后，将急诊部的专业知识整合到医院事故指挥中，并加强供应链分配的“最后一英里”，对于维持临床运营是必要的。

interpretation

Communication and coordination are core operational priorities during disaster response, emphasizing their impact on patient outcomes, system performance, and public trust.

在灾难响应期间，沟通和协调是核心运营优先事项，强调它们对患者结果、系统性能和公众信任的影响。

Communication and coordination systems require sustained investments in interorganizational relationships and public engagement.

沟通和协调系统需要持续投资于组织间关系和公众参与。