{"doi":"10.1197/j.aem.2006.06.041","title":"Understanding Surge Capacity: Essential Elements","abstract":"<jats:p>As economic forces have reduced immediately available resources, the need to surge to meet patient care needs that exceed expectations has become an increasing challenge to the health care community. The potential patient care needs projected by pandemic influenza and bioterrorism catapulted medical surge to a critical capability in the list of national priorities, making it front‐page news. Proposals to improve surge capacity are abundant; however, surge capacity is poorly defined and there is little evidence‐based comprehensive planning. There are no validated measures of effectiveness to assess the efficacy of interventions. Before implementing programs and processes to manage surge capacity, it is imperative to validate assumptions and define the underlying components of surge. The functional components of health care and what is needed to rapidly increase capacity must be identified by all involved. Appropriate resources must be put into place to support planning factors. Using well‐grounded scientific principles, the health care community can develop comprehensive programs to prioritize activities and link the necessary resources. Building seamless surge capacity will minimize loss and optimize outcomes regardless of the degree to which patient care needs exceed capability.</jats:p>","journal":"Academic Emergency Medicine","year":2006,"id":619947,"datarank":0.7947476049822055,"base_score":5.298317366548036,"endowment":5.298317366548036,"self_citation_contribution":0.7947476049822055,"citation_network_contribution":0.0,"self_endowment_contribution":0.7947476049822055,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":199,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":12,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":149713,"name":"Kristi L. Koenig","orcid":null,"position":1,"is_corresponding":false},{"id":1600117,"name":"Donna F. Barbisch","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Understanding Surge Capacity: Essential Elements","abstract":"<jats:p>As economic forces have reduced immediately available resources, the need to surge to meet patient care needs that exceed expectations has become an increasing challenge to the health care community. The potential patient care needs projected by pandemic influenza and bioterrorism catapulted medical surge to a critical capability in the list of national priorities, making it front‐page news. Proposals to improve surge capacity are abundant; however, surge capacity is poorly defined and there is little evidence‐based comprehensive planning. There are no validated measures of effectiveness to assess the efficacy of interventions. Before implementing programs and processes to manage surge capacity, it is imperative to validate assumptions and define the underlying components of surge. The functional components of health care and what is needed to rapidly increase capacity must be identified by all involved. Appropriate resources must be put into place to support planning factors. Using well‐grounded scientific principles, the health care community can develop comprehensive programs to prioritize activities and link the necessary resources. Building seamless surge capacity will minimize loss and optimize outcomes regardless of the degree to which patient care needs exceed capability.</jats:p>","is_dataset_classified":null,"base_score":5.231108616854587,"endowment":5.231108616854587,"datacite_reuse_total":12,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"17085738","pmcid":null,"openalex_id":"https://openalex.org/W2155621252","authors":[],"funders":[],"total_grants":0,"fwci":7.1549,"citation_percentile":0.9725468,"influential_citations":0,"citation_trend":[{"year":2012,"count":5},{"year":2013,"count":6},{"year":2014,"count":4},{"year":2015,"count":4},{"year":2016,"count":10},{"year":2017,"count":8},{"year":2018,"count":7},{"year":2019,"count":6},{"year":2020,"count":16},{"year":2021,"count":18},{"year":2022,"count":14},{"year":2023,"count":11},{"year":2024,"count":21},{"year":2025,"count":10},{"year":2026,"count":4}],"oa_status":"bronze","license":"http://onlinelibrary.wiley.com/termsAndConditions#vor","oa_locations":[{"url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1197/j.aem.2006.06.041","host_type":"journal"},{"url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1197/j.aem.2006.06.041","host_type":"publisher"},{"url":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1197%2Fj.aem.2006.06.041","host_type":"publisher"},{"url":"https://onlinelibrary.wiley.com/doi/pdf/10.1197/j.aem.2006.06.041","host_type":"publisher"},{"url":"https://doi.org/10.1197/j.aem.2006.06.041","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/17085738","host_type":"repository"}],"fields_of_study":["Disaster Response and Management","Trauma and Emergency Care Studies","Climate Change and Health Impacts","Bioterrorism","Community Health Services","Disaster Planning","Emergency Medical Services","Emergency Medicine","Health Services Needs and Demand","Humans","Logistic Models","Public Health","United States"],"mesh_terms":["Community Health Services","Disaster Planning","Emergency Medical Services","Emergency Medicine","Health Services Needs and Demand","Humans","Public Health","United States","Logistic Models","Bioterrorism"],"keywords":["Surge Capacity","Medicine","Surge","Health care","Risk analysis (engineering)","Psychological intervention","Pandemic","Capacity building","Scientific evidence","Operations management","Coronavirus disease 2019 (COVID-19)","Nursing","Economic growth","Engineering"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[{"doi":"10.6084/m9.figshare.17097885.v1","title":"Additional file 1 of Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.17097885","title":"Additional file 1 of Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.25939978.v1","title":"Additional file 1 of Retrospective charts for reporting, analysing, and evaluating disaster emergency response: a systematic review","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.25939978","title":"Additional file 1 of Retrospective charts for reporting, analysing, and evaluating disaster emergency response: a systematic review","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.25940252.v1","title":"Additional file 2 of Retrospective charts for reporting, analysing, and evaluating disaster emergency response: a systematic review","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.25940252","title":"Additional file 2 of Retrospective charts for reporting, analysing, and evaluating disaster emergency response: a systematic review","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.26563291.v1","title":"Additional file 1 of Incidence management system of the healthcare institutions for disaster management in Sri Lanka","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.26563291","title":"Additional file 1 of Incidence management system of the healthcare institutions for disaster management in Sri Lanka","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.26643313.v1","title":"Additional file 1 of Lessons from health insurance responses in counteracting COVID-19: a qualitative comparative analysis of South Korea and three influential countries","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.26643313","title":"Additional file 1 of Lessons from health insurance responses in counteracting COVID-19: a qualitative comparative analysis of South Korea and three influential countries","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.26643316.v1","title":"Additional file 2 of Lessons from health insurance responses in counteracting COVID-19: a qualitative comparative analysis of South Korea and three influential countries","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.26643316","title":"Additional file 2 of Lessons from health insurance responses in counteracting COVID-19: a qualitative comparative analysis of South Korea and three influential countries","publisher":"figshare","resource_type":"JournalArticle"}],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-03T09:18:36.305954Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}