Amir Khorram-ManeshPhatthranit PhattharapornjaroenLuc J. MortelmansKrzysztof GoniewiczMarlous VerheulJarle L. SörensenIrene PereiraMeret E. RicklinRoberto FaccincaniPaul M. DarkEric CarlströmMilad Ahmadi MarzalehMahmoud Reza PeyraviMohammed Al SultanEmelia SantamariaJohn David ComandanteFrederick BurkleRamathibodi HospitalFaculty of Biology, Medicine and HealthHealth Human Resources Research Center (SUMS)University of South-Eastern NorwayIRCCS San Raffaele Scientific InstituteFörsvarsmakten i HalmstadUniversity of the Philippines ManilaUniversidade dos AçoresUniversity Medical Center UtrechtHarvard T.H. Chan School of Public HealthSahlgrenska AkademinVrije Universiteit BrusselKU LeuvenKing Khalid Hospital, NajranUniversity Hospital BernPrehospital Disaster and Ambulatory Care MedicineMilitary University of Aviation2022-08-042022-08-042021-01-01Disaster Medicine and Public Health Preparedness. (2021)1938744X193578932-s2.0-85100384012https://repository.li.mahidol.ac.th/handle/123456789/78821Objective: To analyze the evacuation preparedness of hospitals within the European Union (EU). Method: This study consisted of 2 steps. In the first step, a systematic review of the subject matter, according to the PRISMA flow diagram, was performed. Using Scopus (Elsevier, Amsterdam, Netherlands), PubMed (National Library of Medicine, Bethesda, MD), and Gothenburg Universitýs search engine, 11 questions were extracted from the review and were sent to representatives from 15 European Union (EU)- A nd non-EU countries. Results: The findings indicate that there is neither a full preparedness nor a standard guideline for evacuation within the EU or other non-EU countries in this study. A major shortcoming revealed by this study is the lack of awareness of the untoward consequences of medical decision-making during an evacuation. Some countries did not respond to the questions due to the lack of relevant guidelines, instructions, or time. Conclusion: Hospitals are exposed to internal and external incidents and require an adequate evacuation plan. Despite many publications, reports, and conclusions on successful and unsuccessful evacuation, there is still no common guide for evacuation, and many hospitals lack the proper preparedness. There is a need for a multinational collaboration, specifically within the EU, to establish such an evacuation planning or guideline to be used mutually within the union and the international community.Mahidol UniversityMedicineReviewSCOPUS10.1017/dmp.2020.391