Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-25T08:20:12.831Z Has data issue: false hasContentIssue false
  • English
  • Français

How Prepared Are Hospitals’ Emergency Management Capacity? Factors Influencing Efficiency of Disaster Rescue

Published online by Cambridge University Press:  18 May 2016

Lijun Gao ,
Qunhong Wu ,
Ye Li ,
Ding Ding ,
Yanhua Hao ,
Yu Cui ,
Zheng Kang ,
Mingli Jiao ,
Libo Liang  and
Adamm Ferrier
...Show all authors
Lijun Gao
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Qunhong Wu*
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Ye Li
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Ding Ding
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Yanhua Hao
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Yu Cui
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Zheng Kang
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Mingli Jiao
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Libo Liang
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Adamm Ferrier
Affiliation:
School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
Ning Ning*
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Hong Sun
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
*
Correspondence and reprint requests to Qunhong Wu, MD, School of Health Management, Harbin Medical University. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China. Fax: 86-0451-87502853. Telephone number: 86-0451-87502851 (e-mail: [email protected]).
Correspondence and reprint requests to Ning Ning, MD, School of Health Management, Harbin Medical University. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China (e-mail: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

In light of government investment over the past decade, we explored the capacity for disaster response in Heilongjiang Province, identifying the factors that affect response capacity.

Methods

We surveyed 1257 medical staff in 65 secondary and tertiary hospitals in Heilongjiang province to explore their perceptions of disaster management capacity using a cross-sectional multistage, stratified cluster sampling method.

Results

All tertiary hospitals (100%) and most secondary hospitals (93%) have documented disaster management plans that are regularly reviewed. In secondary hospitals, drills were less prevalent (76.7%) but the occurrence of simulated training exercises was closer to tertiary hospitals (86.0%). We noted that 95.4% of all hospitals have leadership groups responsible for disaster preparedness capacity building, but only 10.8% have a stockpiled network of reserve supplies.

Conclusions

Although response capacity has improved in Heilongjiang Province, vulnerabilities remain. We recommend that priorities should be targeted at preparedness capacity building, in terms of reliable and relevant operational response plans, the expansion of existing response mechanisms to oversee local education and scenario training, and to ensure there is sufficient access to protective equipment and materials, either held in reserve, or alternatively by activating resilient supply chain mechanisms. (Disaster Med Public Health Preparedness. 2018;12:176–183)

Keywords

emergency preparednessmedical rescuehospital
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 2 , April 2018 , pp. 176 - 183
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

†

Authors contributed equally to the first author.

*

Authors’ contributions have been corrected since original publication. An erratum notice detailing this change was also published (DOI: 10.1017/dmp.2016.137).

References

1. WHO. Summary of probable SARS cases with onset of illness from 1 November 2002 to 31 July 2003. http://www.who.int/csr/sars/country/table2004_04_21/en/. Accessed March 25, 2015.Google Scholar
2. Kamps, BS, Hoffmann, C. SARS reference. http://www.sarsreference.com/sarsref/epidem.htm. Accessed March 20, 2015.Google Scholar
3. Yang, W. Ten Years of Chinese Health Emergency. China: People’s Medical Publishing House; 2014. doi: http://dx.doi.org/10.1016/S0140-6736(07)60316-X.Google Scholar
4. Lee, L. The current state of public health in China. Annu Rev Public Health. 2004;25:327-339. doi: 10.1146/annurev.publhealth.25.101802.123116.Google Scholar
5. Zhang, L, Liu, X, Li, Y, et al. Emergency medical rescue efforts after a major earthquake: lessons from the 2008 Wenchuan earthquake. Lancet. 2012;379(9818):853-861. doi: 10.1016/S0140-6736(11)61876-X.Google Scholar
6. Tian, J, Wang, S, Ye, Z. Development situation and policy analysis of emergency medical rescue system in China. Emergency Management in China (Chinese). 2013;3:14-19.Google Scholar
7. Li, X, Huang, J, Zhang, H. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan. BMC Public Health. 2008;8(1):319. doi: 10.1186/1471-2458-8-319.Google Scholar
8. Wang, C, Wei, S, Xiang, H, et al. Development and evaluation of a leadership training program for public health emergency response: results from a Chinese study. BMC Public Health. 2008;8(1):377. doi: 10.1186/1471-2458-8-377.Google Scholar
9. The People’s Republic of China. Twenty-two national health emergency teams have been completed in 2012. http://www.gov.cn/gzdt/2011-12/19/content_2024088.htm. Accessed April 25, 2015.Google Scholar
10. Hui, Z, Jian-Shi, H, Xiong, H, et al. An analysis of the current status of hospital emergency preparedness for infectious disease outbreaks in Beijing, China. Am J Infect Control. 2007;35(1):62-67. doi: 10.1016/j.ajic.2006.03.014.Google Scholar
11. Ouyang, Y. Earthquake tests China’s emergency system. Lancet. 2013;381(9880):1801-1802. doi: http://dx.doi.org/10.1016/S0140-6736(13)61105-8.Google Scholar
12. Wang, C, Wei, S, Xiang, H, et al. Evaluating the effectiveness of an emergency preparedness training programme for public health staff in China. Public Health. 2008;122(5):471-477. doi: 10.1016/j.puhe.2007.08.006.CrossRefGoogle ScholarPubMed
13. Waeckerle, JF, Seamans, S, Whiteside, M, et al. Executive summary: developing objectives, content, and competencies for the training of emergency medical technicians, emergency physicians, and emergency nurses to care for casualties resulting from nuclear, biological, or chemical (NBC) incidents. Ann Emerg Med. 2001;37(6):587-601. doi: 10.1067/mem.2001.115649.Google Scholar
14. Farley, T A, Weisfuse, I. Redefining of public health preparedness after 9/11. Lancet. 2011;378(9794):957-959. doi: http://dx.doi.org/10.1016/S0140-6736(11)60969-0.Google Scholar
15. Chen, H. Evaluation of Hospital Preparedness Capacity for Public Health Emergency in Digital Hospital of PLA. Chongqing, China: Third Military Medical University of China; 2011.Google Scholar
16. Hanfling, D, Altevogt, BM, Gostin, LO. A framework for catastrophic disaster response. JAMA. 2012;308(7):675-676. doi: 10.1001/jama.2012.8171.Google Scholar
17. Spranger, CB, Villegas, D, Kazda, MJ, et al. Assessment of physician preparedness and response capacity to bioterrorism or other public health emergency events in a major metropolitan area. Disaster Manag Response. 2007;5(3):82-86. doi: 10.1016/j.dmr.2007.05.001.Google Scholar
18. Duncan, WJ, Ginter, PM, Rucks, AC, et al. Organizing emergency preparedness within United States public health departments. Public Health. 2007;121(4):241-250. doi: 10.1016/j.puhe.2006.10.014.Google Scholar
19. Ling, Q. Study on Medical Rescue Capacity of Public Health Emergency at Secondary-Hospital in Guangxi Province. Tongji Medical College, Huazhong University of Science and Technology, Hongshan District, Wuhan, Hubei Province. [master’s thesis]. 2006.Google Scholar
20. Xieping, D, Lufeng, S. Current analysis on the disaster medical rescue in foreign countries and China. Clinical Emergency (Chinese). 2010;11(4):207-209.Google Scholar
21. Ying, Z. A Study on the Emergency Response Capacity to Public Health Emergencies Among Medical Institutions in Guangdong Province [master’s thesis]. Guangzhou, China: The Southern Medical University; 2007.Google Scholar
22. Ying, Z. Survey on Emergency Response Capacity of the Medical Care Organization in Guangdong Province. Guangzhou, China: The Southern Medical University; 2007.Google Scholar
23. Rebmann, T. Assessing hospital emergency management plans: a guide for infection perfectionists. Am J Infect Control. 2009;37(9):708-714. e4. doi: 10.1016/j.ajic.2009.04.286.Google Scholar
24. Guanming, L. A Study on Emergency Response Capacity to Public Health Emergencies of the Hospitals Above the County Level in Guangdong Province [master’s thesis]. Guangdong, China: Zhongshan University; 2006.Google Scholar
25. Chen, T, Huang, J. Exploratory research on the system of China relief reserve. Systems Engineering Procedia. 2012;5:99-106. doi: 10.1016/j.sepro.2012.04.016.Google Scholar
26. Barbera, JA, Yeatts, DJ, Macintyre, AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3(S1):S74-S82. doi: http://dx.doi.org/10.1097/DMP.0b013e31819f754c.Google Scholar
27. Verbeek, JH, Ijaz, S, Mischke, C, et al. Personal protective equipment for preventing highly infectious diseases due to contact with contaminated body fluids in health care staff. The Cochrane Library. 2015. doi: 10.1002/14651858.CD011621.Google Scholar
28. Wang, C, Xiang, H, Xu, Y, et al. Improving emergency preparedness capability of rural public health personnel in China. Public Health. 2010;124(6):339-344. doi: 10.1016/j.puhe.2010.02.020.Google Scholar
29. Hohenhaus, S M D, Hohenhaus, J, Saunders, M, et al. Emergency response: lessons learned during a community hospital’s in situ fire simulation. J Emerg Nurs. 2008;34(4):352-354. doi: http://dx.doi.org/10.1016/j.jen.2008.04.025.Google Scholar
30. Martel, J, Oteng, R, Mould-Millman, NK, et al. The development of sustainable emergency care in Ghana: physician, nursing and pre-hospital care training initiatives. Journal of Emerg Med. 2014;47(4):462-468. doi: 10.1016/j.jemermed.2014.04.041.CrossRefGoogle Scholar
31. Tang, R, Fitzgerald, G, Hou, XY, et al. Building an evaluation instrument for China's hospital emergency preparedness: a systematic review of preparedness instruments. Disaster Med Public Health Prep. 2014;8(01):101-109. doi: http://dx.doi.org/10.1017/dmp.2014.10.Google Scholar