Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-16T14:22:11.478Z Has data issue: false hasContentIssue false
  • English
  • Français

Resources for Business Continuity in Disaster-Based Hospitals in the Great East Japan Earthquake: Survey of Miyagi Prefecture Disaster Base Hospitals and the Prefectural Disaster Medicine Headquarters

Published online by Cambridge University Press:  04 July 2013

Daisuke Kudo ,
Hajime Furukawa ,
Atsuhiro Nakagawa ,
Satoshi Yamanouchi ,
Yuichi Koido ,
Takashi Matsumura ,
Yoshiko Abe ,
Ryota Konishi ,
Masaaki Matoba  and
Teiji Tominaga
...Show all authors
Daisuke Kudo*
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Division of Emergency Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
Hajime Furukawa
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan
Atsuhiro Nakagawa
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan
Satoshi Yamanouchi
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Division of Emergency Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
Yuichi Koido
Affiliation:
Institute for Clinical Research, National Disaster Medical Center, Tokyo, Japan
Takashi Matsumura
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan
Yoshiko Abe
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan
Ryota Konishi
Affiliation:
Department of Strategic Planning, Kanto Rosai Hospital, Kawasaki, Tokyo, Japan
Masaaki Matoba
Affiliation:
Graduate School of Nursing and Rehabilitation Sciences, Showa University, Tokyo, Japan
Teiji Tominaga
Affiliation:
Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan
Shigeki Kushimoto
Affiliation:
Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan Division of Emergency Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
*
Address correspondence and reprint requests to Daisuke Kudo, MD, PhD, Assistant Professor, Department of Emergency and Critical Care Medicine/Emergency Center Tohoku University Hospital, Division of Emergency Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai, Miyagi 980-8574, Japan e-mail [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To clarify advance measures for business continuity taken by disaster base hospitals involved in the Great East Japan Earthquake.

Methods

The predisaster situation regarding stockpiles was abstracted from a 2010 survey. Timing of electricity and water restoration and sufficiency of supplies to continue operations were investigated through materials from Miyagi Prefecture disaster medicine headquarters (prefectural medical headquarters) and disaster base hospitals (14 hospitals) in Miyagi Prefecture after the East Japan earthquake.

Results

The number of hospitals with less than 1 day of stockpiles in reserve before the disaster was 7 (50%) for electricity supplies, 8 (57.1%) for water, 6 (42.9%) for medical goods, and 6 (42.9%) for food. After the disaster, restoration of electricity and water did not occur until the second day or later at 8 of 13 (61.5%) hospitals, respectively. By the fourth postdisaster day, 14 hospitals had requested supplies from the prefectural medical headquarters: 9 (64.3%) for electricity supplies, 2 (14.3%) for water trucks, 9 (64.3%) for medical goods, and 6 (42.9%) for food.

Conclusions

The lack of supplies needed to continue operations in disaster base hospitals following the disaster clearly indicated that current business continuity plans require revision. (Disaster Med Public Health Preparedness. 2013;0:1-6)

Keywords

disaster medicinethe great East Japan earthquakebusiness continuity plandisaster base hospitalpreparedness
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 5 , October 2013 , pp. 461 - 466
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

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.)

References

1. The situation of damage of the Great East Japan Earthquake [in Japanese]. Miyagi Prefecture website. http://www.pref.miyagi.jp/kikitaisaku/higasinihondaisinsai/higaizyoukyou.htm. Accessed October 30, 2012.Google Scholar
2.Satomi, S. The Great East Japan earthquake: Tohoku University Hospital's efforts and lessons learned. Surg Today. 2011;41(9):1171-1181.CrossRefGoogle ScholarPubMed
3.Yamanouchi, S, Inoue, J, Yamada, Y, etal. Actions of the Miyagi Prefectural Operational Headquarters for DMAT regarding the Great East Japan Earthquake [in Japanese]. Japan J Disaster Med. 2012;17:38-44.Google Scholar
4.Nakagawa, A, Furukawa, H, Kudo, D, etal. Lessons from chronological analysis during first 72 hours after the Great East Japan Earthquake: Report from Tohoku University Hospital [in Japanese]. J Japan Congress Neurol Emerg. 2012;24:24-31.Google Scholar
5.Nakagawa, A, Furukawa, H, Kudo, D, etal. The Great East Japan earthquake: lessons learned at Tohoku University Hospital during the first 72 hours. IEEE Pulse. 2013;4(3):20-27.CrossRefGoogle ScholarPubMed
6. A condition of designation of disaster base hospitals [in Japanese]. Ministry of Health, Labour and Welfare website. http://www1.mhlw.go.jp/houdou/0901/h0116-3.html. Accessed May 7, 2012.Google Scholar
7. Guideline of business continuity the first edition [in Japanese]. Cabinet office, Government of Japan website. http://www.bousai.go.jp/MinkanToShijyou/guideline01.pdf. Accessed May 7, 2012.Google Scholar
8. Guideline of establishing BCP in small and medium enterprises [in Japanese]. The Small and Medium Enterprise Agency website. http://www.chusho.meti.go.jp/bcp/contents/level_a/bcpgl_01_1.html. Accessed May 7, 2012.Google Scholar
9.Graham, K, Connolly, M. Health systems planning for an influenza pandemic. Healthc Manage Forum. 2007;20(1):25-31.CrossRefGoogle ScholarPubMed
10.Horvath, JS, McKinnon, M, Roberts, L. The Australian response: pandemic influenza preparedness. Med J Aust. 2006;185(suppl 10):S35-S38.CrossRefGoogle ScholarPubMed
11.Roberts, P, Molyneux, H. Implementing business continuity effectively within the UK National Health Service. J Bus Contin Emer Plan. 2010;4(4):352-359.Google ScholarPubMed
12.Luecke, RW, Hoopingarner, C. Business continuity planning: the hospital's insurance policy. Healthc Financ Manage. 1993;47(4):30, 32-37.Google ScholarPubMed
13.Sasaki, S. BCP (business continuity plan) in disaster [in Japanese]. Mod Physician. 2012;32(5):201-205.Google Scholar
14.Ohara, T, Narikiyo, T, Matsumura, H. Reconsideration of BCP manual in crisis/disaster: the need to consider not only hospital information system and but also department information systems [in Japanese]. Iryo Joho. 2010;30(4):233-239.Google Scholar
15.Yutani, Y, Nakatani, M. Resilient BCP/LCP facility planning for disasters [in Japanese]. Byouin Setsubi. 2012;54(2):52-57.Google Scholar
16.Koido, Y. Study of effective utilization for evaluation criterion. In: Henmi H, ed. Health Security and Crisis Management Measures General Research Project, Study of First Response Medical System for Health Crises and Large-Scale Disasters. Tokyo: Ministry of Health, Labour and Welfare; 2010:71-80.Google Scholar
17. “Disaster Medicine” aimed at local authority officials and dealing with the revision of medical plans [in Japanese]. Ministry of Health, Labour and Welfare website. http://www.mhlw.go.jp/seisakunitsuite/bunya/kenkou_iryou/iryou/iryou_keikaku/. Accessed May 7, 2012.Google Scholar
18.Fukuda, I, Hashimoto, H, Suzuki, Y, etal. Operating room during natural disaster: lessons from the 2011 Tohoku earthquake [in Japanese]. Nihon Geka Gakkai Zassi. 2012;113(2):241-251.Google ScholarPubMed
19.Yamanouchi, Y, Kobayashi, M, Shinozawa, Y, etal. Preparation for medical transportation to be provided for the Miyagiken-oki earthquake—can we establish a staging care unit (SCU), and can wide-area medical transportation be realized with the use of self-defense force aircraft? Jap J Disaster Med. 2010;15(2):165-170.Google Scholar