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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*
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].

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)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

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