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Safer Hospital Infrastructure Assessments for Socio-Natural Disaster – A Scoping Review

Published online by Cambridge University Press:  21 July 2021

Jenny Luke Open the ORCID record for Jenny Luke [Opens in a new window] ,
Richard Franklin Open the ORCID record for Richard Franklin [Opens in a new window] ,
Peter Aitken  and
Joanne Dyson
Jenny Luke
Affiliation:
College of Public Health, Medical, and Veterinary Science, James Cook University, Townsville, Queensland, Australia Mackay Hospital and Health Service, Mackay, Queensland, Australia
Richard Franklin*
Affiliation:
College of Public Health, Medical, and Veterinary Science, James Cook University, Townsville, Queensland, Australia
Peter Aitken
Affiliation:
School of Public Health, Queensland University of Technology, Brisbane, Queensland, Australia Health Disaster Management Unit, Queensland Health, Brisbane, Queensland, Australia
Joanne Dyson
Affiliation:
Inspector General Emergency Management, Queensland Government, Brisbane, Queensland, Australia
*
Correspondence: A/Prof. Richard Franklin, PhD 41.213 Public and Indigenous Health, Townsville Campus James Cook UniversityTownsvilleQLD 4811, Australia E-mail: [email protected]
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Abstract

Background:

The aim of this review was to explore hospital socio-natural disaster resilience by identifying: studies assessing structural and non-structural aspects of building resilience; components required to maintain a safe and functional health facility; and if the checklists used were comprehensive and easily performed.

Methods:

A review systemic approach using PRISMA was taken to search the literature. The search focused on articles that discuss hospital disaster resilience. This includes assessments and checklists for facility structural and non-structural components.

Results:

This review identified 22 articles describing hospital assessments using checklists containing structural and non-structural elements of resilience. These studies identified assessments undertaken in ten countries, with eight occurring across Iran. A total of seven differing checklists were identified as containing aspects of structural or non-structural aspects of building resilience. The World Health Organization (WHO) has authored three checklists and four others were developed independently.

The structural resilience domain includes building integrity, building materials, design standards, and previous event damages as important elements to determine resilience. Within the internal safety and resilience domains, 11 differing elements were identified as important to non-structural or internal infrastructure resilience. These included the safety of power, water, telecommunication, medical gas supply, and medical equipment resupply systems.

Independent evaluation methods were reported in the majority of articles, with a small number highlighting the benefits of both self-evaluation and independent review processes. Implementation of training programs to evaluators was mentioned in three papers with the assessor’s knowledge and understanding of all checklist elements being highlighted as important to the validity of the evaluation.

Conclusion:

The review identified the assessment of hospital resilience as important for management to determine areas of vulnerability within the hospital’s infrastructure and to inform improvement strategies. Assessment criteria must be comprehensive, highlighting structural and non-structural aspects of facility infrastructure. These assessments are best done as a multi-disciplinary collective of experts, involving hospital employees in the journey. This collaborative approach provides a key educational tool for developing disaster capacity, engaging ownership of the process, and the resulting improvements.

The on-going development of health facility and wider health system resilience must remain a key strategic focus of national governments and health authorities. The development of standardized procedures and guidelines must be embedded into daily practice.

Keywords

assessment toolhospitalinfrastructureresilience
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 5 , October 2021 , pp. 627 - 635
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Ryan, B, Franklin, RC, Burkle, J, et al. Identifying and describing the impact of cyclone, storm, and flood-related disasters on treatment management, care, and exacerbations of non-communicable diseases and the implications for public health. PLoS Curr. 2015;7.CrossRefGoogle Scholar
Goklany, I. Death and death rates due to extreme weather events: 1900-2008. J American Physicians and Surgeons. 2007;14(4):102–109.Google Scholar
Centre for Research on the Epidemiology of Disasters (CRED). Natural Disasters 2018. Brussels, Belgium: CRED; 2019.Google Scholar
United Nations International Strategy for Disaster Risk Reduction. Sendai Framework for Disaster Risk Reduction 2015-2030. Sendai, Japan: United Nations; 2015.Google Scholar
McMichael, AJ, Woodruff, RE, Hales, S. Climate change and human health: present and future risks. Lancet. 2006;367(9513):859–869.CrossRefGoogle ScholarPubMed
Djalali, A, Castren, M, Khankeh, H, et al. Hospital disaster preparedness as measured by functional capacity: a comparison between Iran and Sweden. Prehosp Disaster Med. 2013;28(5):454–461.CrossRefGoogle ScholarPubMed
Rockenschaub, G, Harbou, KV. Disaster resilient hospitals: an essential for all-hazards emergency preparedness. World Hosp Health Serv. 2013;49(4):28–30.Google ScholarPubMed
Little, M, Stone, T, Stone, R, et al. The evacuation of Cairns Hospitals due to severe tropical cyclone Yasi: evacuation of cairns hospitals during cyclone Yasi. Acad Emerg Med. 2012;19(9):E1088–E1098.CrossRefGoogle ScholarPubMed
Rojek, A, Little, M. Review article: Evacuating hospitals in Australia: What lessons can we learn from the world literature? Emerg Med Australas. 2013;25(6):496–502.CrossRefGoogle ScholarPubMed
Johnson, DW, Hayes, B, Gray, NA, et al. Renal services disaster planning: lessons learnt from the 2011 Queensland floods and North Queensland cyclone experiences. Nephrology. 2013;18(1):41–46.CrossRefGoogle ScholarPubMed
Tanigawa, K, Hosoi, Y, Hirohashi, N, Iwasaki, Y, Kamiya, K. Loss of life after evacuation: lessons learned from the Fukushima accident. Lancet. 2012;379(9819):889–891.CrossRefGoogle ScholarPubMed
Coles, E, Buckle, P. Developing community resilience as a foundation for effective disaster recovery. Aust J Emerg Manag. 2004;19(4):6–15.Google Scholar
Zhong, S, Clark, M, Hou, X-Y, Zang, Y-L, Fitzgerald, G. Development of hospital disaster resilience: conceptual framework and potential measurement. Emerg Med J. 2014;31(11):930–938.CrossRefGoogle ScholarPubMed
Albanese, J, Birnbaum, M, Cannon, C, et al. Fostering disaster resilient communities across the globe through the incorporation of safe and resilient hospitals for community-integrated disaster responses. Prehosp Disaster Med. 2008;23(5):385–390.CrossRefGoogle ScholarPubMed
Wulff, K, Donato, D, Lurie, N. What is health resilience and how can we build it? Ann Rev Public Health. 2015;36(1):361–374.CrossRefGoogle ScholarPubMed
Kruk, ME, Myers, M, Varpilah, ST, Dahn, BT. What is a resilient health system? Lessons from Ebola. Lancet. 2015;385(9980):1910–1912.CrossRefGoogle ScholarPubMed
Monfared, YK, Jamaly, Z, Keykale, MS, et al. How is training hospitals of Qazvin preparedness against disaster in 2015? Ann Trop Med Public Health. 2017;10(5):1205–1209.Google Scholar
Abbasabadi, M, Khankeh, H, Mosadegh, RA. ISQUA18-2190 Designing of disaster risk management accreditation standards in Iranian hospitals. Int J Quality Health Care. 2018;30(suppl_2):45–46.CrossRefGoogle Scholar
Moher, D, Shamseer, L, Clarke, M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews. 2015;4(1):1 CrossRefGoogle ScholarPubMed
World Health Organization & Pan American Health Organization. Hospital Safety Index: Guide for Evaluators, 2nd ed. Geneva, Switzerland: World Health Organization; 2015.Google Scholar
Law, M, Stewart, D, Pollock, N, Letts, L, Bosch, J, Westmorland, M. Critical Review Form – Quantitative Studies. Hamilton, Ontario, Canada: McMaster University; 1998.Google Scholar
Achour, N, Miyajima, M, Pascale, F, et al. Hospital resilience to natural hazards: classification and performance of utilities. Disaster Prev Manag. 2014;23(1):40–52.CrossRefGoogle Scholar
Ahmadi, B, Foroushani, AR, Tanha, N, et al. Study of functional vulnerability status of Tehran hospitals in dealing with natural disasters. Electronic Physician. 2016;8(11):3198–3204.CrossRefGoogle ScholarPubMed
Aladhrai, SA, Djalali, A, Della Corte, F, et al. Impact of the 2011 revolution on hospital disaster preparedness in Yemen. Disaster Med Public Health Prep. 2015;9(4):396–402.CrossRefGoogle ScholarPubMed
Ardalan, A, Keleh, MK, Saberinia, A, et al. 2015 estimation of hospital safety from disasters in I.R. Iran: the results from the assessment of 421 hospitals. PLoS ONE. 2016;11(9):e0161542.CrossRefGoogle ScholarPubMed
Asefzadeh, S, Varyani, AS, Gholami, S. Disaster risk assessment in educational hospitals of Qazvin based on WHO pattern in 2015. Electronic Physician. 2016;8(1):1770–1775.CrossRefGoogle ScholarPubMed
Bajow, NA, Alkhalil, SM. Evaluation and analysis of hospital disaster preparedness in Jeddah. Health. 2014;6(19):2668.CrossRefGoogle Scholar
Baruwal, A, Gonzalez, PA, Delgado, RC, et al. Validation study of the World Health Organization and Pan American Health Organization hospital-based disaster preparedness questionnaires in Nepal. Disaster Med Public Health Prep. 2016;10(4):537–538.CrossRefGoogle ScholarPubMed
Der-Martirosian, C, Radcliff, TA, Gable, AR, et al. Assessing hospital disaster readiness over time at the US Department of Veterans Affairs. Prehosp Disaster Med. 2017;32(1):46–57.CrossRefGoogle Scholar
Djalali, A, Ardalan, A, Ohlen, G, et al. Nonstructural safety of hospitals for disasters: a comparison between two capital cities. Disaster Med Public Health Prep. 2014;1-6.CrossRefGoogle Scholar
Dobalian, A, Stein, JA, Radcliff, TA, et al. Developing valid measures of emergency management capabilities within US Department of Veterans Affairs Hospitals. Prehosp Disaster Med. 2016;31(5):475–484.CrossRefGoogle ScholarPubMed
Hosseini, SM, Bahadori, M, Raadabadi, M, et al. Ranking hospitals based on the disaster preparedness using the TOPSIS technique in Western Iran. Hospital Topics. 2019;97(1):23–31.CrossRefGoogle ScholarPubMed
Ingrassia, PL, Mangini, M, Azzaretto, M, et al. Hospital disaster preparedness in Italy: a preliminary study utilizing the World Health Organization hospital emergency response evaluation toolkit. Minerva Anestesiologica. 2016;82(12):1259–1266.Google ScholarPubMed
Janati, A, Sadeghi-Bazargani, H, Hasanpoor, E, et al. Emergency response of Iranian hospitals against disasters: a practical framework for improvement. Disaster Med Public Health Prep. 2018;12(2):166–171.CrossRefGoogle ScholarPubMed
Khazaei Monfared, Y, Jamaly, Z, Safi Keykale, M, et al. How is training hospitals of Qazvin preparedness against disaster in 2015? Ann Trop Med Public Health. 2017;10(5):1205–1209.Google Scholar
Labarda, C, Labarda, MDP, Lamberte, EE. Hospital resilience in the aftermath of Typhoon Haiyan in the Philippines. Disaster Prev Manag. 2017;26(4):424–436.CrossRefGoogle Scholar
Mulyasari, F, Inoue, S, Prashar, S, et al. Disaster preparedness: looking through the lens of hospitals in Japan. Int J Disaster Risk Sci. 2013;4(2):89–100.CrossRefGoogle Scholar
Naser, WN, Ingrassia, PL, Aladhrae, S, et al. A study of hospital disaster preparedness in South Yemen. Prehosp Disaster Med. 2018;33(2):133–138.CrossRefGoogle ScholarPubMed
Sobhani, G, Khammarnia, M, Hayati, R, et al. Investigation of the preparedness level of the hospitals against disasters in Bandar Abbas, Iran in 2012. JPMA: J Pak Med Assoc. 2014;64(5):506–509.Google ScholarPubMed
Sunindijo, RY, Lestari, F, Wijaya, O. Hospital safety index: assessing the readiness and resiliency of hospitals in Indonesia. Facilities. 2019;38(1/2):39–51.CrossRefGoogle Scholar
Toner, ES, McGinty, M, Schoch-Spana, M, et al. A community checklist for health sector resilience informed by Hurricane Sandy. Health Secur. 2017;15(1):53–69.CrossRefGoogle ScholarPubMed
Zhong, S, Clark, M, Hou, X-Y, et al. Development of key indicators of hospital resilience: a modified Delphi study. J Health Serv Res Policy. 2015;20(2):74–82.CrossRefGoogle ScholarPubMed
Zhong, S, Clark, M, Hou, XY, et al. Validation of a framework for measuring hospital disaster resilience using factor analysis. Int J Environ Res Public Health. 2014;11(6):6335–6353.CrossRefGoogle ScholarPubMed
Rezaei, F, Maracy, MR, Yarmohammadian, MH, et al. Hospital’s preparedness using WHO guideline: a systematic review and meta-analysis. Hong Kong J Emerg Med. 2018;25(4):211–222.CrossRefGoogle Scholar
Nekoie-Moghadam, M, Kurland, L, Moosazadeh, M, Ingrassia, PL, Della Corte, F, Djalali, A. Tools and checklists used for the evaluation of hospital disaster preparedness: a systematic review. Disaster Med Public Health Prep. 2016;10(5):781–788.CrossRefGoogle ScholarPubMed
Sunindijo, RY, Lestari, F, Wijaya, O. Hospital safety index: assessing the readiness and resiliency of hospitals in Indonesia. Facilities. 2019.CrossRefGoogle Scholar
World Health Organization. Regional Office for the Western Pacific. Safe Hospitals in Emergencies and Disasters: Structural, Non-Structural, and Functional Indicators. Manila, Philippines: WHO Regional Office for the Western Pacific; 2010.Google Scholar
Sorensen, BS, Zane, RD, Wante, BE, Rao, MB, Bortolin, M, Rockenschaub, G. Hospital Emergency Response Checklist: An All-Hazards Tool for Hospital Administrators and Emergency Managers. København, Denmark: WHO Regional Office for Europe; 2011.Google Scholar
World Health Organization. Comprehensive SAFE Hospitals Framework. Geneva, Switzerland: WHO; 2015.Google Scholar
Zhong, S, Hou, XY, Clark, M, et al. Disaster resilience in tertiary hospitals: a cross-sectional survey in Shandong Province, China. BMC Health Services Research. 2014;14.CrossRefGoogle Scholar
World Health Organization. WHO Hospital Safety Index and Emergency Checklist Rolled Out in Europe. https://www.euro.who.int/en/countries/republic-of-moldova/news/news/2012/10/whos-hospital-safety-index-and-emergency-checklist-rolled-out-in-europe. Accessed October 27, 2018.Google Scholar
Chand, AM, Loosemore, M. A socio-ecological analysis of hospital resilience to extreme weather events. Construction Management and Economics. 2015;33(11-12):907–920.CrossRefGoogle Scholar
Pan American Health Organization. Hospital Safety Index: Guide for Evaluators. Series Hospitals Safe from Disasters. Washington, DC USA: PAHO; 2008.Google Scholar
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