Hospital Disaster Response Using Business Impact Analysis

2014 ◽  
Vol 29 (6) ◽  
pp. 561-568 ◽  
Author(s):  
Hiroshi Suginaka ◽  
Ken Okamoto ◽  
Yohei Hirano ◽  
Yuichi Fukumoto ◽  
Miki Morikawa ◽  
...  
Keyword(s):  
Water Supply ◽  
Water Consumption ◽  
Disaster Response ◽  
Impact Analysis ◽  
Publication Type ◽  
Business Impact ◽  
Hospital Operations ◽  
Major Disaster ◽  
Actual Use ◽  
The Impact

AbstractIntroductionThe catastrophic Great East Japan Earthquake in 2011 created a crisis in a university-affiliated hospital by disrupting the water supply for 10 days. In response, this study was conducted to analyze water use and prioritize water consumption in each department of the hospital by applying a business impact analysis (BIA). Identifying the minimum amount of water necessary for continuing operations during a disaster was an additional goal.ProblemWater is essential for many hospital operations and disaster-ready policies must be in place for the safety and continued care of patients.MethodsA team of doctors, nurses, and office workers in the hospital devised a BIA questionnaire to examine all operations using water. The questionnaire included department name, operation name, suggested substitutes for water, and the estimated daily amount of water consumption. Operations were placed in one of three ranks (S, A, or B) depending on the impact on patients and the need for operational continuity. Recovery time objective (RTO), which is equivalent to the maximum tolerable period of disruption, was determined. Furthermore, the actual use of water and the efficiency of substitute methods, practiced during the water-disrupted periods, were verified in each operation.ResultsThere were 24 activities using water in eight departments, and the estimated water consumption in the hospital was 326 (SD = 17) m3per day: 64 (SD = 3) m3for S (20%), 167 (SD = 8) m3for A (51%), and 95 (SD = 5) m3for B operations (29%). During the disruption, the hospital had about 520 m3of available water. When the RTO was set to four days, the amount of water available would have been 130 m3per day. During the crisis, 81% of the substitute methods were used for the S and A operations.ConclusionThis is the first study to identify and prioritize hospital operations necessary for the efficient continuation of medical treatment during suspension of the water supply by applying a BIA. Understanding the priority of operations and the minimum daily water requirement for each operation is important for a hospital in the event of an unexpected adverse situation, such as a major disaster.SuginakaH,OkamotoK,HiranoY,FukumotoY,MorikawaM,OodeY,SumiY,InoueY,MatsudaS,TanakaH.Hospital disaster response using business impact analysis.Prehosp Disaster Med.2014;29(5):1-8.

scholarly journals Severe Drought in Finland: Modeling Effects on Water Resources and Assessing Climate Change Impacts

2019 ◽  
Vol 11 (8) ◽  
pp. 2450 ◽  
Author(s):  
Noora Veijalainen ◽  
Lauri Ahopelto ◽  
Mika Marttunen ◽  
Jaakko Jääskeläinen ◽  
Ritva Britschgi ◽  
...  
Keyword(s):  
Climate Change ◽  
Water Resources ◽  
Water Supply ◽  
Impact Analysis ◽  
Climate Change Impacts ◽  
Water Levels ◽  
Severe Drought ◽  
Climate Change Scenarios ◽  
Economic Sectors ◽  
The Impact

Severe droughts cause substantial damage to different socio-economic sectors, and even Finland, which has abundant water resources, is not immune to their impacts. To assess the implications of a severe drought in Finland, we carried out a national scale drought impact analysis. Firstly, we simulated water levels and discharges during the severe drought of 1939–1942 (the reference drought) in present-day Finland with a hydrological model. Secondly, we estimated how climate change would alter droughts. Thirdly, we assessed the impact of drought on key water use sectors, with a focus on hydropower and water supply. The results indicate that the long-lasting reference drought caused the discharges to decrease at most by 80% compared to the average annual minimum discharges. The water levels generally fell to the lowest levels in the largest lakes in Central and South-Eastern Finland. Climate change scenarios project on average a small decrease in the lowest water levels during droughts. Severe drought would have a significant impact on water-related sectors, reducing water supply and hydropower production. In this way drought is a risk multiplier for the water–energy–food security nexus. We suggest that the resilience to droughts could be improved with region-specific drought management plans and by including droughts in existing regional preparedness exercises.

Impact of Facility Damages on Hospital Capacities for Decision Support in Disaster Response Planning for an Earthquake

2009 ◽  
Vol 24 (4) ◽  
pp. 333-341 ◽  
Author(s):  
Jomon Aliyas Paul ◽  
Li Lin
Keyword(s):  
Disaster Response ◽  
Waiting Times ◽  
Parametric Models ◽  
Emergency Relief ◽  
Response Planning ◽  
Hospital Operations ◽  
Emergency Assistance ◽  
Life Saving ◽  
Inaccurate Estimation ◽  
The Impact

AbstractHospitals provide life-saving functions and emergency assistance to communities when disaster strikes. Any damage to hospitals from a disaster, either structural and non-structural, can impair these capabilities. In addition, an inaccurate estimation of the treatment capacities available at hospitals in a disaster-affected region can severely affect the success of emergency relief plans. In this paper, the impact of facility damage on hospital operations is estimated using a generic simulation model. From the simulation results, parametric models are developed for estimating hospitals' capacities and patient waiting times that could be used by emergency response teams in making casualty dispatching/routing decisions.

scholarly journals Application of Regression Models on Panel Data in the Regional Analysis of Water Consumption

2018 ◽  
Vol 82 (3) ◽  
pp. 6-14
Author(s):  
А. М. Yerina ◽  
M. P. Ukrainets
Keyword(s):  
Panel Data ◽  
Water Resources ◽  
Water Supply ◽  
Fresh Water ◽  
Water Consumption ◽  
High Water ◽  
Industrial Enterprises ◽  
Water Intensity ◽  
The Impact ◽  
Production Facilities

Water is a core component of the nature environment. The problem of good quality water supply to the humans has been aggravating because the available resources of fresh water in some regions of the planet proved to be insufficient for satisfying all the consumer needs. Lack of fresh water has been a structural factor affecting the global economic development, with drinking water acquiring the characteristics of a strategic commodity. These circumstances raise the importance of solutions on saving fresh water resources and ways of their rational use from the local level to the global one. The article contains a description of the current situation with water supply and water consumption in Ukraine. As regards water supply, Ukraine, according to the hydrological classification, is undergoing water stress, in parallel with extra water consumption and high water intensity in the domestic production sector. The subject of the study is water intensity of the gross domestic product, its main factors and ways of reduction. The object of the study is seven Ukrainian regions across which the river Dnieper flows, and the city of Kyiv. A significant variation of water intensity is observed in administrative and territorial units located in the Dnieper basin, which is caused by the varying industrial capacities, varying systems of technical water supply at industrial enterprises, and varying scopes of fresh water use in water supply for agricultural and utility needs, lack of advanced systems for water supply in some of the regions, which causes large losses of water and high water intensity in some production facilities. The impact from the above mentioned factors on the regional water intensity is assessed by the regression model on panel data. The specific conditions of the business operation in some regions of the Dnieper basin are represented in the model by dummy variables. By the model of water intensity of GDP, the largest one is the impact from industrial specialization of a region (especially Dnipropetrovsk, Zaporizhzhia, Kyiv and Kherson regions), the existence of water recycling systems at industrial enterprises, scopes of water drainage and capacities of sewage treatment plants. Effective use, rehabilitation and protection of water resources, improvement of water quality, and reduction of water intensity in the production facilities through taking technological and economic measures in water consumption are considered as important factors of the national security. 

scholarly journals IMPACT ANALYSIS OF WASTE PONDS ON SURFACE AND UNDERGROUND WATER (REVIEW)

2020 ◽  
Author(s):  
O. A. Baev ◽  
◽  
V. F. Silchenko ◽  
Keyword(s):  
Water Supply ◽  
Impact Analysis ◽  
Drainage System ◽  
Underground Water ◽  
Waste Storage ◽  
Global Problems ◽  
Impervious Screen ◽  
The Impact ◽  
Surface And Groundwater ◽  
Surface Water Supply

Purpose: analysis of the impact of industrial waste storage facilities on surface and underground water supply sources. Materials and methods: according to the data of Federal Service for Supervision of Natural Resources, an annual significant increase in the volume of generated and stored waste was determined. One of the global problems associated with the impact of waste ponds on the environment is the contaminated filtrate formed in its body. As a rule, the absence of proper waterproofing at the basis of storage ponds of various purposes leads to contamination of ground and surface water supply sources, soil and adjacent territories. Previous measures aimed at the construction of a “clay castle” with a thickness of 0.5 to 1.0 m are insufficiently effective, and the polymer films used in the base of the storage ponds were characterized by rapid damage and low durability. Results: the analysis and review of the studies carried out by various authors showed that to reduce the pollution of surface and ground waters with harmful substances during the waste ponds operation, a set of measures to prevent the penetration of polluting components into water bodies should be taken. Conclusions: to prevent contamination of surface and groundwater sources at the base of the reservoir, it is necessary to use impervious and drainage facilities, which allow to eliminate the flow of contaminated leachate into the soil and underlying beds in advance. The impervious screen and a drainage system facility of modern geosynthetic materials (for example, three-layer drainage mats combined with impervious geomembranes and geotextiles) will not only effectively remove contaminated filtrate from the waste ponds, but also reduce the flow of pollutants into the aquifers.

scholarly journals Analysis of regional features of water use structure in the North Caucasus. Part 1. Water availability and water consumption

2021 ◽  
pp. 96-105
Author(s):  
Е.А. Rybak ◽  
◽  
О.О. Rybak ◽  
◽  
◽  
...  
Keyword(s):  
Water Resources ◽  
Water Supply ◽  
Water Use ◽  
Water Consumption ◽  
Water Withdrawal ◽  
Negative Consequences ◽  
North Caucasus ◽  
The North ◽  
Access To Water ◽  
The Impact

The key task of the societal development is to ensure effective management of water resources. As a consequence of aggravation of water problems in the world, the issues of sustainable and guaranteed access to water are considered as one of the components of ensuring food security, conservation and restoration recovery of natural resources, which are the basis of life support for the population. To date, the regulation of water resources in the North Caucasus experiences difficulties resulting from fragmented water use, unequal access to water, and contradictory legislation in the field of water use regulation. These problems are compounded by two factors: climate change and demographic situation. The main problem of water consumption in Russia is the irrational and ineffective use of water resources and, as a result, high specific water consumption. In the North Caucasus, water consumption is currently one of the highest in Russia. The characteristics of the impact on water resources are directly related to the use of water, the main elements of which are the water withdrawal from natural sources, the use of water and the discharge of wastewater. Based on open statistical sources, we analyzed the current situation in the use of water resources in the North Caucasus. The North Caucasus is characterized by problems similar to those of many regions of the country, in particular, large losses during transportation due to the emergency state of water supply networks and treatment facilities. Water supply problems in the North Caucasus are expected to worsen in the future. If urgent measures are not taken, the complex of problems will only accumulate. To overcome their negative consequences, it is necessary to revise the water use strategy and change the water consumption structure.

Online Victim Tracking and Tracing System (ViTTS) for Major Incident Casualties

2013 ◽  
Vol 28 (5) ◽  
pp. 445-453 ◽  
Author(s):  
Geertruid M.H. Marres ◽  
Luc Taal ◽  
Michael Bemelman ◽  
Jos Bouman ◽  
Luke P.H. Leenen
Keyword(s):  
Real Time ◽  
Disaster Response ◽  
Disaster Relief ◽  
Tracking System ◽  
Major Incident ◽  
Publication Type ◽  
Effective Response ◽  
Online Application ◽  
Patient Tracking ◽  
The Impact

AbstractIntroductionDealing with major incidents requires an immediate and coordinated response by multiple organizations. Communicating and coordinating over multiple geographical locations and organizations is a complex process. One of the greatest challenges is patient tracking and tracing. Often, data about the number of victims, their condition, location and transport is lacking. This hinders an effective response and causes public distress. To address this problem, a Victim Tracing and Tracking system (ViTTS) was developed.MethodsAn online ViTTS was developed based on a wireless network with routers on ambulances, and direct online registration of victims and their triage data through barcode injury cards. The system was tested for feasibility and usability during disaster drills.ResultsThe formation of a local radio network of hotspots with mobile routers and connection over General Packet Radio Service (GPRS) to the central database worked well. ViTTS produced accurately stored data, real-time availability, and a real-time overview of the patients (number, seriousness of injury, and location).ConclusionThe ViTTS provides a system for early, unique registration of victims close to the impact site. Online application and connection of the various systems used by the different chains in disaster relief promotes interoperability and enables patient tracking and tracing. It offers a real-time overview of victims to all involved disaster relief partners, which is necessary to generate an adequate disaster response.MarresGMH, TaalL, BemelmanM, BoumanJ, LeenenLPH. Online Victim Tracking and Tracing System (ViTTS) for major incident casualties. Prehosp Disaster Med. 2013;28(4):1-9.

scholarly journals The analysis of disruption management due to COVID-19 using business continuity management and house of risk on maritime operations

2020 ◽  
Author(s):  
Eko Hariyadi Budiyanto ◽  
Raja Oloan Saut Gurning ◽  
Trika Pitana ◽  
Hafidz Novalsyah ◽  
Dwi Yudha ◽  
...  
Keyword(s):  
High Frequency ◽  
Impact Analysis ◽  
Business Continuity ◽  
Disruption Management ◽  
Growth Data ◽  
Business Impact ◽  
Business Continuity Management ◽  
Maritime Operations ◽  
Potential Loss ◽  
The Impact

Abstract The high frequency of shipping in Indonesia is directly proportional to the increase of port activities. Along with the activities, the risk of disruption that might occur also increase. The impact of a disruption can be detrimental to many parties such as crew, company, ship, cargo carried, and environment. During the COVID-19 pandemic, ports are encouraged to develop a plan that could minimize the disruption of the role that port play in keeping trade flowing and vital supplies moving. The possible impact from COVID-19 related disruption urges companies to apply the Business Continuity Management (BCM) system to deal with any potential disruption that might occur. This paper tries to identify and rank each potential disruption from COVID-19 based on severity & occurrence, House of Risk method was used with the aid of questionnaires and interviews. Furthermore, business impact analysis is conducted in order to analyse the impact of COVID-19 pandemic and how BCM helps to minimize the potential loss. Business continuity value also measured through analysing container throughput growth data.

scholarly journals Dynamics of Domestic Water Consumption in the Urban Area of the Kathmandu Valley: Situation Analysis Pre and Post 2015 Gorkha Earthquake

Water ◽  
2017 ◽  
Vol 9 (3) ◽  
pp. 222 ◽  
Author(s):  
Sadhana Shrestha ◽  
Yoko Aihara ◽  
Arun Prasad Bhattarai ◽  
Niranjan Bista ◽  
Sudarshan Rajbhandari ◽  
...  
Keyword(s):  
Water Supply ◽  
Water Use ◽  
Water Consumption ◽  
Kathmandu Valley ◽  
Domestic Water ◽  
Wealth Status ◽  
Gorkha Earthquake ◽  
2015 Gorkha Earthquake ◽  
Domestic Water Consumption ◽  
The Impact

Information regarding domestic water consumption is vital, as the Kathmandu Valley will soon be implementing the Melamchi Water Supply Project; however, updated information on the current situation after the 2015 Gorkha Earthquake (GEQ) is still lacking. We investigated the dynamics of domestic water consumption pre- and post-GEQ. The piped water supply was short, and consumption varied widely across the Kathmandu Upatyaka Khanepani Limited (KUKL) branches and altitude. The reduction in piped, ground, and jar water consumption and the increase in tanker water consumption post-GEQ appeared to be due to the impact of the GEQ. However, the impact did not appear to be prominent on per capita water consumption, although it was reduced from 117 to 99 L post-GEQ. Piped, ground, and tanker water use were associated with an increase and jar water use was associated with a decrease in water consumption. Despite improvements in quantity, inequality in water consumption and inequity in affordability across wealth status was well established. This study suggests to KUKL the areas of priority where improvements to supply are required, and recommends an emphasis on resuming performance. Policy planners should consider the existing inequity in affordability, which is a major issue in the United Nations Sustainable Development Goals.

scholarly journals The Application of Business Impact Analysis Due to Electricity Disruption in a Container Terminal

2021 ◽  
Vol 13 (21) ◽  
pp. 12038
Author(s):  
Eko Hariyadi Budiyanto ◽  
Raja Oloan Saut Gurning ◽  
Trika Pitana
Keyword(s):  
Impact Analysis ◽  
Container Terminal ◽  
Economic Loss ◽  
Container Terminals ◽  
Employee Productivity ◽  
Business Impact ◽  
Company Reputation ◽  
Operational Constraints ◽  
The Impact

A container terminal is a facility used to collect containers from the hinterland and ports for distribution to the end destination. Based on these essential functions, container terminals often reflect the economic conditions in a country. Many studies have recently examined the use of business impact analysis (BIA) when disruption happens at a container terminal. In sustainability and business impact research, the economy is one of the prioritized aspects of impact analysis. The impact related to the economic aspect is generally caused by disruptions resulting from natural disasters, pandemics, and human activities (terrorists, labor issues, and lockouts). Until this article was conducted, there was still little literature explaining the business impact analysis procedures with case studies of disruptions in container terminals related to operational constraints. This paper aims to provide a perspective in deepening and adapting the BIA procedure initially general into an analysis that can be applied to the container terminal business. This paper takes a case study of BIA in a container terminal caused by electrical disruption. Based on the research, six categories of disruption became a concern when the port’s electricity supply stopped, i.e., decreased productivity, economic loss, reduced employee productivity, decreased numbers of customers, a decline in company reputation, and wasted energy.

scholarly journals The Use of Cluster Analysis to Evaluate the Impact of COVID-19 Pandemic on Daily Water Demand Patterns

2021 ◽  
Vol 13 (11) ◽  
pp. 5772
Author(s):  
Paulina Dzimińska ◽  
Stanisław Drzewiecki ◽  
Marek Ruman ◽  
Klaudia Kosek ◽  
Karol Mikołajewski ◽  
...  
Keyword(s):  
Water Supply ◽  
Water Consumption ◽  
Water Demand ◽  
Extended Period ◽  
Supply Networks ◽  
Water Demands ◽  
Diurnal Distribution ◽  
Demand Patterns ◽  
The Impact

Proper determination of unitary water demand and diurnal distribution of water consumption (water consumption histogram) provides the basis for designing, dimensioning, and all analyses of water supply networks. It is important in the case of mathematical modelling of flows in the water supply network, particularly during the determination of nodal water demands in the context of Extended Period Simulation (EPS). Considering the above, the analysis of hourly water consumption in selected apartment buildings was performed to verify the justification of the application of grouping by means of k-means clustering. The article presents a detailed description of the adopted methodology, as well as the obtained results in the form of synthetic distributions of hourly water consumption, and the effect of the COVID-19 pandemic on their change.

Sign in / Sign up

Export Citation Format

Share Document