scholarly journals Kesiapsiagaan rumah sakit umum Kabanjahe dalam menaggulangi bencana alam gempa bumi di Kabupaten Karo

2017 ◽  
Vol 33 (12) ◽  
pp. 595
Author(s):  
Armanda Prima ◽  
Andreasta Meliala

Obstacles and opportunities in making a hospital disaster plan: the case study from North SumateraPurposeThis study assessed Kabanjahe District hospital preparedness in coping with earthquake disaster, describes obstacles and opportunities in forming hospital disaster preparedness and availability of hospital disaster plan component.MethodsThis research used qualitative research method with case study research design. This study examines the contemporary phenomenon of Kabanjahe General Hospital preparedness in anticipating the earthquake disaster.ResultsKabanjahe General Hospital is not ready to anticipate earthquake disaster and not yet completed in making hospital disaster plan.ConclusionObstacles to establishing disaster prepared hospitals to include the unavailability of budget for disaster management, lack of hospital personnel who understand K3B, have not participated in training of hospital disaster plan preparation, disaster training and hospital have never conducted disaster simulation. While the opportunity is Kabanjahe General Hospital has been working with other agencies in the fulfillment of facilities and preparation of the plan. The availability of Kabanjahe General Hospital for policy components, disaster risk analysis, communications, financing and evaluation monitoring has not been in accordance with the standards. As for organizational components and facilities already available in quantity but not yet organized to anticipate disaster.

2021 ◽  
Vol 3 (2) ◽  
pp. 84-93
Author(s):  
Santi Komaladini ◽  
Popon Popon

This study aims to determine the application of the divergent semantic intervention method in motor transcortical aphasia clients after stroke, male gender aged 44 years at the Cibabat Regional General Hospital. The research method used is a case study research experiment which aims to determine the condition of the subject before and after intervention through therapy. Data collection was carried out through the WOTS stage, namely (1) interviews with the client's parents, (2) direct observation of the client, (3) conducting tests on the client, and (4) studying the patient's medical record document. The results of the research after doing therapy using the divergent semantic intervention method for 15 meetings obtained good results by assessing the level of words on nouns. The conclusion is that the divergent semantic intervention method has an effect on mentioning the level of objects


1994 ◽  
Vol 9 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Tatsuro Kai ◽  
Takashi Ukai ◽  
Muneo Ohta ◽  
Ernesto Pretto

AbstractPurpose:To investigate the adequacy of hospital disaster preparedness in the Osaka, Japan area.Methods:Questionnaires were constructed to elicit information from hospital administrators, pharmacists, and safety personnel about self-sufficiency in electrical, gas, water, food, and medical supplies in the event of a disaster. Questionnaires were mailed to 553 hospitals.Results:A total of 265 were completed and returned (Recovery rate; 48%). Of the respondents, 16% of hospitals that returned the completed surveys had an external disaster plan, 93% did not have back-up plans to accept casualties during a disaster if all beds were occupied, 8% had drugs and 6% had medical supplies stockpiled for disasters. In 78% of hospitals, independent electric power generating plants had been installed. However, despite a high proportion of power-plant equipment available, 57% of hospitals responding estimated that emergency power generation would not exceed six hours due to a shortage of reserve fuel. Of the hospitals responding, 71% had reserve water supply, 15% of hospitals responding had stockpiles of food for emergency use, and 83% reported that it would be impossible to provide meals for patients and staff with no main gas supply.Conclusions:No hospitals fulfilled the criteria for adequate disaster preparedness based on the categories queried. Areas of greatest concern requiring improvement were: 1) lack of an external disaster plan; and 2) self-sufficiency in back-up energy, water, and food supply. It is recommended that hospitals in Japan be required to develop plans for emergency operations in case of an external disaster. This should be linked with hospital accreditation as is done for internal disaster plans.


2018 ◽  
Vol 42 (3) ◽  
pp. 1-22
Author(s):  
Phillip Ndhlovu

Digital technologies have allowed libraries to create, manipulate, store and make accessible vast amounts of digital content. However, they endanger the longevity of the very objects they produce and require very different management than the traditional paper-based world. Despite the fact that the National University of Science and Technology (NUST) Library in Zimbabwe has amassed a huge body of digital collections, there are no formal mechanisms to ensure accessibility and long-term preservation of digital content. The study assessed the state of preparedness of NUST Library for digital curation and preservation of its digital collections. The conceptual framework was based on  Sinclair et al. (2011) and Boyle, Eveleigh, and Needham’s (2008) formulations. NUST Library preparedness for digital curation and preservation was assessed by examining awareness, competencies, technology infrastructure, digital disaster preparedness and challenges to digital curation and preservation. A mixed methods research design employing a case study research strategy was adopted for the study. The findings revealed a low level of awareness of digital curation and preservation. Challenges to digital curation are mainly lack of policies, lack of expertise by library staff and lack of funding.  It is recommended that the Library should consider digital curation and preservation as one of the primary responsibilities and take staff members’ training in this area seriously in order to ensure current and future access to digital collections.


2013 ◽  
Vol 28 (5) ◽  
pp. 454-461 ◽  
Author(s):  
Ahmadreza Djalali ◽  
Maaret Castren ◽  
Hamidreza Khankeh ◽  
Dan Gryth ◽  
Monica Radestad ◽  
...  

AbstractIntroductionHospitals are expected to continue to provide medical care during disasters. However, they often fail to function under these circumstances. Vulnerability to disasters has been shown to be related to the socioeconomic level of a country. This study compares hospital preparedness, as measured by functional capacity, between Iran and Sweden.MethodsHospital affiliation and size, and type of hazards, were compared between Iran and Sweden. The functional capacity was evaluated and calculated using the Hospital Safety Index (HSI) from the World Health Organization. The level and value of each element was determined, in consensus, by a group of evaluators. The sum of the elements for each sub-module led to a total sum, in turn, categorizing the functional capacity into one of three categories: A) functional; B) at risk; or C) inadequate.ResultsThe Swedish hospitals (n = 4) were all level A, while the Iranian hospitals (n = 5) were all categorized as level B, with respect to functional capacity. A lack of contingency plans and the availability of resources were weaknesses of hospital preparedness. There was no association between the level of hospital preparedness and hospital affiliation or size for either country.ConclusionThe results suggest that the level of hospital preparedness, as measured by functional capacity, is related to the socioeconomic level of the country. The challenge is therefore to enhance hospital preparedness in countries with a weaker economy, since all hospitals need to be prepared for a disaster. There is also room for improvement in more affluent countries.DjalaliA, CastrenM, KhankehH, GrythD, RadestadM, OhlenG, KurlandL. Hospital disaster preparedness as measured by functional capacity: a comparison between Iran and Sweden. Prehosp Disaster Med.2013;28(5):1-8.


2016 ◽  
Vol 10 (5) ◽  
pp. 781-788 ◽  
Author(s):  
Mahmood Nekoie-Moghadam ◽  
Lisa Kurland ◽  
Mahmood Moosazadeh ◽  
Pier Luigi Ingrassia ◽  
Francesco Della Corte ◽  
...  

AbstractHospitals need to be fully operative during disasters. It is therefore essential to be able to evaluate hospital preparedness. However, there is no consensus of a standardized, comprehensive and reliable tool with which to measure hospital preparedness. The aim of the current study was to perform a systematic review of evaluation tools for hospital disaster preparedness. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The key words “crisis,” “disaster,” “disaster medicine,” “emergency,” “mass casualty,” “hospital preparedness,” “hospital readiness,” “hospital assessment,” “hospital evaluation,” “hospital appraisal,” “planning,” “checklist,” and “medical facility” were used in combination with the Boolean operators “OR” and “AND.” PubMed (National Library of Medicine, Bethesda, MD), ISI Web of Science (Thomson Reuters, New York, NY), and Scopus (Elsevier, New York, NY) were searched. A total of 51,809 publications were screened. The following themes were required for relevance: logistics, planning, human resources, triage, communication, command and control, structural and nonstructural preparedness, training, evacuation, recovery after disaster, coordination, transportation, surge capacity, and safety. The results from 15 publications are presented. Fifteen articles fulfilled the criteria of relevance and considered at least 1 of the 14 predetermined themes. None of the evaluated checklists and tools included all dimensions required for an appropriate hospital preparedness evaluation. The results of the current systematic review could be used as a basis for designing an evaluation tool for hospital disaster preparedness. (Disaster Med Public Health Preparedness. 2016;page 1 of 8)


2011 ◽  
Vol 26 (S1) ◽  
pp. s30-s30
Author(s):  
G.E.A. Khalifa

BackgroundDisasters and incidents with hundreds, thousands, or tens of thousands of casualties are not generally addressed in hospital disaster plans. Nevertheless, they may occur, and recent disasters around the globe suggest that it would be prudent for hospitals to improve their preparedness for a mass casualty incident. Disaster, large or small, natural or man-made can strike in many ways and can put the hospital services in danger. Hospitals, because of their emergency services and 24 hour a day operation, will be seen by the public as a vital resource for diagnosis, treatment, and follow up for both physical and psychological care.ObjectivesDevelop a hospital-based disaster and emergency preparedness plan. Consider how a disaster may pose various challenges to hospital disaster response. Formulate a disaster plan for different medical facility response. Assess the need for further changes in existing plans.MethodsThe author uses literature review and his own experience to develop step-by-step logistic approach to hospital disaster planning. The author presents a model for hospital disaster preparedness that produces a living document that contains guidelines for review, testing, education, training and update. The model provides the method to develop the base plan, functional annexes and hazard specific annexes.


2018 ◽  
Vol 13 (03) ◽  
pp. 433-439
Author(s):  
Simone Dell’Era ◽  
Olivier Hugli ◽  
Fabrice Dami

ABSTRACTObjectiveThe present study aimed to provide a comprehensive assessment of Swiss hospital disaster preparedness in 2016 compared with the 2006 data.MethodsA questionnaire was addressed in 2016 to all heads responsible for Swiss emergency departments (EDs).ResultsOf the 107 hospitals included, 83 (78%) returned the survey. Overall, 76 (92%) hospitals had a plan in case of a mass casualty incident, and 76 (93%) in case of an accident within the hospital itself. There was a lack in preparedness for specific situations: less than a third of hospitals had a specific plan for nuclear/radiological, biological, chemical, and burns (NRBC+B) patients: nuclear/radiological (14; 18%), biological (25; 31%), chemical (27; 34%), and burns (15; 49%), and 48 (61%) of EDs had a decontamination area. Less than a quarter of hospitals had specific plans for the most vulnerable populations during disasters, such as seniors (12; 15%) and children (19; 24%).ConclusionsThe rate of hospitals with a disaster plan has increased since 2006, reaching a level of 92%. The Swiss health care system remains vulnerable to specific threats like NRBC. The lack of national legislation and funds aimed at fostering hospitals’ preparedness to disasters may be the root cause to explain the vulnerability of Swiss hospitals regarding disaster medicine. (Disaster Med Public Health Preparedness. 2019;13:433-439)


2018 ◽  
Vol 16 (4) ◽  
pp. 213 ◽  
Author(s):  
Dan J. Vick, MD, MBA, DHA ◽  
Asa B. Wilson, PhD, DHA ◽  
Michael Fisher, DBA ◽  
Carrie Roseamelia, PhD

Objective: The intent of this study was to assess disaster preparedness in community hospitals across New York.Design: Descriptive and analytical cross-sectional survey study. The survey instrument consisted of 35 questions that examined six elements of disaster preparedness: disaster plan development, onsite surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness. Setting: Community hospitals in New York.Subjects: Contact information was obtained for 207 of 208 community hospitals. Email invitations to participate in the survey were sent to hospital CEOs and disaster preparedness coordinators. Completed surveys were received from 80 hospitals.Main Outcome Measures: Hospital responses to questions related to the six elements of disaster preparedness.Results: Most (87.5 percent) hospitals had experienced a disaster event during the past 5 years (2012-2016). Eighty percent had disaster plans that addressed all of six major types of disasters. Only 17.5 percent believed their disaster plans were “very sufficient” and did not require any revisions. Nearly three-quarters (73.3 percent) of hospitals could continue operations for less than a week without external resources. Less than half (49.4 percent) reported being satisfied or very satisfied with the level of funding that they received from the Hospital Preparedness Program. Most (88.8 percent) respondents felt that barriers to disaster preparedness exist for their organizations. Conclusions: The results demonstrate the current level of disaster preparedness among New York hospitals. The study’s approach is discussed as a model that will enable hospitals to identify focus areas for improvement and opportunities for legislation and advocacy.


2020 ◽  
Vol 8 (1) ◽  
pp. 10-23
Author(s):  
Rizki Arumning Tyas ◽  
Pujianto Pujianto ◽  
Suyanta Suyanta

Penelitian ini bertujuan untuk mendeskripsikan manajemen sekolah siaga bencana (SSB) di SMP N 2 Cangkringan. Penelitian ini merupakan penelitian kualitatif pendekatan studi kasus. Subjek penelitian adalah kepala sekolah, guru mata pelajaran IPA, guru mata pelajaran IPS, serta kepala tata usaha selaku koordinator pelaksana program SSB. Teknik pengumpulan data menggunakan wawancara, observasi, dan dokumentasi. Analisis data menggunakan model interactive Miles dan Huberman, yang meliputi kondensasi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa perencanaan program SSB di SMP N 2 Cangkringan diawali dengan penyamaan persepsi dan komitmen antar warga sekolah, dilanjutkan dengan pembuatan rencana kontinjensi bersama warga sekolah dengan komite sekolah dan instansi terkait. Perencanaan diikuti kajian tingkat kesiapsiagaan sekolah serta peningkatan kapasitas dalam bentuk pelatihan untuk semua stakeholder sekolah. Sekolah telah melaksanakan simulasi atau drill pelatihan menghadapi bencana. Namun, belum dilaksanakan evaluasi keterlaksanaan program SSB secara menyeluruh sehingga demi tercapainya tujuan SSB secara maksimal masih diperlukan banyak peningkatan dan dukungan dari berbagai pihak. AbstractThis research aimed to describe the management of a disaster preparedness programs in SMP N 2 Cangkringan. This research was a qualitative case study approach. The research subjects were the school principal, science subject teacher, social studies teacher, and head of administration as program coordinator. Data collected by interviews, observation, and documentation. Miles and Huberman's model, which included data condensation, data presentation, and conclusion drawing was applied to analyze the data. The results show that the planning of the program began to make an equal perception and commitment among school residents, followed by making contingency plans together with the school community, school committee, and related agencies. Planning is followed by a study of school preparedness levels and capacity building in the form of training for all school stakeholders. The school has carried out a disaster training drill or simulation. However, a comprehensive evaluation of the program has not yet been carried out, so that in order to achieve the program’s objectives, many improvements and support from various parties are still needed.


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