Disaster Preparedness and Implementation of Hospital Disaster Plan at Yogyakarta General Hospital

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.

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Pre-Flood Design Assessment Based on the Needs of the Jambi Community (Case Study of Three Districts / Cities)

Budapest International Research and Critics Institute (BIRCI-Journal) Humanities and Social Sciences ◽

10.33258/birci.v4i1.1617 ◽

2021 ◽

Vol 4 (1) ◽

pp. 404-420

Author(s):

Andy Subandi ◽

Dwi Noerjoedianto ◽

Andy Amir

Keyword(s):

Disaster Preparedness ◽

Local Level ◽

Field Studies ◽

Research Process ◽

Planning System ◽

Literature Study ◽

Emergency Plan ◽

Disaster Plan ◽

Design Assessment ◽

Community Needs

The community's role during a disaster within the first 24 - 72 hours before having government's aid is crucial in making the condition under control in a timely manner, disaster management institution, especially at local level, has not had any models for preparedness training through participative approach based on the local wisdom of Jambi community to reduce disaster risks. The research process is carried out in three stages, (1) the first part is a literature study conducted to obtain information about how to deal with natural disasters, (2) Field studies conducted in several areas related to floods in Jambi Province, (3) ) Analysis Community needs are carried out by reviewing the design of the pre-disaster disaster planning system and the needs of the Flood Preparedness Community in three districts of Jambi province. A sample of 1000 people was divided into 3 groups. Each group will be completed in accordance with the pre-response system and community needs, then analyzed qualitatively. Meanwhile, to find out the management system design. Obtained preparedness data in the three villages with a total subject of 1000 people that 52.33% did not get information about the disaster or disaster preparedness, 64.6% never made an emergency plan for the family when there was a disaster, 68.67% never prepared emergency equipment (food, water, or emergency supplies), 68.27% had not attended disaster preparedness training in the past year, but only 6.2% had never discussed with neighbors about what to do in the event of a disaster. Based on the results of the research, several stages can be planned in the making of the pre-disaster assessment design as an alternative to minimize losses from disasters, which can then be developed as a disaster plan process and making mitigation in accordance with the needs of each district..

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Disaster Preparedness

Prehospital and Disaster Medicine ◽

10.1017/s1049023x0004406x ◽

1985 ◽

Vol 1 (S1) ◽

pp. 118-121 ◽

Cited By ~ 1

Author(s):

E. L. Quarantelli

Keyword(s):

United States ◽

Natural Disasters ◽

Emergency Medical Service ◽

Disaster Preparedness ◽

Large Scale ◽

Medical Service ◽

The United States ◽

Mass Casualties ◽

Disaster Plan ◽

Emergency Medical

The 1973 Emergency Medical Services System Act in the United States mandates that one of the 15 functions to be performed by every EMS system is coordinated disaster planning. Implicit in the legislation is the assumption that everyday emergency medical service (EMS) systems will be the basis for the provisions of EMS in extraordinary mass emergencies, or in the language of the act, during “mass casualties, natural disasters or national emergencies.” Policy interpretations of the Act specified that the EMS system must have links to local, regional and state disaster plans and must participate in biannual disaster plan exercises. Thus, the newly established EMS systems have been faced with both planning for, as well as providing services in large-scale disasters.

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Long-term care and disaster preparedness: A study of organizational types and levels of preparedness for a disaster or emergency

Journal of Emergency Management ◽

10.5055/jem.2011.0052 ◽

2011 ◽

Vol 9 (2) ◽

pp. 39 ◽

Cited By ~ 1

Author(s):

Saher Selod, MA ◽

Janice Heineman, PhD ◽

Catherine O’Brien, MPH, MA ◽

Scott P. King, PhD

Keyword(s):

Cluster Analysis ◽

Hurricane Katrina ◽

Disaster Preparedness ◽

Urban Areas ◽

Long Term Care ◽

Disaster Plan ◽

Term Care ◽

Preparedness Planning ◽

Demographic Survey

Objectives: Although the consequences of Hurricane Katrina motivated considerable research into long-term care (LTC) facility preparedness, many questions still remain. This study examines the characteristics of LTC facility in relation to the level of preparedness to discern whether there are patterns that can inform future planning efforts. The data from PREPARE, a federally funded disaster preparedness program for LTC staff, are used in the analysis.Methods: More than 400 PREPARE participants completed both baseline and impact surveys as well as a demographic survey, allowing for an analysis of the characteristics and levels of disaster preparedness among participating LTC facilities. Crosstabs were run for the baseline and impact surveys against the demographic survey that the participants completed. Cluster analysis was performed to fit organizations into distinct groups based on their baseline responses to key preparedness domains.Results: The results of the crosstabs reveal the specific areas where LTC facilities have a more comprehensive disaster plan. For example, skilled nursing facilities appear to be more prepared than continuing care retirement communities (CCRCs); rural facilities seem to be more prepared than urban facilities; and facilities that are part of a chain did not emerge as being better equipped than independent facilities. Cluster analysis found three groups of organizations: “Resourceful but Hesitant,” “Unprepared,” and “Model Preparedness.”Conclusions: These findings have important implications for public health efforts surrounding disaster preparedness in LTC. The findings suggest that CCRCs deserve special attention in preparedness planning and that consideration in disaster planning is required in both rural and urban areas.

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Hospital Disaster Preparedness in Osaka, Japan

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00040802 ◽

1994 ◽

Vol 9 (1) ◽

pp. 29-34 ◽

Cited By ~ 21

Author(s):

Tatsuro Kai ◽

Takashi Ukai ◽

Muneo Ohta ◽

Ernesto Pretto

Keyword(s):

Disaster Preparedness ◽

Disaster Plan ◽

Hospital Administrators ◽

Emergency Operations ◽

Medical Supplies ◽

Power Plant Equipment ◽

Self Sufficiency ◽

Emergency Power ◽

Plant Equipment ◽

Hospital Disaster Preparedness

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.

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Preparedness Assessment for Disaster Management Among Dhahran Al Janoub General Hospital Staff During Hazm Storm Support 1436/2015

Global Journal of Health Science ◽

10.5539/gjhs.v10n7p87 ◽

2018 ◽

Vol 10 (7) ◽

pp. 87

Author(s):

Ahmed Ali Shammah

Keyword(s):

General Hospital ◽

Disaster Management ◽

Emergency Preparedness ◽

Quantitative Research ◽

Emergency Situation ◽

Hospital Staff ◽

Chi Square ◽

Disaster Plan ◽

Study Results ◽

Chi Square Analysis

The hospital staff need to be competent to utilize the disaster plan to cope up with an emergency situation. Therefore, the present study has aimed to assess the knowledge of hospital staff of Dhahran Al Janoub General Hospital regarding the disaster management during Hazm Storm Support 1436/2015 in Saudi Arabia. The study has employed quantitative research design to assess the disaster management of hospital staff by recruiting 84 individuals (physicians, nurses, technicians, officers, and housekeepers) from Dhahran Al Janoub General Hospital. A questionnaire was given to respondents to gather information about disaster management. The obtained data was analysed using SPSS through chi-square analysis. The study results clearly depicted that the hospital staff with fewer years of experience had lesser knowledge about the disaster assessment as compared to the experienced employees. There was no statistically significant relationship identified between different job categories in the hospital and the level of knowledge about presence or absence of the emergency response plan. However, there was a statistically significant association found between different job professions and level of awareness regarding presence or absence of hospital command centres. The study concluded that the knowledge of emergency preparedness among the hospital staff was moderate and the hospital staff should participate and seek opportunities to prepare assessment for disaster management.

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Use of Incident Command System for Disaster Preparedness: A Model for an Emergency Department COVID-19 Response

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2020.210 ◽

2020 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Andra Farcas ◽

Justine Ko ◽

Jennifer Chan ◽

Sanjeev Malik ◽

Lisa Nono ◽

...

Keyword(s):

Emergency Department ◽

Disaster Preparedness ◽

Disaster Response ◽

Large Scale ◽

Disaster Plan ◽

Incident Command System ◽

Incident Command ◽

Optimal Coordination ◽

Multiple Challenges ◽

Operations Center

ABSTRACT The COVID-19 pandemic has placed unprecedented demands on health systems, where hospitals have become overwhelmed with patients amidst limited resources. Disaster response and resource allocation during such crises present multiple challenges. A breakdown in communication and organization can lead to unnecessary disruptions and adverse events. The Federal Emergency Management Agency (FEMA) promotes the use of an incident command system (ICS) model during large-scale disasters, and we hope that an institutional disaster plan and ICS will help to mitigate these lapses. In this article, we describe the alignment of an emergency department (ED) specific Forward Command structure with the hospital ICS and address the challenges specific to the ED. Key components of this ICS include a hospital-wide incident command or Joint Operations Center (JOC) and an ED Forward Command. This type of structure leads to a shared mental model with division of responsibilities that allows institutional adaptations to changing environments and maintenance of specific roles for optimal coordination and communication. We present this as a model that can be applied to other hospital EDs around the country to help structure the response to the COVID-19 pandemic while remaining generalizable to other disaster situations.

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Y2K Medical Disaster Preparedness in New York City: Confidence of Emergency Department Directors in their Ability to Respond

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00025759 ◽

2001 ◽

Vol 16 (2) ◽

pp. 88-95 ◽

Cited By ~ 4

Author(s):

Steven H. Silber ◽

Neill Oster ◽

Bonnie Simmons ◽

Christopher Garrett

Keyword(s):

Emergency Department ◽

New York ◽

New York City ◽

York City ◽

Disaster Preparedness ◽

Large Scale ◽

Disaster Plan ◽

Incident Command ◽

Additional Information ◽

Department Directors

AbstractObjectives:To study the preparedness New York City for large scale medical disasters using the Year 2000 (Y2K) New Years Eve weekend as a model.Methods:Surveys were sent to the directors of 51 of the 9-1-1-receiving hospitals in New York City before and after the Y2K weekend. Inquiries were made regarding hospital activities, contingencies, protocols, and confidence levels in the ability to manage critical incidents, including weapons of mass destruction (WMD) events. Additional information was collected from New York City governmental agencies regarding their coordination and preparedness.Results:The pre-Y2K survey identified that 97.8% had contingencies for loss of essential services, 87.0% instituted their disaster plan in advance, 90.0% utilized an Incident Command System, and 73.9% had a live, mock Y2K drill. Potential terrorism influenced Y2K preparedness in 84.8%. The post-Y2K survey indicated that the threat of terrorism influenced future preparedness in 73.3%; 73.3% had specific protocols for chemical; 62.2% for biological events; 51.1% were not or only slightly confident in their ability to manage any potential WMD incidents; and 62.2% felt very or moderately confident in their ability to manage victims of a chemical event, but only 35.6% felt similarly about victims of a biological incident. Moreover, 80% felt there should be government standards for hospital preparedness for events involving WMD, and 84% felt there should be government standards for personal protective and DECON equipment. In addition, 82.2% would require a moderate to significant amount of funding to effect the standards. Citywide disaster management was coordinated through the Mayor's Office of Emergency Management.Conclusions:Although hospitals were on a heightened state of alert, emergency department directors were not confident in their ability to evaluate and manage victims of WMD incidents, especially biological exposures. The New York City experience is an example for the rest of the nation to underscore the need for further training and education of preparedness plans for WMD events. Federally supported education and training is available and is essential to improve the response to WMD threats.

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Disaster Preparedness in Nigeria

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00045040 ◽

1985 ◽

Vol 1 (S1) ◽

pp. 335-337

Author(s):

Joseph A. Shyngle ◽

Joseph O. A. Sodipo

Keyword(s):

State Hospital ◽

Disaster Management ◽

Disaster Preparedness ◽

Flood Disaster ◽

Teaching Hospitals ◽

Disaster Plan ◽

Factors Affecting ◽

Mere Presence

The River Ogunpa flood disaster was an event which created difficulties from every conceivable angle and provided many of the problems to be experienced in disaster management generally. It should be emphasized that every state hospital should have a disaster plan so that one could assume that it is adequately prepared for major accidents. Some of the teaching hospitals in Nigeria have disaster plans. However, the mere presence of a paper plan did not guarantee that it was up to date, comprehensive and understood by all staff concerned, in some of the major disasters which recently occurred in Nigeria. This article highlights some of the major natural and man-made disasters in our country, the magnitude of the damage done, factors affecting the response of the nation to the disasters, as well as some of the major deficiencies in our disaster plans.

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(A108) Hospital Disaster Planning: The Structured Approach

Prehospital and Disaster Medicine ◽

10.1017/s1049023x11001105 ◽

2011 ◽

Vol 26 (S1) ◽

pp. s30-s30

Author(s):

G.E.A. Khalifa

Keyword(s):

Emergency Preparedness ◽

Disaster Preparedness ◽

Disaster Response ◽

Emergency Services ◽

Disaster Planning ◽

Mass Casualty Incident ◽

Mass Casualty ◽

Disaster Plan ◽

Preparedness Plan ◽

Hospital Disaster Preparedness

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.

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