scholarly journals Advancing Resilience of Critical Health Infrastructures to Cascading Impacts of Water Supply Outages—Insights from a Systematic Literature Review

2021 ◽  
Vol 6 (12) ◽  
pp. 177
Author(s):  
Nathalie Sänger ◽  
Christine Heinzel ◽  
Simone Sandholz

The current understanding of critical health infrastructure resilience is still dominated by a technical perspective. Reality however is different, as past events including the COVID-19 pandemic have revealed: emergency situations are only rarely exclusively technical in nature. Instead they are a product of prior circumstances, often linked to natural hazards, technical mishaps, and insufficient social and organizational preparedness structures. However, experiences and lessons learned from past events are still largely overlooked and have not sufficiently found their way into conceptual understandings of critical health infrastructure resilience. This paper addresses this gap by challenging the one-sided and technically oriented understanding of resilience in the context of critical health infrastructure. Based on a systematic literature review, it assesses real-world cases of water supply failures in healthcare facilities, a serious threat largely overlooked in research and policy. The results underscore the need for targeted organizational strategies to deal with cascading impacts. The overall findings show that addressing technical aspects alone is not sufficient to increase the overall resilience of healthcare facilities. Broadening the dominant resilience understanding is hence an important foundation for healthcare infrastructures to improve risk management and emergency preparedness strategies to increase their resilience towards future disruptions.

2017 ◽  
Vol 6 (2) ◽  
pp. 55 ◽  
Author(s):  
José Carlos Amado Martins ◽  
Ana Catarina Vaz De Sousa ◽  
Ana Rita Diogo Abrantes ◽  
Catarina Sofia Da Silva Pinto ◽  
Cristiana Isabel De Almeida Gomes ◽  
...  

Background: Communication and leadership are two interconnected concepts that are essential to achieving successful and high-quality team interventions in emergency situations.Objective: To identify communication and leadership best practices in emergency situations.Methods: A systematic literature review with meta-synthesis was conducted using the Joanna Briggs Institute (JBI) Reviewers’ Manual (JBI, 2014). A search was conducted to identify studies published between January 2006 and July 2016 using the terms communication, leadership, and emergency. Studies in the areas of pediatrics or simulated practice environments were excluded.Results: Nineteen of the 447 studies found in the search met the inclusion criteria. During synthesis, data were divided into three dimensions: leader’s characteristics, initial and lifelong training, and leadership process. Communication and leadership training were considered essential for developing skills required in emergency situations.Conclusions: Despite the low level of evidence of the included studies, this study puts forward recommendations for communication and leadership best practices in emergency situations.


Author(s):  
Ianina Scheuch ◽  
Sandra Bohlinger ◽  
Anne Bieß ◽  
Hoang Long Nguyen

Purpose: A systematic literature review has neglected for years in both national and international vocational educational and training (VET) policy research. Recently, scholarly interest in and the need for such a review has increased rapidly. This review introduces the application of the systematic literature review method, with a focus on research work completed in European VET policy. Approach: To investigate the value and applicability of the systematic literature review method in European VET policy research, we conducted a pilot study following the guidelines and procedures presented by Gessler and Siemer. Findings: First, the process of conducting a literature review and its major methodological steps are described, followed by a descriptive analysis of the sample and characteristics of the studies reviewed. Second, initial insights into the research methodology and the topics that emerged during its application are presented. Altogether, we documented a first attempt to systematize research on European VET policy, including lessons learned from conducting a systematic literature review. Conclusion: The review revealed that although research on international European VET policy research has increased in recent years, hardly any systematization of the current research has been proposed. Instead, most research has been limited to identifying specific country-related factors. By comparison, we propose a systematic approach to reviewing research on European VET policy, being well aware of the strengths and limitations of the proposed method and the results. Thus, this systematic review presents a substantial starting point and research agenda for further studies on this topic. 


2020 ◽  
Vol 15 (5) ◽  
pp. 546-555
Author(s):  
Kananut Charoenthammachoke ◽  
Natt Leelawat ◽  
Jing Tang ◽  
Akira Kodaka ◽  
◽  
...  

Business Continuity Management (BCM) is commonly known as one of the most effective programs to use in the face of crisis, incident, and disaster, specifically for organizations to continue or resume their operations. Over time, the concept has gained popularity and has developed into one of the strategies in a resilience plan. The purpose of this study is to explore the trend of BCM, the subject, and the relationship between BCM and associated study fields through a preliminary systematic literature review. This research used the articles from ScienceDirect database from January 1, 1999, to December 31, 2018. This study analyzed the collected articles using their publication years, journal titles, countries, and relevant study fields. The result found that several papers have been published since 1999, which focus predominantly on the BCM standard. The rate of publication on BCM had escalated in 2015. There were 82 papers about BCM. The issues were categorized into ten main subjects. Among them, the most frequently mentioned are Information Technology (IT) security, followed by implementing BCM into diverse study disciplines, implementing new toolkits into BCM associated studies, BCM improvement, resilience, lessons learned, supply chain, and BCM advantages. The gap of the research lays a foundation for future studies in similar fields.


2022 ◽  
Vol 14 (2) ◽  
pp. 967
Author(s):  
Ana Fonseca ◽  
Isabel Abreu ◽  
Maria João Guerreiro ◽  
Nelson Barros

The adequate assessment and management of indoor air quality in healthcare facilities is of utmost importance for patient safety and occupational health purposes. This study aims to identify the recent trends of research on the topic through a systematic literature review following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) methodology. A total of 171 articles published in the period 2015–2020 were selected and analyzed. Results show that there is a worldwide growing research interest in this subject, dispersed in a wide variety of scientific journals. A textometric analysis using the IRaMuTeQ software revealed four clusters of topics in the sampled articles: physicochemical pollutants, design and management of infrastructures, environmental control measures, and microbiological contamination. The studies focus mainly on hospital facilities, but there is also research interest in primary care centers and dental clinics. The majority of the analyzed articles (85%) report experimental data, with the most frequently measured parameters being related to environmental quality (temperature and relative humidity), microbiological load, CO2 and particulate matter. Non-compliance with the WHO guidelines for indoor air quality is frequently reported. This study provides an overview of the recent literature on this topic, identifying promising lines of research to improve indoor air quality in healthcare facilities.


Author(s):  
Crystal M. Fausett ◽  
Megan P. Christovich ◽  
Jarod M. Parker ◽  
John M. Baker ◽  
Joseph R. Keebler

The proliferation of telemedicine spurred by the COVID-19 pandemic has come with a variety of human factors challenges. Such challenges include mitigating potential risks associated with the quick transition to virtual care. We identify challenges and solutions related to telemedicine security, and analyze our results using Schlarman’s People, Policy, Technology framework (2001). Our systematic literature review synthesizes gray literature (white papers, news articles, and blog posts) in addition to formal (published) literature. This methodology closes the gap between academic research and professional practice and aids in providing timely, practical insights related to cybersecurity and safety in virtual care environments. As the transition from traditional care continues to develop, we seek to better understand emerging vulnerabilities, identify crucial cyber hygiene practices, and provide insights on how to improve the safety of patient data in virtual care. Telemedicine is here to stay, and lessons learned from the pandemic are likely to remain useful.


2018 ◽  
Vol 43 ◽  
pp. 196-208 ◽  
Author(s):  
María Martínez-Rojas ◽  
María del Carmen Pardo-Ferreira ◽  
Juan Carlos Rubio-Romero

Author(s):  
Jocelyn J. Herstein ◽  
Michelle M. Schwedhelm ◽  
Angela Vasa ◽  
Paul D. Biddinger ◽  
Angela L. Hewlett

Abstract Emergency preparedness programs have evolved over the last several decades as communities have responded to natural, intentional, and accidental disasters. This evolution has resulted in a comprehensive all-hazards approach centered around 4 fundamental phases spanning the entire disaster life cycle: mitigation, preparedness, response, and recovery. Increasing frequency of outbreaks and epidemics of emerging and reemerging infectious diseases in the last decade has emphasized the significance of healthcare emergency preparedness programs, but the coronavirus disease 2019 (COVID-19) pandemic has tested healthcare facilities’ emergency plans and exposed vulnerabilities in healthcare emergency preparedness on a scale unexperienced in recent history. We review the 4 phases of emergency management and explore the lessons to be learned from recent events in enhancing health systems capabilities and capacities to mitigate, prepare for, respond to, and recover from biological threats or events, whether it be a pandemic or a single case of an unknown infectious disease. A recurring cycle of assessing, planning, training, exercising, and revising is vital to maintaining healthcare system preparedness, even in absence of an immediate, high probability threat. Healthcare epidemiologists and infection preventionists must play a pivotal role in incorporating lessons learned from the pandemic into emergency preparedness programs and building more robust preparedness plans.


2021 ◽  
Vol 3 ◽  
Author(s):  
David Schubert ◽  
Hendrik Eikerling ◽  
Jörg Holtmann

Modern and flexible application-level software platforms increase the attack surface of connected vehicles and thereby require automotive engineers to adopt additional security control techniques. These techniques encompass host-based intrusion detection systems (HIDSs) that detect suspicious activities in application contexts. Such application-aware HIDSs originate in information and communications technology systems and have a great potential to deal with the flexible nature of application-level software platforms. However, the elementary characteristics of known application-aware HIDS approaches and thereby the implications for their transfer to the automotive sector are unclear. In previous work, we presented a systematic literature review (SLR) covering the state of the art of application-aware HIDS approaches. We synthesized our findings by means of a fine-grained classification for each approach specified through a feature model and corresponding variant models. These models represent the approaches’ elementary characteristics. Furthermore, we summarized key findings and inferred implications for the transfer of application-aware HIDSs to the automotive sector. In this article, we extend the previous work by several aspects. We adjust the quality evaluation process within the SLR to be able to consider high quality conference publications, which results in an extended final pool of publications. For supporting HIDS developers on the task of configuring HIDS analysis techniques based on machine learning, we report on initial results on the applicability of AutoML. Furthermore, we present lessons learned regarding the application of the feature and variant model approach for SLRs. Finally, we more thoroughly describe the SLR study design.


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