scholarly journals Hospital Preparedness Level and Policy Implementation Analysis of Hospital Disaster Plan in RSUD Kota Yogyakarta

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
Belva Prima Geniosa ◽  
Qurratul Aini
Keyword(s):  
Quantitative Methods ◽  
Public Facility ◽  
Safety Index ◽  
Maximum Function ◽  
Disaster Plan ◽  
Hospital Safety ◽  
Knowledge Questionnaire ◽  
Disaster Situation ◽  
Hospital Preparedness ◽  
Score Result

AbstractHospital is a public facility that must continue on full operation when a disaster occurs. In any disaster situation that results in a surge in patients, hospitals are expected to provide health services for the victims. This study uses  mixed research methods. We combine qualitative methods using in-depth interviews and quantitative methods using questionnaires and hospital safety index scoring. The sample was taken by purposive sampling on hospitals’ management incorporated in the disaster management organization structure. The hospital safety index score result is 62.5%. The knowledge questionnaire results showed 77% percentage, meaning that the staff’s knowledge of disasters was excellent. RSUD Kota Yogyakarta’s Hospital Safety Index result means that it is still in category B. This category means that the hospital still has some risks affecting their maximum function in facing disaster. 

scholarly journals (A282) Comparison of Safety Index in Iranian Hospitals

2011 ◽  
Vol 26 (S1) ◽  
pp. s78-s78
Author(s):  
A. Djalali ◽  
A. Massumi ◽  
G. Öhlen ◽  
M. Castren ◽  
L. Kurland
Keyword(s):  
At Risk ◽  
Disaster Management ◽  
Structural Safety ◽  
Safety Index ◽  
Disaster Plan ◽  
Hospital Safety ◽  
Medical Response ◽  
Organizational Element ◽  
The Impact ◽  
Near Future

IntroductionHospitals are highly complex facilities that play a key role in the medical response to disasters. However, they are susceptible to the impact of disasters with respect to their structural, non-structural and functional elements. Many hospitals have collapsed or been damaged and rendered nonfunctional as a consequence of disasters. The resilience of a hospital along with the capability of effective medical response to disasters is a key part of a community based disaster plan.ObjectiveThe objective of this study was to evaluate and compare hospitals in Iran with respect to safety.MethodsThis study was performed as a survey in four hospitals in Iran. The Hospital Safety Index package from WHO was used as an evaluation tool. The evaluation team consisted of: a PhD in structural engineering, an architect with a Master's degree, a specialist in electrical and mechanical maintenance, a medical doctor, a specialist in disaster management, and an expert in health care planning. The hospitals were evaluated in three elements; structural, non-structural, and organizational. The hospital safety calculator was used.ResultsThe most important hazard for these hospitals was earthquakes. The structural safety at three hospitals was inadequate or at risk; and consequently needs intervention in a near future. Also, the administrative and organizational element of these hospitals was inadequate or at risk. All hospitals need intervention in the near future due to non-structural safety being inadequate. The overall safety index at one hospital was A (functional); in two hospitals B (at risk); and in one hospital C (inadequate).ConclusionsThe Iranian hospitals which had been assessed were on the whole unsafe. Also, these hospitals do not have a disaster management plan. Implementing a comprehensive disaster plan, including mitigation and a preparedness plan, would most likely enhance the safety of these hospitals.

scholarly journals Hospital safety index in hospitals affiliated with Alborz University of Medical Sciences in 2015

2019 ◽  
Author(s):  
Sima Feizolahzadeh ◽  
Ahmad Elahi ◽  
Fariba Rahimi ◽  
Alireza Momeni ◽  
Yazdan Mohsenzadeh
Keyword(s):  
Public Hospitals ◽  
Safety Index ◽  
Medical Sciences ◽  
Safety Level ◽  
Disaster Victims ◽  
Medical Needs ◽  
Hospital Safety ◽  
Group B ◽  
And Function ◽  
Functional Areas

Introduction: To survive is the first concern of people after disasters. The ability to keep performing and offering services in hospitals at the same time as appropriate responding to the medical needs of disaster victims, matters tremendously. An effective element in this regard is having appropriate safety level in hospitals. The aim of this study was to specify the safety index of hospitals covered by Alborz University of Medical Sciences. Methods: This descriptive-provisional study was conducted between 2014 and 2015 in Alborz province. Nine public hospitals, affiliated with Alborz University of Medical Sciences, were chosen by the means of census method. The data collection tool was the standard tool of hospital safety index, WHO / PAHO, through which the level of hospital safety (in three structural, non-structural and functional areas) were determined. Data were analyzed through Excel software. The outcomes were rated between zero to one, and accordingly, in terms of safety, hospitals were classified as either A, B or C. Results: Based on the results of this study, most of the examined hospitals were at B level of safety. Although the group B hospitals can put up with disasters in time but, their vital equipment and services will be put at jeopardy. Conclusion: Measuring the safety index of hospitals as well as determining their level of safety, it can be figured out how much a hospital can preserve its organization and function in disasters. This index will be helpful for decision makers and policymakers, when it comes to prioritizing management and civil interventions.

scholarly journals Disaster preparedness level of university hospitals of Sousse -Tunisia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Lamine ◽  
M A Tlili ◽  
W Aouicha ◽  
E Taghouti ◽  
N Chebili ◽  
...  
Keyword(s):  
Disaster Management ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
University Hospital ◽  
World Health ◽  
Structural Safety ◽  
Safety Index ◽  
University Hospitals ◽  
Hospital Safety ◽  
The Impact

Abstract Background Disasters, whether natural or man-made, are unpredictable. The health care systems, represented by hospitals, are on the front lines of the emergency and disaster response. Tunisian health structures, must be able to cope with a case of mass influx of victims following any disasters. Therefore, we conducted this study to describe the level of disaster preparedness of University Hospitals of Sousse - Tunisia. Methods A simple descriptive quote is the basis of a data collection, conducted between September and October 2019 and performed in both University Hospitals of Sousse - Tunisia (Farhat Hached and Sahloul). The measuring instrument used in this study is the 'Hospital Safety Index' designed by the World Health Organization in 2008. Data was analyzed using the 'Module and safety index calculator' which calculates a specific score for each module (structural safety, nonstructural safety and emergency and disaster management) and an overall score for hospital safety, and assigns an appropriate classification which can be “c/C” corresponds to a score from 0 to 0.35, “b/B” from 0.36 to 0.65, or “a/A” from 0.66 to 1. Results The overall safety index class of both hospitals was 'B'. Sahloul University Hospital was classified as 'a' in both structural and nonstructural safety modules and classified as 'c' in the emergency and disaster management module, in the other hand Farhat Hached University Hospital was classified as 'c' in structural safety module and classified as 'b' in both nonstructural safety and emergency and disaster management modules. Conclusions The hospitals' current levels of emergency and disaster management needs to be improved. Actually, both patients and staff safety as well as the hospital's ability to function during and after emergencies and disasters are potentially at risk. In both hospitals, intervention measures are needed in the short term. Key messages Appropriate disaster management should be based on a clear plan, preparedness and collaborative and effective efforts on the part of the community and the different organizations involved. A safe hospital needs to assure that its services remain accessible and functioning at maximum capacity, before, during and immediately after the impact of emergencies and disasters.

Hospital Disaster Preparedness as Measured by Functional Capacity: a Comparison between Iran and Sweden

2013 ◽  
Vol 28 (5) ◽  
pp. 454-461 ◽  
Author(s):  
Ahmadreza Djalali ◽  
Maaret Castren ◽  
Hamidreza Khankeh ◽  
Dan Gryth ◽  
Monica Radestad ◽  
...  
Keyword(s):  
Functional Capacity ◽  
Disaster Preparedness ◽  
World Health ◽  
Socioeconomic Level ◽  
Publication Type ◽  
Hospital Safety ◽  
Hospital Preparedness ◽  
Health Organization ◽  
Hospital Disaster Preparedness ◽  
Hospital Affiliation

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.

Hospital safety index: assessing the readiness and resiliency of hospitals in Indonesia

Facilities ◽  
2019 ◽  
Vol 38 (1/2) ◽  
pp. 39-51 ◽  
Author(s):  
Riza Yosia Sunindijo ◽  
Fatma Lestari ◽  
Oktomi Wijaya
Keyword(s):  
Safety Index ◽  
Content Type ◽  
Hospital Safety ◽  
Intervention Measures ◽  
The Government ◽  
Improve Hospital ◽  
Hospital Readiness ◽  
Role Of The Government ◽  
Practical Implications

Purpose This study aims to assess the hospital readiness and resiliency in a disaster-prone Indonesia. Design/methodology/approach Hospital Safety Index (HSI), containing 151 items, was used to assess ten hospital in West Java and five hospitals in Yogyakarta. Findings The average level of HSI for the hospitals under investigation is B, indicating that their ability to function during and after emergencies and disasters are potentially at risk, thus, intervention measures are needed in the short term. Hospitals in Yogyakarta scored lowly in terms of their emergency and disaster management, even though they have previously experienced major disasters in 2006 and 2010. Practical implications The role of the government is crucial to improve hospital readiness and resiliency in Indonesia. It is recommended that they: identify disaster-prone areas so that their hospital readiness and resiliency can be assessed; assess the readiness and resiliency of hospitals the prioritized areas; implement intervention measures; re-assess the readiness and resiliency of hospitals in the prioritized areas after implementing intervention measures; and develop a framework to ensure that the hospitals can maintain their level of readiness and resiliency over time. Originality/value Research on hospital readiness and resiliency in Indonesia is still limited despite the size of the country and its proneness to disasters. This research has investigated the feasibility and value of using HSI to assess hospital readiness and resilience in Indonesia.

Mass Casualty Response to San Antonio Sniper Incident

1985 ◽  
Vol 1 (S1) ◽  
pp. 355-356
Author(s):  
Prentis B. Vaughn
Keyword(s):  
San Antonio ◽  
Mass Casualty ◽  
Disaster Plan ◽  
Disaster Situation ◽  
The Many

A widely attended, well-publicized annual event in San Antonio, Texas each spring is Fiesta Week. Fiesta Week begins with the Battle of Flowers parade. In April 1979, a deranged gunman began to fire upon parade participants and bystanders. The area-wide disaster plan was activated in order to deal with the many casualties resulting from his actions. This paper provides a description of the disaster situation and describes the implementation of the mass casualty plan.Over 300,000 people lined the parade route as the parade began. Gunfire erupted shortly after the start of the parade in an area where approximately 4,000 people had moved to observe the festivities. The first casualties included police and several parade spectators. Instinctively, onlookers sought cover behind cars, barrels and other parade barricades. Authorities estimated that about 500 people were pinned down by the gunfire.

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