Background: Hospitals play a vital role in disaster stricken regions. The resilient hospitals will be able to provide essential services to affected people and it can mitigate the risk of injuries during and after disasters. This study aimed to obtain the indicators required for the evaluation of hospital resilience. Methods: This systematic review was conducted in 2018. Through this systematic review, international electronic databases were investigated for the research studies published in English. The exclusion and inclusion criteria were determined to extract the hospital resilience indicators. These indicators will be used in order to develop a model to keep the system performance at an acceptable level during disasters. Results: Out of 1794 research studies published until September 2018, 89 articles and guidelines with full text were surveyed. Thirty-two articles and guidelines were then selected and analyzed to collect the indicators related to hospital disaster resilience (HDR). The domains and the indicators were extracted from these selected research studies. The authors collected and categorized them into three domains and twenty seven subdomains. The three domains included constructive, infrastructural, and administrative resilience. The relevant indicators were designed for each subdomain to assess HDR. Conclusion: Since diverse indicators affect hospital resilience, other studies should be conducted to propose some models or tools to quantify the hospital resilience in different countries and scopes with an all hazards approach.

Introduction Social factors can affect the vulnerability of disaster‐prone communities. This review aimed to identify and categorize social vulnerability indicators in the COVID‐19 pandemic. Methods This systematic review was conducted in February 2021. Bibliographies, citation databases, and other available records were investigated based on the aim of the study. The Joanna Briggs Institute (JBI) critical appraisal tools were applied for assessing the included articles retrieved through the comprehensive and systematic literature search. Descriptive and thematic analyses were done to extract the indicators affecting social vulnerability in the COVID‐19 pandemic. Results Thirty‐one eligible articles were included and 85 indicators of social vulnerability were extracted. The indicators were categorized in seven main categories, including; Household, community composition; Race, minority status and language; Socioeconomic status; Community health status; Public health infra‐structures; Education; Information, technology and communication. Conclusion Regions with higher social vulnerability experienced greater mortality rates during the COVID‐19 pandemic. Additional research is needed to measure the social vulnerability index in pandemics to prioritize distribution of scarce resources and ensure effectiveness and equity for all regions of countries.

No abstract

Purpose Resilient hospitals have the vital role in reducing mortality, severity of injuries by providing required emergency services during accidents and disasters. This study aims to identify and prioritize key indicators on hospital resilience. Design/methodology/approach This cross-sectional study was conducted in 2019. The draft of the indicators obtained from the systematic review of the previous study was finalized, with three expert panel sessions and 14 experts in resilience fields. The outputs of these sessions were divided into three domains including constructive resilience, infrastructural resilience and administrative resilience, 17 sub-domains and 71 indicators. Then fuzzy analytic network process method was used to weight and prioritize the final indicators of hospital disaster resilience. Findings Administrative resilience, logistic and financial management and strategic outsourcing agreement allocated the highest weight as domain, sub-domains and indicators, respectively. The weight of each sub-domain and indicator was also determined. Originality/value Investigating the weight of domains, sub-domains and indicators shows the importance of managerial and operational issues in hospital resilience. By using the indicators and relative weights, a tool for measuring hospital disaster resilience can be created in further studies. The output of these assessments is effective in promoting safety and increasing awareness of hospital managers and health policymakers.