Assessment of the loss of functionality of individual rooms in critical facilities after earthquakes

Barrera, María José; Przelazloski, Karol; Filiatrault, André; Sullivan, Timothy J.; Christovasilis, Ioannis P.

doi:10.1007/s10518-016-9988-2

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…Olu 62 believed that a resilient system should prepare for, withstand the stress of, and respond to the public health consequences of disasters successfully from the health aspect. Barrera 63 defined hospital resilience as inherent disaster resilience and adaptability to disasters, retaining essential functions. Wiig et al 64 focused on high‐quality care, defining hospital seismic resilience as the primary function in response to sudden increases in demand and providing emergency medical services for patients.…”

Section: Hospital Resilience Definitionmentioning

confidence: 99%

Resilience assessment methods for hospitals subjected to earthquakes: State of the art

Peng

Zhai

Liu

et al. 2022

Earthquake Engineering and Resilience

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Hospitals play essential roles in modern communities in the lives of people. During and after earthquakes, they are supposed to be resilient and provide continued medical and social services. Resilience assessment methods are essential for determining hospitals' resilience levels, and the results will provide a direct basis and foundation for the design of new hospitals and retrofit optimization of existing hospitals. This paper reviews the resilience assessment methods and performance measures for hospitals subjected to earthquakes. Current assessment methods are divided into indicator‐ and functionality‐based categories, and the performance measures for quantifying the functionality of hospitals are classified into availability, productivity, quality, and hybrid. This study will assist stakeholders and managers in understanding available assessment methods.

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Section: Hospital Resilience Definitionmentioning

confidence: 99%

Resilience assessment methods for hospitals subjected to earthquakes: State of the art

Peng

Zhai

Liu

et al. 2022

Earthquake Engineering and Resilience

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“…Post‐earthquake reconnaissances in recent years show that nonstructural damage in critical facilities often hinders their immediate occupancy and functionality, increasing downtime. For medical facilities, downtime means the suspension of life‐supporting medicare for inpatients and acute treatment for the critically injured 1–3 . The reported damage demonstrates that medical facilities designed per the current seismic codes cannot fully guarantee the functions of emergency departments after a major earthquake.…”

Section: Introductionmentioning

confidence: 99%

Seismic damage and functional loss of ceiling systems: Observation in shaking table test of hospital specimen

Kurata

Huang

et al. 2023

Earthq Engng Struct Dyn

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This paper presents seismic damage to continuous ceiling systems and the impact of damage on functionality in the hospital specimen tested at the E-Defense shaking table. The specimen had four ceiling systems with different peripheral constraint conditions, coverage areas, suspended lengths, and ceiling panel materials. The test results demonstrate that the continuous ceiling system is less susceptible to collapse than the lay-in ceiling system. However, medical facilities require maintaining functionality after earthquakes, and the consequence of damage as functional deterioration needs discussion. The twoelevation ceiling system across two rooms with different ceiling heights sustains severe damage at the rise-up part and the partition wall separating the rooms.The damage becomes severe when the ceilings at different heights vibrate at separate frequencies. The results highlight the enhancement of the lateral stiffness of the suspended ceiling at the rise-up part, such as by adding bracing bars. In the case of long-duration shakings assumed for far mega-earthquakes, damage accumulates with repeated loadings, and the functional loss by the damage becomes intense. This observation indicates that peak-related parameters (peak floor acceleration or peak floor velocity) do not comprehensively reflect the degree of damage in ceiling systems. The proposed functionality loss matrix highlights that the damage to the ceiling harms the aseptic environment for key medical rooms, especially for the cleanroom with extremely strict requirements on the air environment.

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“…As an example, in the seismic field, the performance-based earthquake engineering risk framework developed by the Pacific Earthquake Engineering Research Center explicitly defines the use of decision variables that measure the seismic performance of a given facility (Porter 2003). Some studies have used this probabilistic framework to assess the loss of functionality in hospitals (e.g., Lupoi et al 2006, Barrera et al 2017). Furthermore, various numerical methodologies have been used to predict earthquakeinduced functionality and performance losses in hospitals, such as fault-tree analysis (Lupoi et al 2008, Jacques et al 2014, Lupoi et al 2012, Miniati et al 2014) and discrete event simulation (DES; Gul and Guneri 2015).…”

Section: Introductionmentioning

confidence: 99%

“…So far, very few studies have considered this functional dependency in a probabilistic framework (Kuo et al 2008). In most investigations, this dependency is studied deterministically using binary states; i.e., if the hospital building collapses or a nonstructural element of the room collapses, then the functionality of the room is set to "out of use" (Barrera et al 2017). Deterministic binary dependency assumptions can be reasonably set for ORs; however, past event surveys showed that this assumption is too restrictive for assessing the true functionality of other rooms used by physicians for examination purposes.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Seismic Risk Assessment of an Emergency Department of a Chilean Hospital Using a Patient-Oriented Performance Model

et al. 2019

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After an earthquake, hospital emergency departments need to provide continuous health care services to respond to the eventual sudden increase in injured people. The service performance of an emergency department is influenced by internal factors, such as physical damage and staff availability, and external factors, such as an increased patient arrival rate and disruptions in its supply chain. This research presents a quantification methodology for the performance of the emergency department. The novelty of the proposed approach lies in the explicit integration of the inelastic structural and nonstructural response of the building and damage with its loss of functionality, downtime, and emergency patient treatment rate. A discrete event simulation model is used to model the flow of patients within the different units of the emergency department. The seismic risk is expressed as return periods of exceeding different levels of patient waiting times. Results show that 1,000 and 30,000 accumulated waiting hours correspond to return periods of 100 and 1,000 years, respectively. It is concluded that this model may contribute to improving the risk management of critical emergency department infrastructure.

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Assessment of the loss of functionality of individual rooms in critical facilities after earthquakes

Cited by 6 publications

References 9 publications

Resilience assessment methods for hospitals subjected to earthquakes: State of the art

Resilience assessment methods for hospitals subjected to earthquakes: State of the art

Seismic damage and functional loss of ceiling systems: Observation in shaking table test of hospital specimen

Seismic Risk Assessment of an Emergency Department of a Chilean Hospital Using a Patient-Oriented Performance Model

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