Effective plans for hospital system response to earthquake emergencies

Ceferino, Luis; Mitrani-Reiser, Judith; Kiremidjian, Anne S.; Deierlein, Gregory G.; Bambarén, Celso

doi:10.1038/s41467-020-18072-w

Cited by 85 publications

(44 citation statements)

References 50 publications

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“…The intra-event residuals are simulated with the procedure proposed by Markhvida et al (2018). Markhvida et al (2018)'s procedure is not necessarily appropriate for all areas of the world, but it has been applied in different regions, such as China (You et al, 2021) and Chile (Ceferino et al, 2020). The magnitude, faulting characteristics (e.g., dip, rake angles), and source-tosite distance measures are evaluated on a rupture-by-rupture case.…”

Section: Hazard Curves and Mapsmentioning

confidence: 99%

Integrating Long and Short‐Term Time Dependencies in Simulation‐Based Seismic Hazard Assessments

Iacoletti

Cremen

Galasso

2022

Earth and Space Science

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Conventional probabilistic seismic hazard analysis (PSHA) only considers mainshock events and uses a time‐independent earthquake rupture forecast to describe the occurrence of mainshocks. This approach neglects the long‐term time‐dependency of mainshocks on specific fault segments, the interaction of adjacent faults, and the spatial and temporal clustering of aftershocks. This study integrates a recently proposed advanced fault‐based PSHA framework with an aftershock simulator based on the Epidemic‐Type Aftershock Sequence (ETAS) model, to overcome the aforementioned limitations. Central Italy is used as a case study to illustrate the proposed framework. The case‐study hazard curves show that including state‐of‐the‐art advances in fault‐based PSHA may increase the ground‐motion amplitudes for low return periods, and decrease the ground‐motion amplitudes for high return periods, relative to a conventional PSHA approach. The magnitude of ground‐motion estimate increases due to aftershock inclusion is dependent on the selected site and return period. Sensitivity analyses of the results demonstrate that: (a) close to modeled faults, high‐return‐period hazard estimates are more affected by fault‐related inputs than the aftershock inclusion; (b) close to modeled faults, the influence of aftershock inclusion is higher for low return periods than high ones; (c) away from modeled faults, aftershocks inclusion greatly affects the variance of the hazard results; and (d) fault interaction has a limited effect on the variance of the hazard estimates compared to other analysis inputs. This study could help with the future implementation of complex fault modeling approaches and aftershock hazard in seismic risk models.

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Section: Hazard Curves and Mapsmentioning

confidence: 99%

Integrating Long and Short‐Term Time Dependencies in Simulation‐Based Seismic Hazard Assessments

Iacoletti

Cremen

Galasso

2022

Earth and Space Science

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“…

Health systems are the main pillars of disaster management, and hospitals are at the core of health systems in the treatment of casualties (Ceferino et al, 2020). Disasters often affect various aspects of health systems and disrupt the provision of hospital care (Abolghasem Gorgi et al, 2017).

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confidence: 99%

Predictors of nurses’ reporting for work at the time of epidemics and natural disasters; solutions for hospital surge capacity

Ghavami

Saghi

Asghari

et al. 2021

J of Nursing Scholarship

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Purpose To identify the predictors of nurses’ presence at hospitals at the time of three types of disasters. Design This cross‐sectional study was performed using a researcher‐generated questionnaire. Methods This study was performed on 350 nurses of five public hospitals. Data was collected using a questionnaire in which the respondents were asked about their decisions on reporting for work in the event of three scenarios: epidemic of an unknown contagious respiratory disease, earthquake, and flood. Multiple logistic regression was used to analyze the data. Findings The four predictors of nurses reporting for work include receiving trainings on disasters, and concerns on the non‐compensation for providing services following the disaster, concerns about family safety and workplace safety. Conclusion Although slightly different factors affect the willingness of participants to report for work in each scenario, they can be put in two main categories; namely as personal and impersonal. Devising a family disaster plan and providing educational programs on self‐care are two main strategies to increase the chances of presence at work following disasters. Clinical relevance The presence of more nurses in the hospital at the time of disasters can significantly improve the quality of care, and clinical outcomes of patients and disaster victims.

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“…The implementation of these systems has led to the conversion of hospitals into specific COVID-19 structures, highlighting a good degree of resilience of healthcare facilities. The identification of these parameters and risk scenarios allows the creation of models that can facilitate the reconfiguration for disaster-resilient health infrastructure, also applicable to other types of health emergencies (i.e., earthquakes, floods, other infectious outbreaks) [55,56].…”

Section: The Management Of the Covid-19 Pandemic In Italy: Strengths ...mentioning

confidence: 99%

Public Health Regulations and Policies Dealing with Preparedness and Emergency Management: The Experience of the COVID-19 Pandemic in Italy

Aristei

D’Ambrosio

Villani

et al. 2022

IJERPH

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Worldwide, the management of health emergencies requires a high degree of preparedness and resilience on the part of governments and health systems. Indeed, disasters are becoming increasingly common, with significant health, social, and economic impacts. Living in a globalized world also means that emergencies that occur in one country often have an international, in some cases global, spread: the COVID-19 pandemic is a cogent example. The key elements in emergency management are central governance, coordination, investment of resources before the emergency occurs, and preparedness to deal with it at all levels. However, several factors might condition the response to the emergency, highlighting, as for Italy, strengths and weaknesses. In this context, policies and regulation of actions to be implemented at international and national level must be up-to-date, clear, transparent and, above all, feasible and implementable. Likewise, the allocation of resources to develop adequate preparedness plans is critical. Due to COVID-19 pandemic, the European Commission proposed the temporary recovery instrument NextGenerationEU, as well as a targeted reinforcement of the European Union’s long-term budget for the period 2021–2027. The pandemic highlighted that it is necessary to interrupt the continuous defunding of the health sector, allocating funds especially in prevention, training and information activities: indeed, a greater and more aware public attention on health risks and on the impacts of emergencies can help to promote virtuous changes, sharing contents and information that act as a guide for the population.

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Effective plans for hospital system response to earthquake emergencies

Cited by 85 publications

References 50 publications

Integrating Long and Short‐Term Time Dependencies in Simulation‐Based Seismic Hazard Assessments

Integrating Long and Short‐Term Time Dependencies in Simulation‐Based Seismic Hazard Assessments

Predictors of nurses’ reporting for work at the time of epidemics and natural disasters; solutions for hospital surge capacity

Public Health Regulations and Policies Dealing with Preparedness and Emergency Management: The Experience of the COVID-19 Pandemic in Italy

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