Hospital management preparedness tools in biological events: A scoping review

Objective: to evaluate hospital and Emergency Department (ED) preparedness in France facing the Coronavirus disease 2019 (Covid-19) rapid growth epidemic-phase, and to determine the link between preparedness and responsiveness. Methods: In this cross sectional study, from March 7 to March 11, 2020, all ED head of department of France were contacted to answer an electronic survey including 23 questions. Quality, Organization, Training, Resources, Management, Interoperability and Responsiveness were evaluated by calculating scores (10 points). MANOVA was used to compare scores. Spearman’s correlation coefficient and multifaceted regression analysis were performed between Responsiveness and dimensions scores. Results: 287 of 636 French EDs were included (45.1%). Calculated scores showed (median): Quality 5.38; Organization 6.4; Training 4.6; Resources 4.13; Management 2.38; Interoperability 4.0; Responsiveness 6.25; seasonal influenza score was 5. Significant differences between scores as a function of hospital and ED main characteristics were found. Furthermore, we found significant correlations (p<0.01) between Responsiveness and all preparedness dimensions. Organization (adjusted-R2 0.2897), Management (aR2 0.321) and Interoperability (aR2 0.422) were significantly associated with Responsiveness. Conclusion: preparedness in all its dimensions is low, indicating vulnerability. Preparedness and responsiveness face a certain and ongoing risk are close linked, and that Organizational, Management and Interoperability dimensions are main determinants.

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Hospital Preparedness Challenges in Biological Disasters: A Qualitative Study

Aminizadeh

Farrokhi

Ebadi

et al. 2020

Disaster med. public health prep.

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Objective: Identification of hospital preparedness challenges against biological events such as COVID-19 is essential to improve dynamics, quality and business continuity confidence in the health system. Accordingly, the purpose of the present study is to evaluate the challenges of hospital preparedness in biological events. Methods: This study employed a qualitative method using content analysis in which 20 healthcare managers and experts who are experienced in biological events were selected through purposeful sampling. The data collection was done through semi-structured interviews, which continued until data saturation. The data were analyzed using qualitative content analysis as well as the Landman and Graneheim Approach. Results: Six main concepts (training and practice, resource management, safety and health, patient management, risk communication, and laboratory and surveillance) and 14 sub-concepts were extracted on hospital preparedness challenges in biological events through analyzing interviews. Conclusions: The present study indicated that the health system of the country faces many challenges in response to biological events and threats. Moreover, study participants indicated that Iranian hospitals were not prepared for biological events. It is recommended to design preparedness plans of hospitals based on preparedness standards for biological events. In addition, comprehensive measures are required to enhance their capacity to respond to biological emergencies.

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Hospital management preparedness tools in biological events: A scoping review

Cited by 26 publications

References 51 publications

Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries

Hospitals’ responsibility in response to the threat of infectious disease outbreak in the context of the coronavirus disease 2019 (COVID-19) pandemic: Implications for low- and middle-income countries

COVID-19 Preparedness Among Emergency Departments: A Cross-Sectional Study in France

Hospital Preparedness Challenges in Biological Disasters: A Qualitative Study

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