Hospital Surge Capacity Preparedness in Disasters and Emergencies: Protocol for a Systematic Review

Hasan, Khalid; Nasrullah, Sarker Mohammad; Quattrocchi, Annalisa; González, Pedro Ignacio Arcos; Delgado, Rafael Castro

doi:10.3390/ijerph192013437

Cited by 14 publications

(12 citation statements)

References 25 publications

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“…2). In the hospital disaster planning literature, a publication form Munasinghe et al which analyzed 53 publications, less than 10% and in a systematic review by Hasan et al only two of thirteen articles were dealing exclusively with these three hazards (34,35).…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review by Hasan et al had similar findings, screening over 2500 publications led to 13 peer reviewed articles focusing on hospital surge capacity preparedness. Overall missing stuff and staff, the lack of standardized assessment tools and system related barriers were identified as the limiting factors to preparedness for surge capacity (35).…”

Section: Discussionmentioning

confidence: 99%

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Perennial Disaster Patterns in Central Europe since 2000: Implications for Hospital Preparedness Planning – A cross sectional Analysis

von der Forst,

Dietrich,

Schmitt

et al. 2024

Preprint

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IntroductionHospitals are vital components of a country’s critical infrastructure, essential for maintaining resilient public services. Emergency planning for hospitals is crucial to ensure their functionality under special circumstances. The impact of climate change and seasonal variations in the utilization of hospital services further complicate emergency planning. Therefore, the knowledge of perennial disaster patterns could help strengthening the resilience of health care facilities.MethodsWe conducted a cross-sectional analysis of the Emergency Events Database EM-DAT for disasters in Central Europe between January 2000 and December 2023 (defined as Germany and bordering countries). Primary endpoint was the average month of occurrence of disasters across the overall study period.ResultsOut of 474 events, 83% were associated with a natural cause and only 80 events (=17%) were technological. More than 50 % of the technological disasters were categorized in the transport accident subgroup. Technological disasters were spread equally over the whole year. The vast majority of natural disasters (N=394) were due to storm (n=178, 45%), flood (n=101, 26%) and extreme temperatures (n=93, 24%) with peaks occurring during summer and winter months, while less disasters were registered during autumn and especially spring seasons.DiscussionLooking at the three most common disaster types, extreme temperatures, floods, and storms are clearly dominating and cause over 90% of the natural disasters in central Europe. An overlap of hospital admissions due to seasonal effects and catastrophic events, mainly triggered by natural disasters in the vulnerable periods may lead to a partial collapse of the health care system. To deal with such a variety of different and potentially simultaneous hazards using an “all hazards” approach could be promising and often has been seen as the most effective strategy for hospital emergency planning.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perennial Disaster Patterns in Central Europe since 2000: Implications for Hospital Preparedness Planning – A cross sectional Analysis

von der Forst,

Dietrich,

Schmitt

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…For optimal performance, a disaster plan should be clear, practical, well articulated, and leave no doubt as to the roles of each person. Further, it is essential to educate the population and alert stakeholders about the need for active involvement and collaboration [5]. Numerous obstacles can exist in the organization of disaster plans.…”

Section: Disaster Plansmentioning

confidence: 99%

Disaster management – preparation and planning for acute care facilities

Gandra d’Almeida,

Coopersmith

2024

Current Opinion in Critical Care

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Purpose of review Both human-derived and naturally-occurring disasters stress the surge capacity of health systems and acute care facilities. In this article, we review recent literature related to having a disaster plan, facility planning principles, institutional and team preparedness, the concept of surge capacity, simulation exercises and advantages and disadvantages of each. Recent findings Evidence suggests that every institution should have a disaster plan and a dedicated team responsible for updating this plan. The disaster plan must be people-oriented and incorporate different perspectives and opinions so that all stakeholders feel included and can contribute to a joint response. Simulation exercises are fundamental for preparation so that the team functions seamlessly in uncommon times when disaster management transitions from a theoretical plan to one that is executed in real time. Notably, however, there are significantly different realities related to disaster management between countries and even within the same country or region. Unfortunately, key stakeholders such as hospital administration, board of directors and investors often do not believe they have any responsibility related to disaster management planning or response. Additionally, while a disaster plan often exists within an institution, it is frequently not well known or understood by many stakeholders. Communication, simple plans and well defined roles are some of the most important characteristics of a successful response. In extreme circumstances, adapting civilian facilities to manage high-volume warfare-related injuries may be adopted, but the consequences of this approach for routine healthcare within a system can be devastating. Summary Disaster management requires careful planning with input from multiple stakeholders and a plan that is frequently updated with repeated preparation to ensure the team is ready when a disaster occurs. Close communication as well as clearly defined roles are critical to success when transitioning from preparation to activation and execution of a disaster response.

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“…Preparing hospitals for biohazards is one of the most important organizational disaster plans [32]. In disasters and emergencies, a hospital's surge capacity plays a significant role in reducing mortalities and increasing the treatment rate of severe injuries [33]. Surge capacity is a basic element of disaster preparedness programs [34].…”

Section: Indicators For Healthcare Service Designmentioning

confidence: 99%

The Environmental Sustainability Assessment of an Orthopedics Emergency Hospital Supported by a New Innovative Framework

Moldovan,

Bataga

2023

Sustainability

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Due to their high consumption of resources and enormous amount of generated waste, healthcare systems are not considered to be sustainable. Given the constant changes in internal needs, improvement of this state cannot be achieved only through policies, strategies, and interventions administered from the outside. Thus, it is necessary to design tools that, through their constant application, facilitate the sustainable development of health institutions. The objective of this research is to develop and validate in practice an innovative framework for assessing the sustainability of healthcare facilities that is compatible with hospital accreditation legislation and other community frameworks. The research is limited to the study of environmental sustainability and its results are validated in a healthcare facility with an orthopedic profile. The research method consists of defining the domains of the new innovative framework, collecting the latest medical practices related to environmental sustainability, designing indicators related to environmental responsibility and a matrix of indicators, followed by its validation in practice at an emergency hospital. The new innovative framework is organized in three areas, including environmental, economic, and social sustainability, to which is added organizational capacity along with management and provision of sustainable healthcare services. It contains 57 indicators, of which 8 are dedicated to the environmental area. The indicators are described in detail together with evaluation grids structured by the coupled degrees of importance and achievement. The practical implementation of the innovative framework at the County Emergency Clinical Hospital of Targu Mures highlights its added value by promoting sustainability strategies together with continuous quantification of the organization’s sustainability level.

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Hospital Surge Capacity Preparedness in Disasters and Emergencies: Protocol for a Systematic Review

Cited by 14 publications

References 25 publications

Perennial Disaster Patterns in Central Europe since 2000: Implications for Hospital Preparedness Planning – A cross sectional Analysis

Perennial Disaster Patterns in Central Europe since 2000: Implications for Hospital Preparedness Planning – A cross sectional Analysis

Disaster management – preparation and planning for acute care facilities

The Environmental Sustainability Assessment of an Orthopedics Emergency Hospital Supported by a New Innovative Framework

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