Planning and assessment approaches towards disaster resilient hospitals: A systematic literature review

Ali, Heba Mohtady; Desha, Cheryl; Ranse, Jamie; Roiko, Anne

doi:10.1016/j.ijdrr.2021.102319

Cited by 24 publications

(28 citation statements)

References 68 publications

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“…These include the safeguarding of critical services and planning for regional loss of healthcare capacity. The findings are in line with previous studies that identified planning for continuity to be crucial in hospital disaster resilience [33].…”

Section: Discussionsupporting

confidence: 92%

Addressing a climate emergency amidst the COVID-19 pandemic: A mixed-methods study on a hospital evacuation during the 2021 European floods

Wal

Barten

Ketelings

et al. 2023

Preprint

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Introduction: In July 2021, several European countries were affected by severe floods with water levels of the river Meuse reaching a record high. VieCuri Medical Center (Venlo, the Netherlands) is a hospital located directly adjacent to this river, and in response to the flood threat it was decided to completely evacuate the hospital. The aim of this study was to explore the decision-making process of this emergent evacuation. Methods: A mixed-method approach was used. Qualitative data were collected through semi-structured interviews with 11 key participants closely involved in the evacuation. Quantitative data on the patients that were admitted at the time of the evacuation decision were collected, and included 30-day mortality, 7-day readmission rates and Charlson Comorbidity Index. Results: Three themes were constructed from the interviews: risk-assessment, COVID-19 experience and collaboration. Participants highlighted the role of previous experiences from the COVID-19 pandemic. The use of a national patient coordination center enabled to rapidly assess capacity of potential destination hospitals. Furthermore, the hospital preparedness for evacuation could be improved by a thorough analysis of locoregional hazards and preparing for loss of regional healthcare capacity. Findings unrelated to decision-making included the inefficiency of large-scale ambulance dispatches and the expansion of business continuity plans. No patients died unanticipated during this hospital evacuation or within 30 days. Conclusion: Experiences of the COVID-19 pandemic and the availability of a national patient coordination center were found to be decisive in performing this evacuation. This allowed for the swift identification of available capacity in appropriate destination hospitals.

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Section: Discussionsupporting

confidence: 92%

Addressing a climate emergency amidst the COVID-19 pandemic: A mixed-methods study on a hospital evacuation during the 2021 European floods

Wal

Barten

Ketelings

et al. 2023

Preprint

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“…Accordingly, joint planning-adaptation efforts are required to properly manage interconnectivity among different infrastructures [ 37 ]. The same observation has been raised with respect to developing, disseminating, communicating and implementing disaster plans [ 38 ]. Even more recently, the Covid-19 pandemic scenario created opportunities for the same needs.…”

Section: Literature Reviewmentioning

confidence: 72%

Resilience in emergency management: Learning from COVID-19 in oil and gas platforms

Cantelmi

Steen

Gravio

et al. 2022

International Journal of Disaster Risk Reduction

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“…It is also crucial to differentiate financial resilience between private and public sector hospitals and their implications on the rapidity of their response and recovery. In many contexts, particularly following natural disasters, investments must be made to rebuild hospitals stronger , ensuring their hard resilience to enable their soft resilience ( 2 , 17 , 37 , 39 , 49 ). Further to this, one of the most critical elements of recovery was related to rapidity; building back faster with the needed financial and material resources to resume operations ( 10 ).…”

Section: Discussionmentioning

confidence: 99%

“…Literature across both hospital and health systems resilience offers divergent and inconsistent definitions and frameworks for conceptualization with limited evidence on its operationalization and evaluation through the stages of PPRR ( 2 ). Moreso, evidence on health systems and hospital resilience focuses on the preparedness and response stages, with limited evidence on recovery ( 2 , 16 , 17 ). While the role of hospitals in recovering from emergencies is generally assumed, it remains under-documented ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Role of hospitals in recovery from COVID-19: Reflections from hospital managers and frontliners in the Eastern Mediterranean Region on strengthening hospital resilience

Ravaghi

Khalil²,

Al-Badri³

et al. 2023

Front. Public Health

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BackgroundCOVID-19 highlighted the critical role that hospitals play throughout the prolonged response and continuous recovery stages of the pandemic. Yet, there is limited evidence related to hospitals in the recovery stage, particularly capturing the perspectives of hospital managers and frontliners in resource-restrained and humanitarian settings.ObjectiveThis paper aims to capture the perspectives of hospital managers and frontliners across the Eastern Mediterranean Region on (1) the role of hospitals in recovering from COVID-19, (2) Hospitals' expectations from public health institutions to enable recovery from COVID-19, (3) the Evaluation of hospital resilience before and through COVID-19, and (4) lessons to strengthen hospital resilience throughout the COVID-19 recovery.MethodsA multi-methods approach, triangulating a scoping review with qualitative findings from 64 semi-structured key-informant interviews and survey responses (n = 252), was used to gain a deeper context-specific understanding. Purposeful sampling with maximum diversity supported by snowballing was used and continued until reaching data saturation. Thematic analysis was conducted using MAXQDA and simple descriptive analysis using Microsoft Excel.FindingsIn recovering from COVID-19, hospital managers noted hospitals' role in health education, risk reduction, and services continuity and expected human resource management, financial and material resource mobilization, better leadership and coordination, and technical support through the provision of updated clinical evidence-based information from their public health institutions. Qualitative findings also indicated that hospital managers attributed considerable changes in hospitals' resilience capacities to the pandemic and suggested that strengthening hospitals' resilience required resilient staff, sustainable finance, and adaptive leadership and management.ConclusionHospitals are the backbone of health systems and a main point of contact for communities during emergencies; strengthening their resilience throughout the various stages of recovery is critical. Hospitals cannot be resilient in silos but rather require an integrated-whole-of-society-approach, inclusive of communities and other health systems actors.

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Planning and assessment approaches towards disaster resilient hospitals: A systematic literature review

Cited by 24 publications

References 68 publications

Addressing a climate emergency amidst the COVID-19 pandemic: A mixed-methods study on a hospital evacuation during the 2021 European floods

Addressing a climate emergency amidst the COVID-19 pandemic: A mixed-methods study on a hospital evacuation during the 2021 European floods

Resilience in emergency management: Learning from COVID-19 in oil and gas platforms

Role of hospitals in recovery from COVID-19: Reflections from hospital managers and frontliners in the Eastern Mediterranean Region on strengthening hospital resilience

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