Hospital disaster risk management improving strategies: A systematic review study

Authors

DOI:

https://doi.org/10.5055/ajdm.2022.0421

Keywords:

disaster, hospital, risk management, risk reduction

Abstract

Objective: Hospitals are the basic infrastructure for disaster response. While they themselves are exposed to disasters, they also play an important role during the disaster response period. Therefore, they are expected to be able to maintain their performance during and immediately after disasters. The aim of this study is to discover strategies to improve the hospital disaster risk management.

Design: This study is a systematic qualitative study with thematic analysis. Data sources including Persian and international databases were searched using the “Hospital, Disaster, Risk management, Risk reduction, Improvement, and Strategy” keywords and their combinations of them. The search time period ranged from January 2010 to January 2020. Data were extracted by two independent arbitrators for qualitative thematic analysis.

Results: In total, 889 articles and documents were retrieved. Of which, 166 articles were deleted due to duplication, 436 articles did not meet the objectives of the research, and 263 articles did not meet the eligibility criteria and were deleted. Finally, 24 articles were included in the study. After thematic analysis, 33 subthemes were obtained and classified into five themes of organizational-managerial strategies, preventive and risk reduction strategies, preparedness strategies, response strategies, and recovery strategies. Not all articles discuss all categories.

Conclusion: Applying strategies to improve the hospital disaster risk management resulting from this study can be useful in improving the preparedness of hospitals in the face of disasters.

Author Biographies

Somayeh Azarmi, PhD

Health in Emergencies and Disasters Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran

Simintaj Sharififar, PhD

Assistant Professor, Health in Emergencies and Disasters Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran

Amir Hosein Pishgooie, PhD

Nursing, Associate Professor, Department of Critical Care Nursing, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran

Hamid Reza Khankeh, PhD

Professor, Health in Emergencies and Disasters Research Center, University of Social Welfar and Rehabilitation Sciences, Tehran, Iran

Seyyed Ziya Hejrypour

Assistant Professor, Department of Emergency Medicine, School of Medicine Beasat Hospital, AJA University of Medical Sciences, Tehran, Iran

References

Munasinghe NL, Matsui K: Examining disaster preparedness at Matara district general hospital in Sri Lanka. Int J Disaster Risk Reduct. 2019; 40: 101154.

Arab MA, Khankeh HR, Mosadeghrad AM, et al.: Developing a hospital disaster risk management evaluation model. Risk Manag Healthc Policy. 2019; 12: 287-296.

Centre for Research on the Epidemiology of Disasters (CRED) CfRotED: Natural Disaster 2019. CRED, 2020.

Giri S, Risnes K, Uleberg O, et al.: Impact of 2015 earthquakes on a local hospital in Nepal: A prospective hospital-based study. PLoS One. 2018; 13: E0192076.

Bambarén C, Uyen A, Rodriguez M: Estimation of the demand for hospital care after a possible high-magnitude earthquake in the city of Lima, Peru. Prehosp Disaster Med. 2017; 32: 106-111.

Mirzaee F, Kakaei H, Farasati F, et al.: Investigation on the Safety Status and Preparedness of Ilam’s Hospitals against Disasters in 2012. Sjimu. 2015; 22(7): 14-23.

Ardalan A, Kandi Keleh M, Saberinia A, et al.: 2015 estimation of hospitals safety from disasters in IR Iran: The results from the assessment of 421 hospitals. PLoS One. 2016; 11: E0161542.

Asefzadeh S, Rajaee R, Ghamari F, et al.: Preparedness of Iranian hospitals against disasters. Biotech Health Sci. 2016; 3: 1-6.

Hendrickx C, D’Hoker S, Michiels G, et al.: Principles of hospital disaster management: An integrated and multidisciplinary approach. B-ENT. 2016; 12: 139-148.

Ardalan A, Sabzghabaei A, Najafi A, et al.: Disaster Risk Assessment in Hospital. Tehran: Movafagh Publications, 2011: 1390, 8.

Pouraghaei M, Jannati A, Moharamzadeh P, et al.: Challenges of hospital response to the twin earthquakes of August 21, 2012, in east Azerbaijan, Iran. Disaster Med Public Health Prep. 2017; 11: 422-430.

Paganini M, Borrelli F, Cattani J, et al.: Assessment of disaster preparedness among emergency departments in Italian hospitals: A cautious warning for disaster risk reduction and management capacity. Scand J Trauma Resusc Emerg Med. 2016; 24: 101.

Seyedin H, Abasi Dolat Abadi Z, Sorani M: Vulnerability assessment of general hospitals of Tehran university of medical sciences. J Health Promotion Manag. 2014; 3: 65-71.

Baas S, Ramamasy S, Dey de Pryck J, et al.: Disaster Risk Management Systems Analysis: A Guide Book. Environment and Natural Resources Management Series. Rome: FAO, 2008.

Ciottone GR, Biddinger PD, Darling RG, et al.: Ciottone’s Disaster Medicine. Amsterdam: Elsevier Health Sciences, 2015.

Schipper L, Pelling M: Disaster risk, climate change and international development: Scope for, and challenges to integration. Disasters. 2006; 30: 19-38.

Zarezade M, Abolhasani MS, Eslami S, et al.: Evaluation of risk management from the perspective of hospital nurses in Shahid Rahnemon hospital. Occup Med Quar J. 2013; 5: 88-94.

Khankeh H, Mosadeghrad AM, Arab AM: Developing accreditation standards for disaster risk management: An approach for hospital preparedness improvement–editorial. J Mil Med. 2019; 20: 574-576.

Azarmi S, Pishgooie AH, Sharififar S, et al.: Challenges of hospital disaster risk management: A systematic review study. Disaster Med Public Health Prep. 2021: 1-8.

Olu O, Usman A, Manga L, et al.: Strengthening health disaster risk management in Africa: Multi-sectoral and people-centred approaches are required in the post-Hyogo framework of action era. BMC Public Health. 2016; 16: 691.

Yarmohammadian MH, Atighechian G, Shams L, et al.: Are hospitals ready to response to disasters? Challenges, opportunities and strategies of hospital emergency incident command system (HEICS). J Res Med Sci. 2011; 16: 1070.

Aghaei N, Seyedin H, Sanaeinasab H: Strategies for disaster risk reduction education: A systematic review. J Educ Health Promot. 2018; 7: 98.

Faghisolouk F, Jazani RK, Sohrabizadeh S: Hospital disaster risk management: The case of Urmia hospitals. Asian J Pharmaceut Clin Res. 2018; 11(3): 447-450.

Geroy LSA, Pesigan AM: Disaster risk reduction for health facilities in the Western pacific region. Int J Disaster Resilience Built Environ. 2011; 2: 268-277.

Krishnan S, Patnaik I: Health and disaster risk management in India. In Public Health Disasters. Berlin: Springer, 2020: 155-184.

Naser WN, Ingrassia PL, Aladhrae S, et al.: A study of hospital disaster preparedness in South Yemen. Prehosp Disaster Med. 2018; 33: 133-138.

Yarmohammadian MH, Atighechian G, Haghshenas A, et al.: Establishment of hospital emergency incident command system (HEICS) in Iranian hospitals: A necessity for better response to disasters. Iran Red Cres Med J. 2013; 15(12): e3371.

Maves RC, Jamros CM, Smith AG: Intensive care unit preparedness during pandemics and other biological threats. Crit Care Clin. 2019; 35: 609-618.

Tabibi SJ, Parsamoein S, Khankeh H, et al.: Validation of factors affecting disasters risk management in Iranian hospitals. Trauma Monthly. 2019; 24(5): 1-6.

Loosemore M, Chow V, McGeorge D: Managing the health risks of extreme weather events by managing hospital infrastructure. Eng Constr Architect Manag. 2014; 21: 4-32.

Montejano-Castillo M, Moreno-Villanueva M: Hospitals safe from disasters: A glimpse into the Mexican coastal zones. Int J Safe. 2018; 8: 329-341.

Aghapour AH, Yazdani M, Jolai F, et al.: Capacity planning and reconfiguration for disaster-resilient health infrastructure. J Build Eng. 2019; 26: 100853.

Abbasabadi M, Khankeh H, Mosadeghrad AM: Designing of disaster risk management accreditation standards in Iranians hospitals. Int J Quality Health Care. 2018; 30: 45-46.

Morán-Rodríguez S, Novelo-Casanova DA: A methodology to estimate seismic vulnerability of health facilities. Case study: Mexico city, Mexico. Nat Hazards. 2018; 90: 1349-1375.

Rajabi S, Khankeh HR, Delshad V, et al.: Effects of comprehensive risk management program on the preparedness of Rofeide rehabilitation hospital in disasters and incidents. HDQ. 2017; 2: 179-186.

Lakbala P: Hospital workers disaster management and hospital nonstructural: A study in Bandar Abbas, Iran. Global J Health Sci. 2015; 8: 221-226.

Paterson J, Berr P, Ebi K, et al.: Health care facilities resilient to climate change impacts. Int J Environ Res Public Health. 2014; 11: 13097-13116.

Sammy IA, Paul JF, Watson H, et al.: Quality assurance in emergency medicine: A Caribbean perspective. Clin Governance. 2013; 18: 293-299.

Shi M, Xu W, Gao L, et al.: Emergency volunteering willingness and participation: A cross-sectional survey of residents in Northern China. BMJ Open. 2018; 8: E020218.

Avery GH, Zabriskie-Timmerman J: The impact of federal bioterrorism funding programs on local health department preparedness activities. Eval Health Prof. 2009; 32: 95-127.

Ardalan A, Najafi A, Sabzghabaie A, et al.: A pilot study: Development of a local model to hospital disaster risk assessment. Hospital J. 2011; 9(3 and 4): 7-14.

Reilly M, Markenson DS: Education and training of hospital workers: Who are essential personnel during a disaster? Prehosp Disaster Med. 2009; 24: 239-245.

Mortelmans LJM, Van Boxstael S, De Cauwer HG, et al.: Preparedness of Belgian civil hospitals for chemical, biological, radiation, and nuclear incidents: Are we there yet? Eur J Emerg Med. 2014; 21: 296-300.

Labaf A, Jalili M, Jaafari Pooyan E: Management of COVID-19 crisis in Tehran University of Medical Sciences hospitals: Challenges and strategies. J School Public Health Inst Public Health Res. 2021; 18(4): 355-372.

Fillmore EP, Ramirez M, Roth L, et al.: After the waters receded: A qualitative study of university official’s disaster experiences during the great Iowa flood of 2008. J Community Health. 2011; 36(2): 307-315.

Molefe J, Sehularo LA: Nurses’ perceptions on factors contributing to job dissatisfaction in a public psychiatric hospital in North West province, South Africa. Afr J Phys Health Educ Recreat Dance. 2015; 21(2): 472-482.

Caruso CC: Negative impacts of shiftwork and long work hours. Rehabil Nurs. 2014; 39(1): 16-25.

Fathi Ashtiani A, Rahnejat AM, Ahmadi Tahour Soltani M, et al.: Psychological consequences and interventions during the COVID-19 pandemic: Narrative review. J Mar Med. 2020; 2(1): 1-11.

Moayed MS, Mahmoudi H, Ebadi A, et al.: Stress and fear of exposure to sharps in nurses. Iran J Psychiatry Behav Sci. 2016; 10(3): e3813.

Jebelli B, Varahram M, Soltanifard Razlighi M, et al.: Management strategies to control the COVID-19 crisis in Masih Daneshvari hospital, Tehran, Iran. J Mil Med. 2020; 22(6): 616-622.

Published

03/01/2022

How to Cite

Azarmi, PhD, S., S. Sharififar, PhD, A. H. Pishgooie, PhD, H. R. Khankeh, PhD, and S. Z. Hejrypour. “Hospital Disaster Risk Management Improving Strategies: A Systematic Review Study”. American Journal of Disaster Medicine, vol. 17, no. 1, Mar. 2022, pp. 75-89, doi:10.5055/ajdm.2022.0421.

Issue

Section

Articles