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Additionalfile1:Frameworkofevaluatinghospitaldisasterresilience

Framework of evaluating hospital resilience after Modified-Delphi consensus [1-11]


Domains
Hospitalsafety[911]

Subdomains

Measurableindicators

1.Surveillance[19]

1.1Thesurveillanceevents(e.g.,abnormityinadmissiondiagnosis,
surveillanceofemergencyroompatientsanddeathwithunknown
causes)
1.2Analysis,reportandshareofsurveillanceinformation
2.1Evaluationofhospitalrisksandvulnerabilities(e.g.,Hospital
vulnerabilityassessment,risksassessment,thestrategytoevacuate
andprotectexistingpatients)
2.2Thesafetystandardforhospitalcriticalinfrastructurestomeet
ofhighrisks(e.g.,forearthquake,flood,fireandisolationfor
infectiousdiseases)
2.3Thealternativeemergencyenergyandfacilitiesforbackup(e.g.,
power,water,oxygenandtelecommunication)
3.1Committeestaff,workplace

2.Hospital
infrastructuralsafety
andvulnerability[911]

Disasterleadership
andcooperation[19]

Disasterplans[19]

3.Leadership[19]
4.Disaster
cooperation[19]

5.Plansystem[19]

6.Operating
procedurestoexecute
theplan[1]

Disasterstockpiles
andlogistics
management[19]

7.Disasterresources[1
9]

8.Emergency
medication[1,3,7,9]

Emergencystaff[1,5,6,
9]

9.Constitutionof
emergencygroup[1,9]

10.Staffmanagement
[9]

Emergencytrainings
anddrills[14,6]

11.Emergency
trainings[14]

12.Emergencydrill[1,2,
4,6]

Emergencycritical
carecapacity[1,4,6,9]

13.Disastersurge
capacity[1,4,9]

4.1Thecrisiscooperationwithinhospital
4.2Thecooperationwithcommunityfacilities(e.g.,otherhospital
facilities,governmentoffices,media,andpolice,firedepartment,
andotherpublicutilities)
5.1Plansfordifferentkindsofdisasters(fordifferentsinglerisk)
5.2Thestaffcoverageofdisasterplanswithinhospital
5.3Theperiodofevaluatingandrevisingtheplan
6.1Theplaninitiation(e.g.,Therapidityforstaff,equipmentcanbe
inplacewheninitiatingtheplan)
6.2Theextenttheplancanbeexecute
6.3Differentresponsiveproceduresfordifferentdisasterlevelsand
phases
7.1Thestockquantityandtypesfordifferentemergencyresources
(e.g.,cleanwater,food,blood,emergencymedicalsuppliers,
portablemedicalequipment)
7.2Thestrategiesformanagementofemergencyresources(e.g.
logisticsanddistribution,contractswithsuppliersandother
hospitals,adjustedstandardsfortheirusage)
8.1Thestockquantityandtypesforessentialmedicationsfor
variousdisasters
8.2Thestrategiesformanagementofmedications(e.g.,drug
distributionplans,drugmanagementpolicy)
9.1Staffconstitutionofemergencyexpertgroup(e.g.,quantity,
specialty,andtitle)
9.2Staffconstitutionofemergencyexpatriateteam(e.g.,quantity,
specialty,andtitle)
10.1Staffprotectionandincentives(e.g.,insurance,immunization,
psychosocialsupport)
11.1Differentincidenttypesfortrainings
11.2Thepercentageofstafffortraining
11.3Thecontentsoftrainings(e.g.,triage,emergencymedical
treatmentdisastermanagementknowledge)
11.4Thefrequencyoftrainings
12.1Differentincidenttypesfordrills
12.2Themethodsforimplementingdrills(e.g.,desktopdrill,
communitywidedrill)
12.3Thefrequencyofdrills
13.1Surgecapacityofemergencyspace(Thesurgerapidity,
proportionandstrategiesforemergencyspace,emergencybeds)
13.2Surgecapacityofemergencyresources(Thesurgerapidity,
proportionandstrategiesforemergencyequipment,medication

14.Disasterresponse
procedures[6,9]

15.Onsiterescue[1,6]

16.Hospitaltreatment
[1]

Recoverymechanism
[9]

17.Recoveryand
report[9]

andresource)
13.3Surgecapacityofemergencystaff(Thesurgerapidity,
proportionandstrategiesforemergencystaff)
14.1Hospitalinternalrapidassessment(e.g.,evaluatethelossof
manpower,beds,equipmentafterdisasters)
14.2Hospitalmasscasualtytriageprotocol
14.3Theprocedurestoidentify,prioritize,andmaintainessential
functions(e.g.,cancellationofelectiveadmissions,earlydischargeof
patients,makingnewmedicalqualitystandardduringdisasters,
extraprotectionforvulnerablepopulation)
15.1Thequantityandtypesofequipmentforonsiterescue
15.2Equipmentforreferralandcounterreferralofspecialpatients
15.3Communicationequipmentforonsiterescue
16.1Emergencymedicaltreatmentplaceandconditions
16.2Thetypesandquantityofhospitalemergencymedical
treatmentequipment
16.3Equipmentfordifferenttypesofdiseases
17.1Hospitalreconstructionandrecoverymechanism
17.2Thestrategiesforcommunityrecovery
17.3Theevaluationreport

References:
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LiX,HuangJ,ZhangH.Ananalysisofhospitalpreparednesscapacityforpublichealth
emergencyinfourregionsofChina:Beijing,Shandong,Guangxi,andHainan.BMCPublic
Health.2008;8(1):319.
BraunBI,WinemanNV,FinnNL,etal.Integratinghospitalsintocommunityemergency
preparednessplanning.AnnInternMed.2006;144(11):799811.
BraunBI,DarcyL,DiviC,etal.Hospitalbioterrorismpreparednesslinkageswiththe
community:improvementsovertime.AmJInfectControl.2004;32(6):317326.
KajiAH,LewisRJ.HospitaldisasterpreparednessinLosAngelescounty.AcadEmergMed.
2006;13(11):11981203.
KollekD,CwinnAA.Hospitalemergencyreadinessoverviewstudy.PrehospDisasterMed.
2011;1(1):17.
NiskaRW,ShimizuIM.HospitalPreparednessforEmergencyResponse:UnitedStates,2008.
NatlHealthStatReport;2011:114.
HigginsW,WainrightC,LuN,etal.Assessinghospitalpreparednessusinganinstrument
basedontheMassCasualtyDisasterPlanChecklist:resultsofastatewidesurvey.AmJInfect
Control.2004;32(6):327332.
ThomeCD,LevitinH,OliverM,etal.Apilotassessmentofhospitalpreparednessfor
bioterrorismevents.Hospital.2006;200(299):300.
WorldHealthOrganization.HospitalemergencyresponsechecklistAnallhazardstoolfor
hospitaladministratorsandemergencymanagemers.TheRegionalOfficeforEuropeofthe
WHO;2011.
PanAmericanHealthOrganization,WHO.Hospitalsafetyindex:evaluationformsforsafe
hospitals.WashingtonDC:PAHO;2008.
WorldHealthOrganization.Safehospitalsinemergenciesanddisasters.WorldHealth
Organization(WHO)RegionalOfficefortheWesternPacific;2010.