Developing a practical toolkit for evaluating hospital preparedness for surge capacity in disasters

Abstract Hospitals play a key role in providing health care services for a surge of disaster victims. For better planning in this area, it is necessary to have a toolkit for evaluating hospital preparedness for surge capacity. This study was aimed to design an elementary toolkit for evaluating hospital preparedness for surge capacity in disasters, based on the experts' viewpoints. This study consisted of four stages. In the first stage, in order to design an initial toolkit, an expert panel was held. The second stage was done to verify the initial toolkit. In the third stage, the components of the toolkit were weighed and in the fourth stage, at first the components of the toolkit were scored and then, a system for ranking the rate of hospital's preparedness for surge capacity was developed. In both the second and the third stage, Delphi method was used. In this study, a toolkit was developed which consisted of 64 components in five categories and 13 sub-categories. Among 64 components, 33 components were weighed as critical, 18 as core and 13 as advanced components. Also, it was determined that each component could earn a score between 0 and 5. Finally, a system with five levels was presented for ranking the rate of hospital's preparedness for surge capacity in disasters. The toolkit presented in this study can be used for evaluating hospital preparedness for surge capacity in disasters, as well as a guide for better planning and management in this regard.

[1]  F. Binka,et al.  Hospital all-risk emergency preparedness in Ghana. , 2012, Ghana Medical Journal.

[2]  H. Seyedin,et al.  Assessment of Hospital Management and Surge Capacity in Disasters , 2016, Trauma monthly.

[3]  F. Della Corte,et al.  Hospital Surge Capacity during Expo 2015 in Milano, Italy , 2018, Prehospital and Disaster Medicine.

[4]  Edbert B. Hsu,et al.  Creation of Surge Capacity by Early Discharge of Hospitalized Patients at Low Risk for Untoward Events , 2009, Disaster Medicine and Public Health Preparedness.

[5]  Peter W. Brewster,et al.  Major Influences on Hospital Emergency Management and Disaster Preparedness , 2009, Disaster Medicine and Public Health Preparedness.

[6]  Bonnie Arquilla,et al.  Assessing Hospital Preparedness: Comparison of an On-site Survey with a Self-reported, Internet-based, Long-distance Tabletop Drill , 2013, Prehospital and Disaster Medicine.

[7]  I. Kelman,et al.  Learning from the history of disaster vulnerability and resilience research and practice for climate change , 2016, Natural Hazards.

[8]  Lavonne M. Adams,et al.  Exploring the Concept of Surge Capacity , 2009, OJIN: The Online Journal of Issues in Nursing.

[9]  Jamil D. Bayram,et al.  Disaster Metrics: Quantitative Benchmarking of Hospital Surge Capacity in Trauma-Related Multiple Casualty Events , 2011, Disaster Medicine and Public Health Preparedness.

[10]  P. Satterthwaite,et al.  Using ‘reverse triage’ to create hospital surge capacity: Royal Darwin Hospital's response to the Ashmore Reef disaster , 2010, Emergency Medicine Journal.

[11]  M. B. Allen,et al.  Cancellation of Scheduled Procedures as a Mechanism to Generate Hospital Bed Surge Capacity—A Pilot Study , 2011, Prehospital and Disaster Medicine.

[12]  Eileen Malatino,et al.  Assessing the Capacity of the US Health Care System to Use Additional Mechanical Ventilators During a Large-Scale Public Health Emergency , 2015, Disaster Medicine and Public Health Preparedness.

[13]  M. Clark,et al.  Progress and challenges of disaster health management in China: a scoping review , 2014, Global health action.

[14]  Matthew F Toerper,et al.  Hospital Surge Capacity: A Web-Based Simulation Tool for Emergency Planners , 2017, Disaster Medicine and Public Health Preparedness.

[15]  Jamil D. Bayram,et al.  Disaster Metrics: Quantification of Acute Medical Disasters in Trauma-Related Multiple Casualty Events through Modeling of the Acute Medical Severity Index , 2012, Prehospital and Disaster Medicine.

[16]  Behnaz Raef,et al.  Comparing the Health Care System of Iran with Various Countries , 2016 .

[17]  L. Wallis,et al.  Modified Delphi study to determine optimal data elements for inclusion in an emergency management database system , 2012 .

[18]  H. Seyedin,et al.  Behavior of crossing flood on foot, associated risk factors and estimating a predictive model , 2014, Natural Hazards.

[19]  Davide Colombo,et al.  A Simple Graphical Method for Quantification of Disaster Management Surge Capacity Using Computer Simulation and Process-control Tools. , 2015, Prehospital and disaster medicine.

[20]  Shahin Soltani,et al.  Health care expenditure in the Islamic Republic of Iran versus other high spending countries , 2017, Medical journal of the Islamic Republic of Iran.

[21]  Matthew F. Toerper,et al.  Critical Resources for Hospital Surge Capacity: An Expert Consensus Panel , 2013, PLoS currents.