The paper analyzes the performance of a hospital system using a holistic and multidisciplinary approach. Data on impacts to the hospital system were collected using a standardized survey tool. A fault-tree analysis method is adopted to assess the functionality of critical hospital services based on three main contributing factors: staff, structure, and stuff. Damage to utility networks and to nonstructural components was found to have the most significant effect on hospital functionality. The functional curve is integrated over time to estimate the resilience of the regional acute-care hospital with and without the redistribution of its major services. The ability of the hospital network to offer redundancies in services after the earthquake increased the resilience of the Christchurch Hospital by 12%. The resilience method can be used to assess future performance of hospitals, and to quantify the effectiveness of seismic retrofits, hospital safety legislation, and new seismic preparedness strategies.
The safety of building occupants during and immediately after disasters, such as a major earthquake, is highly dependent on the way in which people interact with the damaged physical environment. While there are extensive studies on evacuation from undamaged structures and on structural behavior under seismic and other hazards, research on the influence of building damage on human evacuation behavior is limited. This study presents a framework by which models for buildings and human behavior can be coupled to analyze the dynamic influences of building damage on the evacuation process. The framework combines nonlinear dynamic finite-element modeling of structures, probabilistic modeling of damage, and agent-based modeling of human occupants to investigate the behavior of people as they interact with each other and with their dynamically-deteriorating environment as they attempt to evacuate the building. A case study is presented for a typical three-story commercial office building subjected to the ground motions of the 1994 Northridge, California earthquake. By using exit flow rates and other measures related to evacuation time histories as the outcomes of interest, it is shown how the proposed framework can be used as a tool to enhance building design and to develop recommendations for improved evacuation strategies. An important future extension of the work is expanding the framework for multiple buildings for community-wide models of postdisaster behavior
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