Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity

Phattharapornjaroen, Phatthranit; Carlström, Eric; Sivarak, O.; Tansuwannarat, P.; Chalermdamrichai, P.; Sittichanbuncha, Yuwares; Kongtoranin, Lalana; Phattranonuthai, R.; Marlow, P.; Winyuchonjaroen, W.; Pongpasupa, N.; Khorram‐Manesh, Amir

doi:10.1016/j.puhe.2022.06.025

Cited by 11 publications

(17 citation statements)

References 50 publications

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“…Community engagements, non-pro t organizations, or private actors who could enhance hospital response to an evacuation or other major incidents were missing. Since the need for community involvement has been evident during the COVID-19 pandemic and might be desirable during the ongoing Ukrainian war 7,8,16,17,21,22,36,46,47 , lessons learned should be magni ed to assemble practical integrated systems such as FSC, and educational and training initiatives that integrate surge capacity with collaborative elements of MIMMS' CSCATTT, emphasizing leadership formations, command and control structures, and diverse communication channels 21,33,34,[46][47][48][49] .…”

Section: System Multiagency Collaborationmentioning

confidence: 99%

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Hospitals’ Evacuation Preparedness; A Survey Among 42 Thai Hospitals According to the Flexible Surge Capacity Concept.

Phattharapornjaroen

Carlström

Holmqvist

et al. 2022

Preprint

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Background: Hospitals are subject to internal and external threats, which could necessitate an evacuation. Such evacuation needs deliberate surge and collaboration, particularly collaborative use of community capacities to handle affected patients, personnel, devices, and hospital structures using consensus systems. Therefore, it is crucial to identify hospital evacuation procedures’ flaws and assess the possibility of implementing measures using community resources. This study aimed to explore Thai hospitals’ current evacuation readiness and preparation regarding surge capacity and collaboration according to the Flexible Surge Capacity concept. Methods: The previously used hospital evacuation questionnaire was adopted. It contained relevant questions about hospital evacuations’ responses and preparedness encompassing surge capacity and collaborative elements and an open-ended question to collect possible perspectives/comments. Results: The findings indicate glitches in evacuation protocols and triage systems and inadequacies in surge planning and multi-agency collaboration. Additionally, it was evident that hospitals had limited information about communities' capabilities and limited collaboration with other public and private organizations. Conclusion: Although implementing the measures for concept integration to hospital evacuation is challenging, pragmatic research exploring planning for community engagement according to the flexible surge capacity to build a concrete hospital evacuation plan would enhance hospital readiness and its generalizations. The latter needs to be tested in simulation exercises.

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Section: System Multiagency Collaborationmentioning

confidence: 99%

“…A key element in organizing such a process is to create a unanimous system, i.e., rules and guidelines that govern the collaboration between organizations and their staff, stuff, and spaces 16,21 . Exercises and training initiatives may enhance this multi-agency and multi-professional synchronization and collaboration 22 .…”

Section: Introductionmentioning

confidence: 99%

Hospitals’ Evacuation Preparedness; A Survey Among 42 Thai Hospitals According to the Flexible Surge Capacity Concept.

Phattharapornjaroen

Carlström

Holmqvist

et al. 2022

Preprint

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“…Other events may indirectly impact a hospital—for example, a pandemic, such as the still-active Coronavirus 2019 (Covid-19) infection, which prevents unaffected hospitals from admitting new patients, and forces affected hospitals to partially or entirely evacuate unaffected patients and their routine activities. In both cases, there is also a need to isolate out-of-hospital cases and offer care at home using potential diagnostic and surveillance methods (Phattharapornjaroen et al 2022b ). All these events that necessitate partial or total evacuation require extra resources and an expansion of healthcare capacity through multiagency collaboration.…”

Section: Introductionmentioning

confidence: 99%

“…The surge planning includes four essential elements (4S): (1) Staff comprising both medical and non-medical personnel; (2) Stuff such as medical devices and ambulances; (3) Structure or Spaces that refer to needed areas to be modified to either treatment zones or shelters; and (4) Systems that refer to practical or mutual guidelines (Bonnett et al 2007 ; Hick et al 2014 ). Additionally, the multiagency approach to disaster and emergency response requires a collaborative instrument to harmonize the interaction between agencies (Sammut et al 2001 ; Bahrami et al 2020 ; Khorram-Manesh and Burkle 2020 ; Phattharapornjaaroen et al 2022a , 2022b ).…”

Section: Introductionmentioning

confidence: 99%

“…One of the approaches to expanding the response capacity is through the flexible surge capacity (FSC) concept, in which the collaboration is extended further to embrace communities’ potential resources and facilities (Khorram-Manesh 2020 ; Phattharapornjaroen et al 2022b ). According to the FSC theoretical framework, community resources can be utilized when hospitals are the target of a hazardous event and cannot receive more patients,for example, under explosion threats, during a pandemic where the restriction policy is applied, or when the hospitals are overloaded with ordinary and disaster-related patients (Fig.…”

Section: Introductionmentioning

confidence: 99%

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Assessing Thai Hospitals’ Evacuation Preparedness Using the Flexible Surge Capacity Concept and Its Collaborative Tool

Phattharapornjaroen

Carlström

Holmqvist

et al. 2023

Int J Disaster Risk Sci

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According to the concept of “flexible surge capacity,” hospitals may need to be evacuated on two occasions: (1) when they are exposed to danger, such as in war; and (2) when they are contaminated, such as during the Covid-19 pandemic. In the former, the entire hospital must be evacuated, while in the latter, the hospital becomes a pandemic center necessitating the transfer of its non-contaminated staff, patients, and routine activities to other facilities. Such occasions involve several degrees of evacuation—partial or total—yet all require deliberate surge planning and collaboration with diverse authorities. This study aimed to investigate the extent of hospital evacuation preparedness in Thailand, using the main elements of the flexible surge capacity concept. A mixed method cross-sectional study was conducted using a hospital evacuation questionnaire from a previously published multinational hospital evacuation study. The tool contained questions regarding evacuation preparedness encompassing surge capacity and collaborative elements and an open-ended inquiry to grasp potential perspectives. All 143 secondary care, tertiary care, and university hospitals received the questionnaire; 43 hospitals provided responses. The findings indicate glitches in evacuation protocols, particularly triage systems, the inadequacies of surge planning and multiagency collaboration, and knowledge limitations in community capabilities. In conclusion, the applications of the essential components of flexible surge capacity allow the assessment of hospital preparedness and facilitate the evaluation of guidelines and instructions through scenario-based training exercises.

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Sociopathic narcissistic leadership: How about their victims?

Khorram‐Manesh,

Burkle

2023

World Med & Health Policy

Self Cite

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There is evidence globally that the number of sociopathic, narcissistic, and so‐called antisocial personality disorders is far more prevalent than expected. Most individuals with such a disorder cause limited harm to society. However, politicians may, through an exaggerated sense of entitlement, grandiosity, sensitivity to criticism, and the hunger for acclaim, cause conflicts that have historically reached the level of wars, political unrest, or severe social suffering. This is often evident only after attaining a high office and is especially witnessed in international and national politicians. Thus, this review aims to clarify the social, political, and health‐care security implications of sociopathic narcissistic leadership and to recommend potential societal options to avoid the untoward leadership consequences that too often occur.

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Community-based response to the COVID-19 pandemic: case study of a home isolation centre using flexible surge capacity

Cited by 11 publications

References 50 publications

Hospitals’ Evacuation Preparedness; A Survey Among 42 Thai Hospitals According to the Flexible Surge Capacity Concept.

Hospitals’ Evacuation Preparedness; A Survey Among 42 Thai Hospitals According to the Flexible Surge Capacity Concept.

Assessing Thai Hospitals’ Evacuation Preparedness Using the Flexible Surge Capacity Concept and Its Collaborative Tool

Sociopathic narcissistic leadership: How about their victims?

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