Development of hospital disaster resilience: conceptual framework and potential measurement

Abstract

Hospital resilience is a comprehensive concept derived from existing disaster resilience frameworks. It has four key domains: hospital safety; disaster preparedness and resources; continuity of essential medical services; recovery and adaptation. These domains were categorised according to four criteria, namely, robustness, redundancy, resourcefulness and rapidity. A conceptual understanding of hospital resilience is essential for an intellectual basis for an integrated approach to system development. This article (1) defines hospital resilience; (2) constructs conceptual framework (including key domains); (3) proposes comprehensive measures for possible inclusion in an evaluation instrument; and (4) develops a matrix of critical issues to enhance hospital resilience to cope with future disasters.

Towards Developing a Model for the Evaluation of Hospital Disaster Resilience: A Systematic Review

“…One of the advantages of this tool is that the non-structural section is wide and consists of many sub-categories. The disaster management category in HSI has emphasized on preparedness of Zhong suggested a framework including four domains and 12 subdomains for assessing hospital resilience assessment in China (32)(33)(34). This framework highlights managerial aspect of hospitals more than the structural and non-structural systems at the time of danger.…”

“…This tool not only helps to assess safety status, but also helps to evaluate the response capacity of the hospitals (22)(23)(24)(25)(26)(27).Moreover, there are some studies that mentioned instruments for assessing Hospital Disaster Resilience (HDR). In some of them the authors focused on operational characteristics of hospitals; however, the structural and non-structural aspects of hospital resilience were not mentioned in details (28)(29)(30)(31)(32)(33).For instance, Zhong proposed multiple concepts for assessing hospitals resilience in response to disasters in China. The variables used in this study included hospital safety, emergency services, surge capacity, command, disaster plan, logistics, staff ability, disaster training, communication and cooperation systems, recovery, and adaptation (34).…”

“…The remained article was a narrative study. Additional file 3 shows the characteristics of the full sources included in the study(4,8,25, 27,29,(31)(32)(33).…”

Towards Developing a Model for the Evaluation of Hospital Disaster Resilience: A Systematic Review

“…Moreover, there are some studies that mentioned instruments for assessing Hospital Disaster Resilience (HDR). In some of them the authors focused on operational characteristics of hospitals; however, the structural and non-structural aspects of hospital resilience were not mentioned in details (28)(29)(30)(31)(32)(33).For instance, Zhong proposed multiple concepts for assessing hospitals resilience in response to disasters in China. The variables used in this study included hospital safety, emergency services, surge capacity, command, disaster plan, logistics, staff ability, disaster training, communication and cooperation systems, recovery, and adaptation (34).…”

A Pseudoelastic Floor Isolation System for Hospital Seismic Retrofitting

“…Resilience is described as the capacity of the system to reduce chances, to absorb and recover after a shock [6]. Especially, hospital resilience intimately depends both on structural and nonstructural components, as well as on strategical vulnerabilities (such as emergency planning) toward a performance key indicator that describes the serviceability state of the system [7,8,9]. For instance, to prevent and minimize medical record losses, modern complementary techniques implement strategies that protect data in a double perspective, i.e., safeguarding non-structural hardware contents and formulating both Business Continuity (BCP) and Disaster Recovery plans (DRP) [10,11].…”