Examining the experience and lessons learnt for disaster-preparedness in Sri Lankan hospitals: A scoping review

Munasinghe, Nimali Lakmini; O’Reilly, Gerard; Cameron, Peter

doi:10.1016/j.ijdrr.2021.102494

Cited by 7 publications

(7 citation statements)

References 14 publications

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“…This causes confusion in the management process, hinders effective and efficient teamwork, and can result in suboptimal patient care. 27 Therefore, it is essential to ensure that every staff member fully understands their roles and responsibilities during a disaster. 12 For this, frequent staff training and orientation is necessary to ensure all staff members have the requisite skills and knowledge to manage the MCIs.…”

Section: Discussionmentioning

confidence: 99%

Management of Mass-Casualty Incidents in Nepal: A Qualitative Case Study of Three District Hospitals in Nepal

Singh,

Lamine,

Sapkota

et al. 2023

Prehosp. Disaster med.

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Introduction: The frequency of disasters world-wide has significantly increased in recent years, leading to an increase in the number of mass-casualty incidents (MCIs). These MCIs can overwhelm health care systems, requiring hospitals to respond quickly and effectively, often with limited resources. While numerous studies have identified the challenges in managing MCIs and have emphasized the importance of hospital disaster preparedness, there is a research gap in the preparedness level and response capacities of district hospitals in Nepal. Study Objective: This study attempts to fill this gap by understanding the perception of hospital staff in managing MCIs in district hospitals of Nepal. Methods: A qualitative case study was conducted in three district hospitals in Nepal. Semi-structured interviews were conducted with the hospital personnel, using an interview guide. An inductive thematic analysis was carried out to understand their perception on the most recent MCI management. Results: Three themes emerged from the data analysis: enablers in MCI management, barriers in MCI management, and recommendations for the future. Use of multiple communication channels, mobilization of entire hospital teams, mobilization of police in crowd control, presence of disaster store, and pre-identified triage areas were the major enablers that facilitated successful MCI management. Nonetheless, the study also revealed challenges such as a lack of knowledge on MCI response among new staff, disruptions caused by media and visitors, and challenges in implementing triage. Conclusion: This study emphasized the importance of hospital disaster preparedness in managing MCIs and highlighted the significance of overcoming barriers and utilizing enablers for an efficient response. The findings of this study can provide the basis for the Ministry of Health and Population Nepal and district hospitals to plan initiatives for the effective management of MCIs in the future.

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Section: Discussionmentioning

confidence: 99%

Management of Mass-Casualty Incidents in Nepal: A Qualitative Case Study of Three District Hospitals in Nepal

Singh,

Lamine,

Sapkota

et al. 2023

Prehosp. Disaster med.

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“…These interviews were conducted following a semi-structured, interview guide prepared by the researchers. The guide was based on the 4S domains of hospital disaster preparedness: space, stuff, staff and systems ( 19–21 ) (Appendix I). It also focused on identifying demographic characteristics of the respondents along with the identification of enablers and barriers to COVID-19 management.…”

Section: Methodsmentioning

confidence: 99%

Lessons learned from the COVID-19 response in Sri Lankan hospitals: an interview of frontline healthcare professionals

Munasinghe,

O'Reilly,

Cameron

2023

Front. Public Health

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IntroductionThe COVID-19 pandemic revealed the lack of preparedness in health systems, even in developed countries. Studies published on COVID-19 management experiences in developing countries, including Sri Lanka, are significantly low. Therefore, lessons learned from pandemic management would be immensely helpful in improving health systems for future disaster situations. This study aimed to identify enablers and barriers to COVID-19 management in Sri Lankan hospitals through healthcare workers’ perceptions.MethodsFrontline doctors and nurses from different levels of public hospitals were interviewed online. Both inductive and deductive coding and thematic analysis were performed on the transcribed data.Result and discussionThis study identified four themes under enablers: preparing for surge, teamwork, helping hands and less hospital-acquired infections. Seven themes were identified as barriers: lack of information sharing, lack of testing facilities, issues with emergency equipment, substandard donations, overwhelmed morgues, funding issues and psychological impact. These preparedness gaps were more prominent in smaller hospitals compared with larger hospitals. Recommendations were provided based on the identified gaps.ConclusionThe insights from this study will allow health administrators and policymakers to build upon their hospital’s resources and capabilities. These findings may be used to provide sustainable solutions, strengthening the resilience of the local Sri Lankan health system as well as the health systems of other countries.

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“…And the system domain includes all the plans, procedures, and protocols needed for preparedness management. [20][21][22][23][24] Similarly, preparedness themes of each selected study were identified according to this 4S conceptual framework.…”

Section: Data Synthesis and Analysismentioning

confidence: 99%

“…19 The global literature classifies a hospital's disaster preparedness and response in terms of the "4S's"space, stuff, staff, and systems. [20][21][22][23][24] The space domain includes: the physical space needed for patient care and workspace (infrastructure and their access routes). The stuff domain includes logistics, equipment, and supplies.…”

Section: Data Synthesis and Analysismentioning

confidence: 99%

Establishing the Domains of a Hospital Disaster Preparedness Evaluation Tool: A Systematic Review

Munasinghe

O’Reilly

Cameron

2022

Prehosp. Disaster med.

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Introduction: Recent disasters emphasize the need for disaster risk mitigation in the health sector. A lack of standardized tools to assess hospital disaster preparedness hinders the improvement of emergency/disaster preparedness in hospitals. There is very limited research on evaluation of hospital disaster preparedness tools. Objective: This study aimed to determine the presence and availability of hospital preparedness tools across the world, and to identify the important components of those study instruments. Method: A systematic review was performed using three databases, namely Ovid Medline, Embase, and CINAHL, as well as available grey literature sourced by Google, relevant websites, and also from the reference lists of selected articles. The studies published on hospital disaster preparedness across the world from 2011-2020, written in English language, were selected by two independent reviewers. The global distribution of studies was analyzed according to the World Health Organization’s (WHO) six geographical regions, and also according to the four categories of the United Nations Human Development Index (UNHDI). The preparedness themes were identified and categorized according to the 4S conceptual framework: space, stuff, staff, and systems. Result: From a total of 1,568 articles, 53 met inclusion criteria and were selected for data extraction and synthesis. Few published studies had used a study instrument to assess hospital disaster preparedness. The Eastern Mediterranean region recorded the highest number of such publications. The countries with a low UNHDI were found to have a smaller number of publications. Developing countries had more focus on preparedness for natural disasters and less focus on chemical, biological, radiological, and nuclear (CBRN) preparedness. Infrastructure, logistics, capacity building, and communication were the priority themes under the space, stuff, staff, and system domains of the 4S framework, respectively. The majority of studies had neglected some crucial aspects of hospital disaster preparedness, such as transport, back-up power, morgue facilities and dead body handling, vaccination, rewards/incentive, and volunteers. Conclusion: Important preparedness themes were identified under each domain of the 4S framework. The neglected aspects should be properly addressed in order to ensure adequate preparedness of hospitals. The results of this review can be used for planning a comprehensive disaster preparedness tool.

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Examining the experience and lessons learnt for disaster-preparedness in Sri Lankan hospitals: A scoping review

Cited by 7 publications

References 14 publications

Management of Mass-Casualty Incidents in Nepal: A Qualitative Case Study of Three District Hospitals in Nepal

Management of Mass-Casualty Incidents in Nepal: A Qualitative Case Study of Three District Hospitals in Nepal

Lessons learned from the COVID-19 response in Sri Lankan hospitals: an interview of frontline healthcare professionals

Establishing the Domains of a Hospital Disaster Preparedness Evaluation Tool: A Systematic Review

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