Strategic planning and designing of a hospital disaster manual in a tertiary care, teaching, research and referral institute in India

Abstract

BACKGROUND:As per the "Disaster Management Act, 2005" of India, it is mandatory for government hospitals in India to prepare a disaster plan. This study aimed to prepare a disaster manual of a 1 900 bed tertiary care hospital, in consultation and involvement of all concerned stakeholders. METHODS:A committee of members from hospital administration, clinical, diagnostic and supportive departments worked on an initial document prepared according to the Act and gave their inputs to frame a fi nal disaster manual. RESULTS:The prepared departmental standard operating procedures involved 116 people (doctors and paramedical staff), and were then synchronized, in 12 committee meetings, to produce the fi nal hospital disaster manual. CONCLUSIONS:The present disaster manual is one of the few comprehensive plans prepared by the stakeholders of a government hospital in India, who themselves form a part of the disaster response team. It also helped in co-ordinated conduction of mock drills.

Challenges of Hospital Response to the Twin Earthquakes of August 21, 2012, in East Azerbaijan, Iran

“…Lack of preparedness was a challenge frequently mentioned in previous studies. [16][17][18] In the Haiti earthquake, the studied staff felt that they were not ready. 19 In a study by Bahrami et al, 20 the study subjects emphasized the preparation and previous training of staff on their duties, responsibilities, and working conditions in disasters.…”

Rehabilitation of vulnerable groups in emergencies and disasters: A systematic review

“…[36,37] Disaster management experts believe that physical and physiological rehabilitation should be immediately started after response phase to disaster and it should continue in the community over the long term in order to improve and restore function of vulnerable peoples. [13,38,39] One of the studies emphasized social rehabilitation of vulnerable groups in order to ensure the participation of vulnerable groups in the planning and implementation World J Emerg Med, Vol 8, No 4, 2017 (2) intent to delegate responsibility; and (3) desire for a wide scope of social support. One of the most important weaknesses of rehabilitations from participants' viewpoint was that after the response stage where people were rescued and discharged, there were no specialized centers to continue long-term rehabilitation activities.…”

Collegiate neurosurgery in disaster and mass medical emergencies: lessons learned from mexico.

“…The hospital system flow should center in maintaining access to care for the greatest number and to ensure a safe pass to the next level of attention when required. Also identifying potential and real bottlenecks is important, specifically in terms of transport, operative table selection, and critical care (26,28).…”

“…The aim is to prevent secondary injury and a rapid transportation of those with high probability to survive. Usually these patients require a more integrative intervention on every level of attention during the casualty (28). Also we recommend the presence of a neurosurgeon in the triage system and in first evaluation on site, from local hospitals in the region with CT scan, because this will be a relevant strategy to obtain information to make decisions from a neurosurgical view.…”